Injury Adjuster- FPI

USAA • Colorado Springs, CO

3d • Hybrid

About The Position

As a dedicated Injury Adjuster- FPI , you will 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, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a concierge level of best-in-class member service through setting appropriate expectations, proactive communications, advice, and empathy. This hybrid role requires an individual to be in the office 3 days per week . This position can be based in one of the following locations: San Antonio, TX, Phoenix, AZ, Colorado Springs, CO, C Chesapeake, VA or Tampa, FL. Relocation assistance is not available for this position. Training Schedule: Must be available to attend mandatory training for 5 weeks. PTO will not be permitted during these time frames. Work Schedule: Must be open and available to work any schedule assigned between Monday - Friday 7:00a.m - 7:30 p.m.

Requirements

• 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.

Nice To Haves

• 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.

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.

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.
• For more details on our outstanding benefits, visit our benefits page on USAAjobs.com

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees