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Injury Examiner - Phoenix Arizona
Company: USAA
Location: Phoenix, Arizona
Posted On: 01/19/2025
Why USAA?At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful.The OpportunityAs a dedicated Injury Examiner, you will adjust complex bodily injury claims and UIM claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. You are accountable for delivering a concierge level of best in class member service through setting appropriate expectations, proactive communications, advice, and empathy.This hybrid role requires an individual to be in the office 3 days per week. This position can be based in one of the following locations: Phoenix, AZ, Colorado Springs, CO, or San Antonio, TX.Relocation assistance is not available for this position.What you'll do: - Adjusts complex auto and homeowner bodily injury claims with significant injuries (e.g. traumatic brain injury, disfigurement, fatality) and UM/UIM, and small business claims, as well as some auto physical damage associated with those claims. Identifies, confirms, and makes coverage decisions on complex claims.
- Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes.
- Prioritizes and manages assigned claims workload to keep members and other involved parties informed and provides timely claims status updates.
- Collaborates and supports team members to resolve issues and identifies appropriate matters for escalation.
- Partners and/or directs vendors and internal business partners to facilitate timely claims resolution.
- Serves as a resource for team members on complex claims.
- Delivers a best-in-class member service experience by setting appropriate expectations and providing proactive communication.
- Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
- May be assigned CAT deployment travel with minimal notice during designated CATs.
- Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
- Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.What you have:
- High School Diploma or General Equivalency Diploma.
- Advanced knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of claims as well as application of case law and state laws and regulations.
- Advanced negotiation, investigation, communication, and conflict resolution skills.
- Demonstrated strong time-management and decision-making skills.
- Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.
- Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims.
- Ability to exercise sound financial judgment and discretion in handling insurance claims.
- Advanced knowledge of coverage evaluation, loss assessment, and loss reserving.
- Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.What sets you apart:
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