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Injury Adjuster - San Antonio Texas
Company: USAA Location: San Antonio, Texas
Posted On: 01/21/2025
Why USAA?Let's do something that really matters. At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation's military, but we all share in the mission to give back to those who did. We're working as one to build a great experience and make a real impact for our members. We believe in our core values of honesty, integrity, loyalty and service. They're what guides everything we do - from how we treat our members to how we treat each other. Come be a part of what makes us so special!The OpportunityAs a dedicated Injury Adjuster, you will 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, and adjudicating claims in compliance with state laws and regulations. Responsible 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. These multiple positions can be based in one of the following locations: San Antonio, TX, Phoenix, AZ Colorado Springs, CO, Chesapeake, VA or Tampa, FL. Relocation assistance is not available for this position.Training Schedule: Must be available to attend mandatory training for 5 weeks. PTO will not be permitted during these time frames.Work Schedule: Must be open and available to work any schedule assigned between Monday - Friday 7:00a.m - 7:30 p.m.What you'll do: - Adjusts non-attorney involved soft tissue bodily injury claims as well as some 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 adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes.
- 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 with and/or directs vendors and internal business partners to facilitate timely claims resolution.
- Delivers a best-in-class member service experience through setting appropriate expectations and 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.What you have:
- High School Diploma or General Equivalency Diploma.
- 1 year of injury adjusting or auto liability adjusting experience to include highly complex vehicle physical damage, such as multi-vehicle, non-owned vehicles, or total loss claims.
- Working 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.
- Demonstrated negotiation, investigation, communication, and conflict resolution skills.
- Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.
- Exercise sound financial judgment and discretion in handling insurance claims.
- 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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