Senior Injury Claims Adjuster
2 days ago
USAA is seeking a highly skilled and experienced Senior Injury Claims Adjuster to join our team. As a key member of our claims resolution team, you will be responsible for adjusting attorney-involved moderately complex bodily injury and UM claims, as well as catastrophic auto PIP/MP medical claims.
Key Responsibilities
- Identify and manage existing and emerging risks associated with business activities and the job role.
- Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled.
- Follow written risk and compliance policies, standards, and procedures for business activities.
- 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.
- Identify, confirm, and make coverage decisions on moderately complex bodily injury claims or catastrophic PIP/MP medical claims.
- Investigate loss details, determine legal liability, evaluate, negotiate, and arrive at claim settlement within appropriate 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, provide 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.
What We Offer
USAA offers a competitive salary range of $61,110 - $110,000, as well as a comprehensive benefits package, including medical, dental, and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays, and various wellness programs.
USAA is an Equal Opportunity Employer and welcomes applications from qualified candidates without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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