U

USAA

Sells insurance and banking to military families

Injury Claims Examiner - Central to West region

Claims AdjudicationConfirmed live in the last 24 hours
Full-time

About the Job

Requirements

  • High school diploma or General Equivalency Diploma.
  • Four years of auto injury claims adjusting experience.
  • Advanced knowledge and understanding of auto claims contracts, investigation, evaluation, negotiation, and accurate adjudication of claims, including application of case law and state laws and regulations.
  • Advanced negotiation, investigation, communication, and conflict-resolution skills.
  • Strong time-management and decision-making skills.
  • Investigatory, prioritizing, multitasking, 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.
  • Acquire and maintain an insurance adjuster license within 90 days and within three attempts.

Responsibilities

  • Adjust complex auto bodily injury claims involving significant injuries, high exposures including umbrella claims and UM/UIM, small business claims, and associated auto physical damage claims; identify and confirm coverage and make coverage decisions.
  • Investigate loss details, determine legal liability, evaluate, negotiate, and adjudicate claims appropriately and promptly within authority guidelines, documenting the basis for accurate outcomes.
  • Prioritize and manage assigned claims workload, keep members and other involved parties informed, and provide timely claims status updates.
  • Collaborate with and support team members to resolve issues and identify matters requiring escalation.
  • Partner with and/or direct vendors and internal business partners to facilitate timely claims resolution.
  • Serve as a resource for team members on complex claims.
  • Set appropriate expectations and provide proactive communications to deliver a high-quality member service experience.
  • Handle various types of claims, including higher-complexity claims, and take on additional work outside normal duties as needed.
  • Identify, measure, monitor, and control risks associated with business activities in accordance with risk and compliance policies and procedures.

Desired Qualifications

  • Two or more years of high-value catastrophic injury experience, including traumatic brain injury, disfigurement, or fatality claims, and UM/UIM coverage.
  • College degree (bachelor's or higher).
  • Insurance designation.
  • US military experience through military service or as a military spouse/domestic partner.

About the Company

USAA

Sells insurance and banking to military families

USAA sells insurance, banking and investment products to U.S. military members, veterans and their families, and membership is limited to that community and eligible relatives. It began when Army officers who struggled to get car coverage agreed to insure each other, and auto and home insurance remain its core business. Members can also open checking and savings accounts, carry credit cards, take out auto loans and mortgages, and buy life insurance, annuities and retirement accounts. The company earns money from insurance premiums, loan interest, card fees and investment management. USAA was founded in 1922 and is based in San Antonio, Texas.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
San Antonio, TX
Founded
1922

Recently Posted Jobs

Explore more opportunities at USAA

See more jobs