Injury Adjuster- FPI

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.

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

Skills

• 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
• 2+ years Auto Liability/Casualty adjusting experience to include complex/multi vehicle liability
• 3+ years PIP/MedPay coverage handling experience
• 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 Overview