Sr. Injury Adjuster- UM jobs in United States
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USAA · 17 hours ago

Sr. Injury Adjuster- UM

USAA is dedicated to empowering its members to achieve financial security through exceptional service and trusted advice. The Sr. Injury Adjuster- UM will be responsible for adjusting moderately complex UM/UIM claims, confirming coverage, determining liability, and delivering best-in-class member service.

BankingFinancial ServicesInsuranceVenture Capital
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Responsibilities

Adjusts attorney-involved soft tissue and moderately complex claims with injuries (e.g., torn meniscus, broken bones, disc herniations) and UM/UIM claims, as well as some auto physical damage associated with those claims
Identifies, confirms, and makes coverage decisions on soft tissue and moderately complex bodily injury 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
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 with and/or directs vendors and internal business partners to facilitate timely claims resolution
Delivers a best-in-class member service experience by 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 in accordance with risk and compliance policies and procedures

Qualification

Injury adjusting experienceAuto claims adjustingNegotiation skillsCase lawMedical terminologyCoverage evaluationMulti-tasking skillsTime-management skillsCommunication skillsProblem-solving skillsConflict resolution skills

Required

High School Diploma or General Equivalency Diploma
2 years of auto claims adjusting experience
1 year of injury adjusting experience with attorney represented claims
Proficient 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
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 3 attempts

Preferred

4 or more years auto liability/casualty adjusting experience
1 year or more experience in Uninsured motorist (UM) claims
Ongoing professional development with a focus on Insurance
Bachelors degree or higher

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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