Injury Adjuster (Remote) (Nationwide)

Company: USAA
Location: Sun City
Posted on: May 14, 2022

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:

• High School Diploma or General Equivalency Diploma
• 1 year of auto liability adjusting experience
• Working knowledge and understanding of the auto claims contract as well as application of case law and state laws and regulations
• Acquisition and maintenance of insurance adjuster license within 90 days and designated number of attemptsPreferred Experience
  • Military Experience or Affiliation
  • Ongoing Professional Development with a focus on Insurance
  • 2+ years Auto Liability/Casualty adjusting experience to include complex/multi vehicle liability
  • Bachelors' Degree or higher.
  • 1yr Medical experience to include coding and billing or EMTCompensation:USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market position. The salary range for this position is: $46,000 - $82,900. Employees may be eligible for pay incentives based on overall corporate and individual performance or at the discretion of the USAA Board of Directors.Geographical Differential: Geographic pay differential is additional pay provided to eligible employees working in locations where market pay levels are above the national average. Shift premium will be addressed on an individual-basis for applicable roles that are consistently scheduled for non-core hours. Benefits:At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.Please click on the link below for more details.USAA Total RewardsRelocation assistance is not available for this position. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Keywords: USAA, Sun City , Injury Adjuster (Remote) (Nationwide), Other , Sun City, Arizona