Medical Claims Examiner

3 days ago


San Antonio, Texas, United States USAA Full time

**About USAA**

At USAA, we have a vital mission: providing financial security to millions of U.S. military members and their families. We are committed to giving back to those who served.

**Job Summary**

We are seeking a dedicated Injury Adjuster Specialist to join our team. This hybrid role requires adjusting complex bodily injury claims, investigating loss details, determining legal liability, and negotiating claim settlements within state laws and regulations. The ideal candidate will have expert knowledge of auto claims contracts, case law, and state laws.

**Responsibilities**

  • Adjust complex bodily injury claims with significant demonstrable injuries (e.g., traumatic brain injury, disfigurement, fatality) and UIM claims, as well as all auto physical damage associated with those claims.
  • Identify, confirm, and make coverage decisions on complex claims.
  • Investigate loss details, determine legal liability, evaluate, negotiate, and arrive at claim settlement within appropriate authority guidelines.

**Requirements**

  • Bachelor's degree (or higher).
  • 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.

**Benefits**

  • 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.

**Salary Range**: $60,000 - $90,000 per year, based on experience and market data. Employees may be eligible for pay incentives based on overall corporate and individual performance.


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