Full-Time

Injury Examiner

Posted on 1/29/2025

USAA

USAA

10,001+ employees

Financial services for military members and families

Fintech
Financial Services

Compensation Overview

$85k - $153.1kAnnually

+ Pay Incentives

Mid, Senior

Colorado Springs, CO, USA + 2 more

More locations: San Antonio, TX, USA | Phoenix, AZ, USA

This hybrid role requires an individual to be in the office 3 days per week. Relocation assistance is not available for this position.

Category
Insurance
Finance & Banking
Required Skills
Risk Management

You match the following USAA's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • 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.
Responsibilities
  • 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.
Desired Qualifications
  • Experience handling UM/UIM injury claims.
  • 2+ years of catastrophic injury experience.
  • College Degree (Bachelor’s or higher).
  • Insurance Designation.

USAA provides financial services specifically designed for the military community, including active-duty members, veterans, and their families. The company offers a variety of products such as auto, home, life, and health insurance, as well as banking services like checking and savings accounts, credit cards, loans, and mortgages. Their retirement services include investment options and personalized financial planning. USAA operates on a membership model, allowing only military members and their families to join, which enables them to tailor their services to the unique financial needs of this community. Unlike many competitors, USAA's leadership team has military backgrounds, ensuring a deep understanding of their members' challenges. The company's goal is to promote financial wellness among its members by providing extensive resources and support, while also engaging in corporate responsibility initiatives to strengthen communities.

Company Stage

N/A

Total Funding

N/A

Headquarters

San Antonio, Texas

Founded

1922

Simplify Jobs

Simplify's Take

What believers are saying

  • USAA's digital banking initiatives enhance online experiences for its military community members.
  • The rise of personalized financial planning tools aligns with USAA's tailored services for military families.
  • Expansion of telematics in auto insurance could benefit USAA's competitive rate offerings.

What critics are saying

  • USAA faces cybersecurity vulnerabilities, highlighted by a $3.25 million data breach settlement.
  • OCC criticism indicates potential regulatory compliance risks for USAA's operational areas.
  • USAA's $10 million investment in San Antonio office spaces poses financial risks if market fluctuates.

What makes USAA unique

  • USAA exclusively serves military members, veterans, and their families, ensuring specialized services.
  • The company offers competitive auto insurance rates and banking services with no monthly fees.
  • USAA's leadership team has strong military backgrounds, aligning with their mission and values.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

401(k) Retirement Plan

401(k) Company Match

Parental Leave

Adoption Assistance

Paid Vacation

Paid Holidays

Wellness Program

Professional Development Budget