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California FAIR Plan Association yra draudimo organizacija, aptarnaujanti Kalifornijos nekilnojamojo turto savininkus ir gyventojus, kurie negali gauti draudimo nuo gaisro įprastoje rinkoje. Jos FAIR Plan suteikia pagrindinę apsaugą reikalavimus atitinkantiems savininko arba nuomininko gyvenamiems namams, kuriuose yra ne daugiau kaip keturi gyvenamieji vienetai, taip pat reikalavimus atitinkantiems komerciniams pastatams. Organizacija taip pat sujungia klientus su California Earthquake Authority siūlomu žemės drebėjimų draudimu. Polisai įsigyjami per licencijuotus draudimo brokerius ir yra skirti kaip laikina alternatyva, kai standartinė draudimo apsauga neprieinama.
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Property Claims Examiner III – California Remote

Manage high-value property insurance claims remotely from California, including coverage review, reserves, payments, and settlement negotiations. The role focuses on losses exceeding $300,000.

USJungtinės ValstijosCAKalifornija
90 000 $ – 100 000 $ / metai
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųDraudimo žalų specialistas

Aprašymas

  • Investigate, assess, and resolve property insurance claims.
  • Review reserves and recommend appropriate adjustments.
  • Record claim transactions with clarity and precision.
  • Evaluate claims inspected by independent adjusters, investigate potential issues, confirm coverage, and authorize payments.
  • Review daily claim diaries to verify that status letters meet Department of Insurance requirements.
  • Process and pay claims within assigned authority limits.
  • Oversee independent adjusters’ compliance with CFP IA Guidelines.
  • Follow Department of Insurance requirements and company policies and procedures.
  • Prepare complete, accurate correspondence and secure outstanding information from policyholders and other parties.
  • Negotiate settlements that reflect covered losses while limiting payment on invalid claims.
  • Coordinate with Claims Management and legal counsel on litigated matters.
  • Manage claims from start to finish, excluding inspections and specific coverages such as Personal Property or Fair Rental Value.
  • Prioritize claims involving more than $300,000 in damages while handling lower-value claims as needed.

Reikalavimai

  • A bachelor’s degree or equivalent is preferred.
  • Strong verbal and written communication skills.
  • Professional experience using Microsoft Office, particularly Word and Excel.
  • At least two years of property claims experience with a strong customer service background.
  • CEA certification and Fair Claims Settlement Practices certification.
  • Five years of overall claims experience.
  • Two years of experience handling homeowners claims exceeding $300,000.
  • At least two years of insurance carrier experience.

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