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USAA · 3 days ago

Injury Adjuster- FPI

Chesapeake, VA

Full-time

Hybrid

Entry, Mid Level

$58K/yr - $98K/yr

1+ years exp

USAA is a company dedicated to empowering its members to achieve financial security. The Injury Adjuster- FPI will be responsible for adjusting soft tissue bodily injury or auto PIP/MP medical claims, ensuring compliance with state laws, and delivering exceptional member service.

BankingFinancial ServicesInsuranceVenture Capital

No H1B

Responsibilities

Adjusts soft tissue, moderately complex and complex 1st party PIP/MP medical claims

Identifies, confirms, and makes coverage decisions on soft tissue claims

Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes

Provides advice and sets expectations into next steps to members

Collaborates and supports team members to resolve issues and identify appropriate matters for escalation

Partners with and/or directs vendors and internal business partners to facilitate timely claims resolution

Delivers a best-in-class member service experience through setting appropriate expectations and proactive communication

Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours

May be assigned CAT deployment travel with minimal notice during designated CATs

Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed

Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled

Qualification

Injury adjusting experienceAuto liability adjustingNegotiation skillsAuto claimsInsurance adjuster licenseConflict resolution skillsMulti-tasking skillsPrioritizing skillsCommunication skillsProblem-solving skills

Required

High School Diploma or General Equivalency Diploma

1 year of injury adjusting or auto liability adjusting experience to include highly complex vehicle physical damage, such as multi-vehicle, non-owned vehicles, or total loss claims

Working knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of claims as well as application of case law and state laws and regulations

Demonstrated negotiation, investigation, communication, and conflict resolution skills

Proven investigatory, prioritizing, multi-tasking, and problem-solving skills

Exercise sound financial judgment and discretion in handling insurance claims

Knowledge of coverage evaluation, loss assessment, and loss reserving

Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts