Senior Injury Claims Adjuster

2 days ago


TX United States USAA Full time
About the Opportunity

At USAA, we're committed to delivering exceptional service to our members. As a Senior Injury Claims Adjuster, you'll play a critical role in ensuring that our members receive fair and timely resolutions to their bodily injury and UM claims. Your expertise will be essential in navigating complex claims, investigating loss details, and negotiating settlements that meet our high standards of service.

This is a hybrid role, requiring you to be in the office 3 days per week. Our San Antonio, TX office is the hub for this position, and relocation assistance is not available.

Key Responsibilities
  • Identify and manage risks associated with business activities and job roles.
  • Ensure risks are effectively identified, measured, monitored, and controlled.
  • Adjust attorney-involved moderately complex bodily injury claims with demonstrable injuries and UM claims, as well as all auto physical damage associated with those claims.
  • Adjust catastrophic 1st party PIP/MP medical claims.
  • Investigate loss details, determine legal liability, evaluate, negotiate, and arrive at claim settlement within authority guidelines.
  • Clearly document thought process, investigation, evaluation, negotiation, and settlement decisions.
  • Prioritize and manage assigned claims workload to keep members and other involved parties informed, providing timely claims status updates.
  • Collaborate and support team members to resolve issues and identify appropriate matters for escalation.
  • Partner and/or direct vendors and internal business partners to facilitate timely claims resolution.
  • Support workload surges and/or Catastrophe Operations as needed.
  • May act as an informal resource for team members with less experience.
Requirements
  • High School or General Equivalency Diploma.
  • 1 year of injury adjusting experience.
  • 2 years of auto liability claims adjusting experience.
  • Deep knowledge and understanding of the auto claims contract, as well as application of case law and state laws and regulations.
  • Proficient negotiation, investigation, communication, and conflict resolution skills.
  • Demonstrated time-management and decision-making skills.
  • Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.
  • Proficient knowledge of human anatomy and medical terminology associated with bodily injury claims.
  • Ability to exercise sound financial judgment and discretion in handling insurance claims.
  • Proficient knowledge of coverage evaluation, loss assessment, and loss reserving.
  • Acquisition and maintenance of insurance adjuster license within 90 days and designated number of attempts.
Preferred Qualifications
  • 4 or more years auto liability/casualty adjusting experience.
  • 1yr Medical experience to include coding and billing or EMT.
  • 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

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 position. The actual salary for this role may vary by location. The salary range for this position is: $61,110 - $110,000.

Employees may be eligible for pay incentives based on overall corporate and individual performance or at the discretion of the USAA Board of Directors.

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.



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