As a dedicated Injury Adjuster, you will work within defined guidelines and framework, responsible to adjust non-attorney involved soft tissue bodily injury or auto PIP/MP medical claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable for delivering a concierge level of best in class member service through setting appropriate expectations, proactive communications, advice, and compassion.
What you'll do:
Identifies and handles existing and emerging risks that stem from business activities and the job role.
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled.
Follows written risk and compliance policies, standards, and procedures for business activities.
Adjusts non-attorney involved soft tissue bodily injury claims, as well as all auto physical damage associated with those claims.
Adjusts soft tissue, moderately complex and complex 1st party PIP/MP medical claims.
Identifies, confirms, and makes coverage decisions on soft tissue 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.
Provides advice and sets expectations into next steps to members.
Collaborates and supports team members to resolve issues and identify appropriate matters for escalation.
Partners and/or directs vendors and internal business partners to facilitate timely claims resolution.
Supports workload surges and/or Catastrophe Operations as needed.
What you have:
High School Diploma or General Equivalency Diploma.
2 years of customer service experience.
1 year of experience handling low to moderately complex auto non injury liability claims.
Experience determining auto liability coverage.
Proficient knowledge and understanding of the auto claims contract as well as application of case law and state laws and regulations.
Demonstrated negotiation, investigation, communication, and conflict resolution skills.
Proven investigatory, analytical, prioritizing, multi-tasking, and problem-solving skills.
Ability to organize, analyze, and effectively determine risk and appropriate response.
What sets you apart:
Experience adjusting auto physical damage associated with injury claims.
2+ years Auto Liability/Casualty adjusting experience to include complex/multi vehicle liability.
Guidewire Claims Center 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.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
What we offer:
Compensation: 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 salary range for this position is: $54,940.00 - $98,440.00 .
Employees may be eligible for pay incentives based on overall corporate and individual performance or at the discretion of the USAA Board of Directors.
Shift premium will be addressed on an individual-basis for applicable roles that are consistently scheduled for non-core hours.
Benefits: 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. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, please visit our benefits page on USAAjobs.com.
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
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.
Where youll work: This is a fully remote position in the assigned territory. How youll contribute: As an External Wholesaler, youll be responsible for providing investment professionals with the ability to help their clients achieve financial freedom with...
...great sales consultant!**ABOUT WINDOW WORLD** With over 200 store locations across the United States and more than 1 million... ...Knowledge about basic mathematics to solve problems * Proficiency in Microsoft Office, Excel, and Outlook as well as Google Drive, Docs, and...
...opportunities with you. Job Description What makes Personal Training with Equinox stand out? Equinox is proudly recognized... ...Institute. For over twenty years EFTI has elevated our trainers to design comprehensive client fitness programs that are safe,...
Overview: GEM Mortgage, a division of Golden Empire Mortgage (GEM) is proud to hold ourselves as one of the most respected lenders... ...general supervision of the Branch Manager, the Mortgage Loan Originator is responsible for origination of mortgage loans. This position...
...General Description As the Omni Associate you are accountable for contributing to profitable sales growth by executing Enterprise Fulfillment and jcp.com activities and strategies to include Customer Service & Sales, Enterprise Fulfillment, jcp.com operations...