Injury Adjuster (Remote) (Nationwide)
Company: USAA
Location: Sun City
Posted on: May 14, 2022
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Job Description:
Purpose of JobWe are currently seeking a talented Injury
Adjuster for any location in the U.S.* Role may offer flexibility
to work from home once training has been completed. To enable this
flexibility, please consider the following: Must have internet
bandwidth with minimum capability of consistent speeds of 25 Mbps
download and 5 Mbps upload. Satellite or Wireless are not currently
approved. Ability to provide workspace at home that is safe,
suitable for work, and provide a distraction free environment from
background noises that may distract a member or internal USAA
customer. ****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, defending, and
settling claims in compliance with state laws and regulations.
Accountable for delivering a concierge level of best in class
member service through setting appropriate expectations, proactive
communications, advice, and empathy.Job RequirementsIdentify and
manage existing and emerging risks that stem from business
activities and the job role.Ensure risks associated with business
activities are effectively identified, measured, monitored, and
controlled.Follow written risk and compliance policies and
procedures for business activities.Adjust non-attorney involved
soft tissue bodily injury claims, as well as all auto physical
damage associated with those claims. Adjust soft tissue, moderately
complex and complex 1st party PIP/MP medical claims.Identify,
confirm, and make coverage decisions on soft tissue
claims.Investigate loss details, determine legal liability,
evaluate, negotiate, and arrive at claim settlement within
appropriate authority guidelines.Clearly document thought process,
investigation, evaluation, negotiation, and settlement
decisions.Provide advice and set expectations into next steps to
members.Collaborate and support team members to resolve issues and
identify appropriate matters for escalation.Partners and/or directs
vendors and internal business partners to facilitate timely claims
resolution.Supports workload surges and/or Catastrophe Operations
as needed.Minimum Experience:
Keywords: USAA, Sun City , Injury Adjuster (Remote) (Nationwide), Other , Sun City, Arizona
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