Sr. Injury Adjuster jobs in United States
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USAA · 1 day ago

Sr. Injury Adjuster

USAA is committed to empowering its members to achieve financial security through exceptional service and trusted advice. The Sr. Injury Adjuster will manage moderately complex bodily injury claims, ensuring compliance with state laws while providing high-quality member service through effective communication and negotiation.

BankingFinancial ServicesInsuranceVenture Capital

Responsibilities

Identifies and manages existing and emerging risks that stem from business activities and the job role
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled
Follows written risk and compliance policies, standards, and procedures for business activities
Adjusts attorney-involved moderately complex bodily injury claims with demonstrable injuries (e.g. torn meniscus, broken bones, disc herniations), as well as all auto physical damage associated with those claims
Identifies, confirms, and makes coverage decisions on moderately complex bodily injury claims
Investigates loss details, determines legal liability, evaluates, negotiates, and arrives at claim settlement within appropriate authority guidelines
Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions
Prioritizes and manages assigned claims workload to keep members and other involved parties informed, provides timely claims status updates
Collaborates and supports 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
May act as an informal resource for team members with less experience

Qualification

Injury adjusting experienceAuto liability claims adjustingInvestigation skillsNegotiation skillsMedical terminologyCoverage evaluationLoss assessmentHuman anatomy knowledgeFinancial judgmentMulti-tasking skillsTime-management skillsDecision-making skillsProblem-solving skillsConflict resolution skills

Required

High School or General Equivalency Diploma
1 year of injury adjusting experience
2 years of auto liability claims adjusting experience
Deep knowledge and understanding of the auto claims contract as well as application of case law and state laws and regulations
Proficient negotiation, investigation, communication, and conflict resolution skills
Demonstrated time-management and decision-making skills
Proven investigatory, prioritizing, multi-tasking, and problem-solving skills
Proficient knowledge of human anatomy and medical terminology associated with bodily injury claims
Ability to exercise sound financial judgment and discretion in handling insurance claims
Proficient knowledge of coverage evaluation, loss assessment, and loss reserving
Acquisition and maintenance of insurance adjuster license within 90 days and designated number of attempts

Preferred

4 or more years auto liability/casualty adjusting experience
1yr Medical experience to include coding and billing or EMT
Ongoing Professional Development with a focus on Insurance
Bachelors degree or higher
US military experience through military service or a military spouse/domestic partner

Benefits

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
Various wellness programs
Career path planning and continuing education

Company

USAA is a financial services company.

Funding

Current Stage
Late Stage

Leadership Team

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Julie McPeak
SVP, General Counsel Insurance
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Waqas Durrani
Senior Vice President, General Counsel - Enterprise Shared Services
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Company data provided by crunchbase