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  • Injury Adjuster - San Antonio - USAA

    USAA
    USAA San Antonio

    3 weeks ago

    USAA background
    Description

    Why USAA?

    At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families.

    We believe in our core values of honesty, integrity, loyalty and service. They're what guides everything we do – from how we treat our members to how we treat each other.

    The Opportunity

    As a dedicated Injury Adjuster, you will be responsible for adjusting non-attorney involved soft tissue bodily injury or auto PIP/MP medical claims, confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations.

    This hybrid role requires an individual to be in the office 3 days per week. These multiple positions can be based in one of the following locations: San Antonio, TX, Phoenix, AZ Colorado Springs, CO, Chesapeake, VA or Tampa, FL.

    Responsibilities:

    • Adjusts non-attorney involved soft tissue bodily injury claims as well as some auto physical damage associated with those claims.
    • Adjusts soft tissue, moderately complex and complex 1st party PIP/MP medical claims.
    • Identifies, confirms, and makes coverage decisions on soft tissue claims.
    • 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.
    • Provides advice and sets expectations into next steps to members.
    • Collaborates and supports team members to resolve issues and identify appropriate matters for escalation.
    • Partners with and/or directs vendors and internal business partners to facilitate timely claims resolution.
    • Delivers a best-in-class member service experience through setting appropriate expectations and proactive communication.
    • 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.
    • May be assigned CAT deployment travel with minimal notice during designated CATs.
    • Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
    • Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled.

    Requirements:

    • High School Diploma or General Equivalency Diploma.
    • 1 year of injury adjusting or auto liability adjusting experience to include highly complex vehicle physical damage, such as multi-vehicle, non-owned vehicles, or total loss claims.
    • Working 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.
    • Demonstrated negotiation, investigation, communication, and conflict resolution skills.
    • Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.
    • Exercise sound financial judgment and discretion in handling insurance claims.
    • Knowledge of coverage evaluation, loss assessment, and loss reserving.
    • Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.

    Preferred Qualifications:

    • 2+ years Auto Liability/Casualty adjusting experience to include complex/multi vehicle liability.
    • 3+ years PIP/Medpay coverage handling experience.
    • Ongoing Professional Development with a focus on Insurance.
    • Bachelors' Degree or higher.
    • US military experience through military service or a military spouse/domestic partner

    What We Offer:

    Compensation: We have an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position.

    Benefits: 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.


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