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  • Sr. Injury Adjuster- UM - San Antonio - USAA

    USAA
    USAA San Antonio

    2 weeks ago

    USAA background
    Description

    Job Title

    Sr. Injury Adjuster- UM at USAA


    **Summary**

    As a Sr. Injury Adjuster- UM, you will be responsible for adjusting attorney-involved and moderately complex bodily injury claims, alongside Uninsured Motorist (UM) claims.

    This role requires effective investigation, negotiation, and communication to deliver exceptional member service while ensuring compliance with state regulations.

    With a focus on risk management and proactive claims resolution, you will be part of a dedicated team empowering military members and their families to achieve financial security.


    Why USAA?

    At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service, and trusted advice.

    We seek to be the #1 choice for the military community and their families.


    The Opportunity

    As a dedicated Sr. Injury Adjuster- UM, you will work within defined guidelines and framework, responsible for adjusting attorney-involved, moderately complex bodily injury claims, and UM claims.

    Responsibilities include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations.

    Deliver a concierge level of best-in-class member service through setting appropriate expectations, proactive communications, advice, and empathy.


    What You'll Do:

    1. Adjusts attorney-involved and non-represented soft tissue and moderately complex bodily injury claims with injuries (e.g., torn meniscus, broken bones, disc herniations) and UM/UIM claims, as well as some auto physical damage associated with those claims.
    2. Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes.
    3. Prioritizes and manages assigned claims workload to keep members and other involved parties informed, provides timely claims status updates.
    4. Collaborates and supports team members to resolve issues and identify appropriate matters for escalation.
    5. Partners with and/or directs vendors and internal business partners to facilitate timely claims resolution.
    6. Delivers a best-in-class member service experience by setting appropriate expectations and proactive communication.
    7. Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
    8. May be assigned CAT deployment travel with minimal notice during designated CATs.
    9. Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
    10. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

    What You Have:

    • High School Diploma or General Equivalency Diploma.
    • 2 years of auto claims adjusting experience.
    • 1 year of injury adjusting experience.
    • Proficient knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of claims as well as application of case law and state laws and regulations.
    • Proficient negotiation, investigation, communication, and conflict resolution skills.
    • Demonstrated time-management and decision-making skills.
    • Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.
    • Proficient knowledge of human anatomy and medical terminology associated with bodily injury claims.
    • Ability to exercise sound financial judgment and discretion in handling insurance claims.
    • Proficient knowledge of coverage evaluation, loss assessment, and loss reserving.
    • Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.

    What Sets You Apart:

    • 4 or more years auto liability/casualty adjusting experience.
    • 1 year or more experience in Uninsured motorist (UM) claims.
    • Ongoing professional development with a focus on Insurance.
    • Bachelors degree or higher.
    • US military experience through military service or a military spouse/domestic partner.

    Compensation Range

    The salary range for this position is: $63,590 - $117,990


    Benefits

    At USAA, our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness.

    These benefits include comprehensive medical, dental, and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs.

    Additionally, our career path planning and continuing education assists employees with their professional goals.


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