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.ResponsibilitiesAdjusts soft tissue, moderately complex and complex 1st party PIP/MP medical claimsIdentifies, confirms, and makes coverage decisions on soft tissue claimsInvestigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomesProvides advice and sets expectations into next steps to membersCollaborates and supports team members to resolve issues and identify appropriate matters for escalationPartners with and/or directs vendors and internal business partners to facilitate timely claims resolutionDelivers a best-in-class member service experience through setting appropriate expectations and proactive communicationSupports 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 hoursMay be assigned CAT deployment travel with minimal notice during designated CATsWorks various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as neededEnsures risks associated with business activities are effectively identified, measured, monitored, and controlledSkillsHigh School Diploma or General Equivalency Diploma1 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 claimsWorking 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 regulationsDemonstrated negotiation, investigation, communication, and conflict resolution skillsProven investigatory, prioritizing, multi-tasking, and problem-solving skillsExercise sound financial judgment and discretion in handling insurance claimsKnowledge of coverage evaluation, loss assessment, and loss reservingAcquisition and maintenance of insurance adjuster license within 90 days and 3 attempts2+ years Auto Liability/Casualty adjusting experience to include complex/multi vehicle liability3+ years PIP/MedPay coverage handling experienceOngoing Professional Development with a focus on InsuranceBachelors Degree or higherBenefitsComprehensive medical, dental and vision plans401(k)PensionLife insuranceParental benefitsAdoption assistancePaid time off program with paid holidays plus 16 paid volunteer hoursVarious wellness programsCareer path planning and continuing educationCompany OverviewUSAA is a financial services company. It was founded in 1922, and is headquartered in San Antonio, Texas, USA, with a workforce of 10001+ employees. Its website is https://www.usaa.com.



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