Job Description
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 USAA 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