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USAA

Sells insurance and banking to military families

Injury Claims Examiner - East region

Claims AdjudicationUpdated on Nov 9
Full-time

About the Job

Requirements

  • A high school diploma or General Equivalency Diploma is required.
  • Four years of auto injury claims adjusting experience is required.
  • Advanced knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of claims, including application of case law and state laws and regulations, is required.
  • Advanced negotiation, investigation, communication, and conflict-resolution skills are required.
  • Strong time-management and decision-making skills are required.
  • Investigatory, prioritizing, multitasking, and problem-solving skills are required.
  • Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims is required.
  • Ability to exercise sound financial judgment and discretion when handling insurance claims is required.
  • Advanced knowledge of coverage evaluation, loss assessment, and loss reserving is required.
  • An insurance adjuster license must be acquired and maintained within 90 days, with three attempts allowed.
  • Applicants must not need immigration support now or in the future; the employer does not provide visa sponsorship.

Responsibilities

  • Adjust complex auto bodily injury claims involving significant injuries, high exposures including umbrella claims and uninsured/underinsured motorist coverage, small business claims, and some associated auto physical damage claims. Identify, confirm, and make coverage decisions on complex claims.
  • Investigate loss details, determine legal liability, evaluate, negotiate, and adjudicate claims appropriately and on time, within authority guidelines, with clear documentation supporting accurate outcomes.
  • Prioritize and manage assigned claims workload to 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 appropriate for escalation.
  • Partner with or direct vendors and internal business partners to facilitate timely claims resolution.
  • Serve as a resource for team members on complex claims.
  • Deliver a high-quality member service experience by setting appropriate expectations and providing proactive communication.
  • 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, with uninsured/underinsured motorist coverage.
  • A college degree at the bachelor's level or higher.
  • An insurance designation.
  • U.S. military experience through military service or as a military spouse or 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

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