Senior Travel Medical Claims Adjuster

2 weeks ago

Colorado Springs CO, United States USAA Full time

Why USAA?At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation’s military, but we all share in the mission to give back to those who did. As a dedicated Senior Property Adjuster, you will work within established guidelines and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyze coverage, recognize liability exposure and negotiate equitable settlements in compliance with all state regulatory requirements. The ideal candidate will possess strong virtual estimating skills for moderate to large severity losses and/or reconcile estimates while working in a telephone concentrated environment without physical inspection of loss.
This hybrid role requires an individual to be in the office 3 days per week. Typical work schedules are 9:00 am - 5:30 pm (local time) Monday to Friday and may include some weekends. The Inside Property Adjuster role is a call center environment with a high volume of calls. This is an hourly, non-exempt position with paid overtime available. We have new training classes starting every month. Relocation assistance is not available.
Manage assigned claims caseload comprised of claims with complex damages including specialty claims. Partners with vendors and internal business partners to facilitate complex claims. May also involve external regulatory coordination to ensure appropriate documentation and compliance.
Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources.
Serves as a resource for less experienced staff, providing informal coaching as appropriate.
Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate Determines coverage through analyzing information involving complex policy terms and contingencies.
Determines and negotiates complex claims settlement. Maintains accurate and current claim file documentation throughout the claims process for complex claims.
Proficient knowledge of estimating technology platforms. Utilizes platforms to prepare claims estimates in order to manage complex property insurance claims.
Supports workload surges and/or Catastrophe (CAT) operations as needed to include working significant overtime; may involve deployment travel during designated CATs.
Recognizes and solves obstacles that occurs in the claims process without supervisory approval.
May require limited travel to resolve claims and conduct in-person inspections.
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
2 years’ relevant property claims adjusting experience of moderate complexity that includes writing estimates involving dwelling and structural damages
~ Proficient knowledge of Xactimate or similar estimating platform
~ Proficient knowledge of property claims contracts and interpretation of case law
~ Experience desk adjusting property claims involving DWG, APS and ALE using virtual technologies such as ClaimsXperience
Experience handling large loss complex claims (i.e., Insurance industry designations such as AINS, CPCU, AIC, SCLA (or actively pursuing)
Xactimate Level 1 and/or Level 2 certification
Bachelor’s degree
Compensation: USAA has 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. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

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. Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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