POSITION SUMMARY

The Claims Examiner processes insurance claims for property or commercial 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, payment recommendations and settlements have been made in accordance with company practices, procedures, and Fair Claims Settlement Practices regulations.

PRINCIPAL DUTIES AND RESPONSIBILITIES

Investigate, evaluate, and adjust 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, such as payments, reserves, notes, and other documentation in a clear and concise manner.
Examine claims investigated by independent adjusters, including further investigation of questionable claims to determine payment authorization.
Conduct daily diary reviews on claim files to ensure status letters are sent to policyholders timely and in accordance with Department of Insurance regulations.
Pay and process claims within designated authority level.
Supervise independent adjusters to ensure they have followed CFP IA Guidelines.
Comprehensive understanding of policy contract/statutes and claims processes of the CFP.
Understanding of fraudulent and illegal practices.
Maintains compliance with the Department of Insurance and Company policy & procedures.
Reviews reports submitted by independent adjusters, verifies coverage, and authorizes timely payments to policyholders.
Reviews independent adjuster’s correspondences to policyholders for accuracy and completeness. Communicates to adjusters and/or others involved to secure missing information.
Promptly negotiates settlements, making sure that the settlement reflects the actual insured losses while ascertaining that the insurer is protected from invalid claims.
Confer with Vice President of Claims and legal counsel on claims involving litigation.
EDUCATION AND EXPERIENCE

Minimum Bachelor’s degree or equivalent preferred.
Excellent oral and written communication skills.
Working experience with MS-Office (especially Word and Excel) is required.
3 to 5 years property claims experience and excellent customer service.
Comprehensive understanding of policy contract/statutes and claims processes.
Certified in CEA and Fair Claims Settlement Practices preferred.

POSITION SUMMARY

The Data Entry Clerk is an individual who screens incoming new business application and endorsement requests to determine eligibility and approves or declines the requests using pre-determined screening parameters.

PRINCIPAL DUTIES AND RESPONSIBILITIES

Screen new business applications for accuracy and completion along multiple lines of business (Dwelling, Commercial, and California Earthquake Authority (CEA)).
Enters or declines applications based on screening parameters.
This person also completes the basic data entry for new Business owners (BOP) applications and refers them to Underwriting to determine eligibility and Class Code assignment.
Assigns appropriate rate code for Commercial quotations
Issues BOP quotations based on instructions from Underwriting.
Issues new business policies and orders inspections for all lines of business that are not auto-issued or auto-ordered by the System.
Reviews any correspondence submitted with the Quotation payment and assigns an effective date for the policy.
Screens and/or issues money endorsements, non-money endorsements, cancellation requests, non-renewals and reinstatements for all lines of business.
Approves or declines any of these transactions based on pre-determined screening parameters and completes any needed data entry.
When necessary, refers any items to Underwriting for review.
Processes Evidence of Insurance requests for both new business and endorsements.
Handles the review and issuance of Dwelling and Commercial manual renewals.
Reviews the rating variables on renewals to ensure correct rating.
Prints the inspection report listings, processes incoming CEA inspections to the system and gives to underwriting for review.
Reviews the nightly cycle print to make sure it is complete and accurate.
Performs additional duties or special projects as assigned.
EDUCATION AND EXPERIENCE

One to two years of Data Entry experience.
Great typing skills.
Exercise occasional decision making and judgment.
Ability to review and analyze information in order to ensure that submission standards are being met
Demonstrate good interpersonal skills.
Perform tasks with occasional supervision.
Pay attention to details and follow guidelines.
Have a solid understanding of rules and procedures for the processing of incoming requests.
High School diploma and computer skills required.

