Sr. Injury Adjuster-UM

USAA•San Antonio, VA

4d•Hybrid

About The Position

USAA is seeking a dedicated Sr. Injury Adjuster- UM to handle attorney-involved, moderately complex UM/UIM claims. This role involves confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. The position requires delivering a concierge level of best-in-class member service through setting appropriate expectations, proactive communications, advice, and empathy. This is a hybrid role requiring 3 days per week in the office and can be based in San Antonio, TX, Phoenix, AZ, Colorado Springs, CO, Chesapeake, VA or Tampa, FL. Relocation assistance is not available.

Requirements

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.

Nice To Haves

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
US military experience through military service or a military spouse/domestic partner

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.