Property Claims Examiner III

POSITION SUMMARY The 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. This person will make payment recommendations and settlements in accordance with company practices, procedures, and Fair Claims Settlement Practices regulations. PRINCIPAL DUTIES & RESPONSIBILITIES • 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, verification of coverage, and timely issuance of payments to policyholders. • Conduct daily diary reviews on claim files to ensure status letters are sent to policyholders in accordance with Department of Insurance regulations. • 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. Communicate with insureds and/or others involved to secure