Commercial Claims Examiner III

California FAIR Plan Association

. Manage a caseload of commercial property claims from assignment through resolution.

Posted 10/26/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $46 - $51 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing commercial property claims, including investigation, evaluation, and negotiation of settlements. Proficient in compliance with insurance regulations and maintaining accurate claims documentation.

Highest-signal resume keywords

Commercial Property Claims AdjustingClaims Investigation and EvaluationNegotiation of SettlementsCompliance with Department of InsuranceCertified in CEA and Fair Claims Settlement Practices

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ManagementLoss Reserve AdjustmentData AnalysisFraud DetectionPolicy Contract Understanding

Soft Skills

Excellent Oral CommunicationExcellent Written CommunicationCollaboration with Legal Counsel

Tools & Technologies

MS-OfficeExcelWord

Certifications & Qualifications

CEAFair Claims Settlement Practices

Industry Keywords

Commercial ClaimsInsurance CoverageClaims ProcessesCFP IA GuidelinesClaims Over $500,000

About the role

Key responsibilities & impact

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.
Focus on claims over $500,000, while receiving smaller claims as needed.

Requirements

What you’ll need

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