Commercial Claims Examiner III (Remote)
At California FAIR Plan Association · Los Angeles, California, United States
- Full-time
See how well you match Match me reads your CV and picks the jobs that suit you best.
Get jobs like this within hours Radar emails you new jobs open to you within hours of us finding them, before most people see them.
Where you can work from
Open to the United States
“Los Angeles, California, United States”
From the location.
Report a mistake
- Posted
- 26 October 2026
- First seen by us
- 3 November 2026
- Last checked
- 21 hours ago
Job description
From California FAIR Plan Association’s job post, as they wrote it.
POSITION SUMMARY
The Commercial Property Examiner reviews, evaluates and processes complex commercial insurance claims and makes recommendations for resolution. Additionally, this role will examine and authorize commercial insurance claims investigated by independent adjusters. Lastly, the commercial property examiner will review claim forms and other records to determine insurance coverage, ensuring payment recommendations and settlements have been made correctly.
Read the full description
PRINCIPAL DUTIES AND RESPONSIBILITIES
• Manage a caseload of commercial property claims from assignment through resolution.
• Examine commercial claims investigated by independent adjusters to determine the extent of insurance coverage and validity of the claims.
• Review and adjust commercial loss reserves, correspondence, reports, verify coverage and authorize payments submitted by independent adjusters.
• Collaborate with internal personnel and/or legal counsel on claims involving litigation.
• Investigate, evaluate, and adjust claims, applying technical knowledge and human relations skills to promote fair and prompt settlement of claims.
• Oversee independent adjuster files to ensure they have followed CFP IA Guidelines.
• Verify and analyze data used in settling claims to ensure validity and that settlement is in accordance with company practices and procedures.
• Maintain compliance with the Department of Insurance and Company procedures.
• Identify fraud or illegal activity indicators and follow internal processes to refer the claims to the appropriate personnel for follow up.
• Promptly negotiates settlements ensuring the settlement reflects the insured losses while confirming the insurer is protected from invalid claims.
ADDITIONAL DUTIES AND RESPONSIBILITIES
The Commercial Claims Examiner III role will focus on Claims over $500,000 but may receive smaller claims as needed.
KNOWLEDGE AND SKILL REQUIREMENTS
• Bachelor’s degree or equivalent.
• 5+ years of property claims adjusting experience, including 2+ years commercial property claims preferred.
• Excellent oral and written communication skills.
• Working experience with MS-Office (especially Word and Excel).
• Comprehensive understanding of policy contract/statutes and claims processes.
• Certified in CEA and Fair Claims Settlement Practices.
• 4 years Commercial Experience, 2 years claims over $500k
Apply on California FAIR Plan Association (opens in a new tab)
Commercial Claims Examiner III (Remote)California FAIR Plan Association
Apply on California FAIR Plan Association (opens in a new tab)Get jobs like this by email
Once a week, we email the new remote jobs open where you live, each with the line that proves it. Every email has a one-click unsubscribe.
