Jobs at California FAIR Plan Association

Designs, implements, and improves leadership and talent development programs. Creates training materials, manager workshops, career paths, onboarding plans, and development resources. Facilitates learning sessions, coaches managers and high-potential employees, supports succession planning, manages external facilitators, and reports program outcomes and organizational development recommendations to senior leadership.

Processes and investigates property insurance claims, verifies coverage and damages, adjusts reserves, recommends settlements, manages claim transactions, supervises independent adjusters, communicates with policyholders, and ensures regulatory and company-policy compliance.

Reviews and manages complex commercial property claims, including claims over $500,000, from assignment through resolution. Evaluates coverage, verifies documentation, adjusts reserves, authorizes payments, negotiates settlements, oversees independent adjusters, identifies fraud indicators, and ensures compliance with insurance regulations and company procedures. Collaborates with legal counsel on litigated claims and promotes fair, accurate, and timely claim settlements.

Develops, maintains, and enhances regulatory and internal statistical reporting using policy, claims, commissions, and unclaimed property data. Extracts and analyzes data, documents requirements and workflows, supports data integrity and compliance, communicates with regulatory entities and internal stakeholders, and recommends process improvements. Performs business testing, post-production monitoring, system reporting requirements, and ArcGIS-based participation verification.

Processes and audits premium billing, receipts, disbursements, payment applications, and billing accounts. Investigates customer inquiries, resolves suspense and exception items, prepares correction entries, performs premium billing audits, supports regulatory compliance and audit requests, and conducts OFAC clearance and collections follow-up. Maintains accurate documentation while ensuring billing processes are timely and compliant.

Supervises property claims examiners, ensuring accurate coverage evaluations, compliant investigations, timely payments, proper reserves, and fair settlements. Reviews claim files, correspondence, field adjuster work, and diaries; authorizes claims within authority limits; supports litigation, appraisal, mediation, and questionable-claim investigations. Coaches examiners, coordinates with management and legal counsel, and leads quality and efficiency improvement projects while ensuring compliance with insurance regulations and company procedures.

Analyzes and improves claims workflows by identifying bottlenecks, documenting current and future processes, defining requirements, and supporting system enhancements. The role partners with stakeholders and vendors on Duck Creek Claims and OnBase, conducts testing, maintains process documentation and metrics, supports audits, and presents improvement recommendations. It also leads or participates in business process reengineering, data consistency initiatives, and continuous improvement efforts.

Assists with designing, testing, implementing, and improving billing processes. Performs user acceptance testing, investigates billing discrepancies, runs SQL queries, monitors invoice generation, prepares analytical reports, and ensures compliance with policies and insurance regulations. The role also handles ad hoc billing requests, customer inquiries, documentation, cross-training, and collaboration across departments to maintain accurate and efficient billing operations.

Administer and secure Microsoft cloud, identity, endpoint, and hybrid infrastructure environments. Manage privileged access, identity lifecycles, security controls, vulnerability remediation, monitoring, logging, automation, and audit evidence. Lead cloud, identity, infrastructure, security, and automation initiatives; maintain documentation and operational procedures; collaborate with stakeholders and vendors; and participate in after-hours incident response and on-call support.

Handle billing inquiries and premium receipt processing: investigate and resolve payment issues, reconcile bank deposits, process unidentified receipts, prepare correction entries, perform OFAC clearance, track pending items, and maintain documentation. Provide backup support as needed.