About the team
Zillow has streamlined the way people search, tour, apply and pay rent for leased properties. Zillow’s rental listings offer our customers a variety of property types, from s large-scale multifamily complexes, to unique, single family homes. Simultaneously, we provide our valued partners with a complete set of digital tools to help them market their properties, identify prospective tenants, sign a lease and collect payments — delivering a complete end-to-end online experience.
About the role
We are searching for a Fraud Specialist to join our review team in investigating listing-related issues and customer concerns for our national brands: Zillow, Trulia, and HotPads. You will be working closely with real estate professionals, consumers, and fellow ZG employees to ensure we have the highest quality listings for our users. In addition to providing the human eye to listings issues that software alone cannot resolve, you will also identify trends, suggest resolutions, and give valuable feedback to our product and engineering teams.

You Will Get To:
Review and respond to user generated reports regarding the accuracy, availability, and legitimacy of listings
Monitor and review the listings queue, you are dedicated in taking action towards increasing listing quality
Contact listing providers to work on account and listing issues
Respond to customer support tickets regarding listings and accounts
Work with operations and product teams to improve internal monitoring software
Work with other members of the team to fine-tune and build internal and external policies
This role has been categorized as a Remote position. “Remote” employees do not have a permanent corporate office workplace and, instead, work from a physical location of their choice which must be identified to the Company. Employees may live in any of the 50 US States, with limited exceptions. In certain cases, an employee in a remote-designated job may need to live in a specific region or time zone to support customers or clients as part of their role.
In California, Colorado, Connecticut, Nevada, New York City and Washington the standard base pay range for this role is $27.30 – $43.70 Hourly. This base pay range is specific to California, Colorado, Connecticut, Nevada, New York City and Washington and may not be applicable to other locations.
In addition to a competitive base salary this position is also eligible for equity awards based on factors such as experience, performance and location. Actual amounts will vary depending on experience, performance and location.
Who you are
You have experience in customer service with an online consumer site
Customer service within a fraud department is a big advantage
Strong data analytic skills with the ability to find and interpret data trends
Experience using various channels for delivering customer support
Able to work effectively and efficiently with customers who have varying degrees of product and technical proficiency
Excellent analytical skills, with a technical aptitude, quick and flexible learner, willing to grow in an ever-changing industry
Quick to identify fraud trends and develop solutions to mitigate
Comfortable operating in a fast-paced environment with quick turnarounds
Flexible to work over the weekends and holidays
You earned a Bachelor’s degree
Transferable Skills
Here at Zillow – we value the experience and perspective of candidates with non-traditional backgrounds. We encourage you to apply if you have transferable skills or related experiences.Contact listing providers to work on account and listing issues

Get to know us
Zillow is reimagining real estate to make home a reality for more and more people.

As the most-visited real estate website in the United States, Zillow® and its affiliates help movers find and win their home through digital solutions, first class partners, and easier buying, selling, financing and renting experiences. Millions of people visit Zillow Group sites every month to start their home search, and now they can rely on Zillow to help make it easier to move. The work we do helps people get home and no matter what job you’re in, you will play a critical role in making home a reality for more and more people.

Our efforts to streamline the real estate transaction are supported by a deep-rooted culture of innovation, our passion to redefine the employee experience, a fundamental commitment to Equity and Belonging, and world-class benefits. These benefits include comprehensive medical, dental, vision, life, and disability coverages as well as parental leave, family benefits, retirement contributions, and paid time off. We’re also setting the standard for work experiences of the future, where our employees are supported in doing their best work and living a flexible, well-balanced life. But don’t just take our word for it. Read recent reviews on Glassdoor and recent recognition from multiple organizations, including: the 100 Best Companies to Work For, Glassdoor Employees’ Choice Award, Bloomberg Gender-Equality Index, Human Rights Campaign (HRC) Corporate Equity Index, and TIME 100 Most Influential Companies list.

Zillow Group is an equal opportunity employer committed to fostering an inclusive, innovative environment with the best employees. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. If you have a disability or special need that requires accommodation, please contact us at [email protected].

Applicants who receive job offers from Zillow Group will be asked to sign a Proprietary Rights Agreement which includes confidentiality, intellectual property assignment, customer and employee non-solicitation, and non-competition provisions. If you are contacted for a role at Zillow Group and wish to review a copy of the Proprietary Rights Agreement prior to receiving an offer, you may request a copy from your Recruiter.