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Injury Claims Examiner

1 month ago


San Antonio, Texas, United States USAA Full time
About the Role

USAA is seeking a highly skilled Injury Examiner to join our team. As a dedicated professional, you will be responsible for adjusting complex bodily injury claims and UIM claims, ensuring timely and accurate resolution of claims in compliance with state laws and regulations.

Key Responsibilities
  • Adjusts complex bodily injury claims with significant demonstrable injuries and UIM claims, as well as all auto physical damage associated with those claims.
  • Identifies, confirms, and makes coverage decisions on complex claims.
  • Investigates loss details, determines legal liability, evaluates, negotiates, and arrives at claim settlement within appropriate authority guidelines.
  • Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions.
  • Prioritizes and manages assigned claims workload to keep members and other involved parties informed, provides timely claims status updates.
  • Collaborates and supports team members to resolve issues and identifies appropriate matters for escalation.
  • Partners and/or directs vendors and internal business partners to facilitate timely claims resolution.
  • Serves as a resource for less experienced team members on complex claims.
Requirements
  • High School Diploma or General Equivalency Diploma.
  • 4+ years of casualty adjusting experience.
  • Expert knowledge and understanding of the auto claims contract as well as application of case law and state laws and regulations.
  • Acquisition and maintenance of insurance adjuster license within 90 days and designated number of attempts.
  • At least 3 years of experience handling UM/UIM injury claims.
  • 2+ years of catastrophic injury experience.
  • Experience adjusting injury claims in Missouri.
  • Injury experience in various states.
  • College Degree (Bachelor's or higher).
  • Insurance Designation.
What We Offer

USAA offers a competitive salary range of $81,770 - $147,190, based on experience and market data. Additionally, our employees enjoy best-in-class benefits, including 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.

USAA is an Equal Opportunity Employer. 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.