Medical Claims Adjuster

4 weeks ago


San Antonio TX, United States USAA Full time

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.

Embrace a fulfilling career at USAA, where our core values honesty, integrity, loyalty and service define how we treat each other and our members. As a dedicated Property Adjuster, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle low to moderate complexity property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. USAA's Catastrophe team is seeking experienced Property Adjusters for in-office claim handling. This hybrid role requires an individual to be in a USAA office 3 days per week . Relocation assistance is not available for this position.

The Inside Property Adjuster role is an hourly, non-exempt position with overtime and CAT pay opportunities. The ideal candidate will possess strong virtual estimating skills for low to moderate severity losses and/or reconcile estimates while working in a telephone concentrated environment without physical inspection of loss.

Target hire date is January 2026.

Proactively manages assigned claims caseload comprised of claims with low to moderate complexity damages that require commensurate knowledge and understanding of claims coverage.
Partners with vendors and internal business partners to facilitate low to moderate complexity claims resolution. 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. Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing investigation information involving low to moderate complexity policy terms and contingencies.
Determines and negotiates low to moderate complexity claims settlement. Coordinates with management for guidance on assessing settlement amounts outside of authority limits to support managing claims outcomes.
Maintains accurate, thorough, and current claim file documentation throughout the claims process.
Applies knowledge of estimating technology platforms and virtual inspection tools to prepare and manage low to moderate complexity property insurance claims estimates
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 in accordance with risk and compliance policies and procedures.

High School Diploma or General Equivalency Diploma.
~1 year of customer service, military leadership, construction related industry/insurance experience and/or experience handling low complexity property claims
~ Knowledge of estimating losses using Xactimate or similar tools and platforms.
~ Working knowledge and understanding of claims contracts as well as application of case law and state laws and regulations.
~ Ability to prioritize and multi-task, including navigating through multiple business applications.
~ May need to travel up to 25% of the year (local & non-local) and/or work catastrophe duty when needed.
~ Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.


Currently live within a commutable distance to one of USAA office locations in San Antonio, Phoenix, Colorado Springs, Tampa or Chesapeake for a hybrid in-office work schedule
~1+ years of residential property adjusting of moderate complexity claims
~1+ years of estimate writing skills using Xactimate, Claim X or virtual estimating
~ Proficient with virtual tools (such as Claim X, Hover, and Hosta)
~ Handling claims from start (FNOL, reviewing policy, making coverage decisions) to finish including settlement
~ Experience scoping the loss, assessing damages, interpreting policy and making claim decisions
~ Experience on a Property Catastrophe team handling inside or field claims (i.e. wind, hail, hurricane, flooding)
~ Knowledge of homeowner property policies and endorsements
~ Currently hold an active P&C Adjuster license
~ Prior experience working directly for a standard insurance carrier
~ Ability to work overtime and extended hours to support CAT claims
~ US military experience through military service or a military spouse/domestic partner


May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car.
Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
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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