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Insurance Claims Investigator

2 months ago

Colorado Springs, Colorado, United States USAA Full time
About the Role

As a Senior Property Claims Adjuster at USAA, you will play a critical role in facilitating the financial security of millions of U.S. military members and their families. You will work within established guidelines and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members.

Key Responsibilities
  • Manage assigned claims caseload comprised of claims with complex damages including specialty claims.
  • Update initial reserve levels and partner with vendors and internal business partners to facilitate complex claims.
  • Investigate claim damages by conducting research from various sources, including the insured, third parties, and external resources.
  • Proactively identify and engage in additional confirmation of potential discrepancies involving complicated situations.
  • Serve as a resource for less experienced staff, providing informal coaching as appropriate.
  • Identify coverage concerns, review prior loss history, determine and create Special Investigation Unit (SIU) referrals, when appropriate.
  • Determine coverage through analyzing information involving complex policy terms and contingencies.
  • Communicate with insured about coverage or any issues that involve additional information or considerations regarding settlement amount.
  • Determine and negotiate complex claims settlement. Make recommendations to management for settlement amounts outside of authority limits.
  • Maintain accurate and current claim file documentation throughout the claims process for complex claims.
  • Proficient knowledge of estimating technology platforms. Utilize platforms to prepare claims estimates in order to manage complex property insurance claims.
  • Support workload surges and/or Catastrophe (CAT) operations as needed to include working significant overtime; may involve deployment travel during designated CATs.
  • May act as an informal resource for team members with less experience.
  • Recognize and solve obstacles that occurs in the claims process without supervisory approval.
  • May require limited travel to resolve claims and conduct in-person inspections.
Requirements
  • High School Diploma or GED
  • 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
  • Advanced knowledge estimating losses of moderate complexity
  • Proficient knowledge of property claims contracts and interpretation of case law
  • Demonstrated negotiation, investigation, communication and conflict resolution skills
  • Developing knowledge of residential construction
Preferred Qualifications
  • US military service or military spouse
  • Experience desk adjusting property claims involving DWG, APS and ALE using virtual technologies such as ClaimsXperience
  • Experience handling large loss complex claims (i.e., vandalism, malicious mischief, foreclosures, earth movement, collapse, liability, etc.)
  • Insurance industry designations such as AINS, CPCU, AIC, SCLA (or actively pursuing)
  • Xactimate Level 1 and/or Level 2 certification
  • Currently hold an active Adjuster License
  • Bachelor's degree
  • Experience in a call center environment