Onshore - Help Desk Support: Lead

Somerset StaffingSan Antonio, TX
Onsite

About The Position

USAA is seeking a Technical Support Specialist to join the Claims Optimization - First Party Injury team. This role serves as a critical first-level IT support resource and the primary liaison for Medical Bill Audit (MBA) services. You will troubleshoot hardware/software issues while ensuring seamless communication between vendors, Injury Adjusters, and Claims Staff.

Requirements

  • 1+ years of 1st-party injury medical claims adjusting or auto liability adjusting experience (handling complex multi-vehicle or total loss claims).
  • Broad knowledge of popular operating systems, desktop/laptop hardware, printers, and networks.
  • Ability to evaluate, prioritize, and interpret complex data to make informed decisions in a fast-paced environment.
  • Demonstrated negotiation, conflict resolution, and high-level investigation skills.
  • Experience in Adjuster Desktop applications.
  • Deep understanding of auto claims contracts, case law, and state-specific regulations.
  • Proven ability to multitask and manage service level objectives (SLO).

Nice To Haves

  • GuideWire (Essential for claims management)
  • Medflow (Essential for medical data workflow)
  • Ticketing Systems (Standard IT support documentation)

Responsibilities

  • Provide first-level support via telephone, email, or chat.
  • Resolve hardware, software, and voice/data communication issues.
  • Act as the primary contact for MBA services.
  • Manage daily user web access lists and communicate access changes to suppliers.
  • Write concise service tickets, escalate complex calls, and pursue issues through to resolution using standard ticketing systems.
  • Identify and manage emerging risks stemming from business activities.
  • Ensure all actions follow written risk and compliance policies and state regulations.
  • Identify training needs and facilitate formal/informal MBA training for Injury Adjusters.
  • Review reports to identify process efficiencies that improve the member and employee experience.
  • Assist management with responding to complaint letters from Departments of Insurance, attorneys, and members regarding payments based on medical bill audit recommendations.
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