Injury Claims Examiner (Central to West Region)
$85.04k - $162.55kUSAA
Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a dedicated Injury Claims Examiner (Central to West regions), you will be responsible to adjust complex auto and homeowner bodily injury claims, UM/UIM , and small business 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 both over the phone and in writing, advice, and empathy. This role is remote eligible in the continental U.S. with occasional business travel. However, individuals residing within a 60-mile radius of a USAA office will be expected to work on-site three days per week. What you'll do:
- Adjusts complex auto bodily injury claims with significant injuries (e.g. traumatic brain injury, disfigurement, fatality), high exposures including umbrella claims and UM/UIM, and small business claims, as well as some auto physical damage associated with those claims. