Property Claims Examiner III - Remote

Overview

The Property Claims Examiner III processes insurance claims for property losses based on coverage, appraisal, and verifiable damage. They interact with independent adjusters and policy holders, review claim forms and other records to determine insurance coverage. The Property Claims Examiner III makes payment recommendations and settlements in accordance with company practices, procedures, and Fair Claims Settlement Practices regulations.

In Short

• Investigate, evaluate, and resolve claims, applying technical knowledge and human relations skills to promote fair and prompt settlement of claims.
• Adjust reserves and provide reserve recommendations to ensure reserving activities are consistent with company policies.
• Enter claim transactions, in a clear and concise manner.
• Examine claims inspected by independent adjusters, including further investigation of questionable claims.
• Conduct daily diary reviews on claim files to ensure status letters are sent to policyholders.
• Pay and process claims within designated authority level.
• Supervise independent adjusters to ensure adherence to CFP IA Guidelines.
• Maintain compliance with the Department of Insurance and Company policy and procedures.
• Create correspondence to policyholders that is accurate and complete.
• Promptly negotiate settlements, ensuring that the settlement reflects the actual insured losses.

Requirements

• Minimum bachelor’s degree or equivalent preferred.
• Excellent oral and written communication skills.
• Working experience with MS-Office (especially Word and Excel) is required.
• 2 + years property claims experience and excellent customer service.
• Certified in CEA and Fair Claims Settlement Practices.

Benefits

• Opportunity to handle high-value claims over $300,000.
• Engagement with independent adjusters and policyholders.
• Professional development in claims management.
• Work in a dynamic and challenging environment.
• Contribute to fair and prompt settlement of claims.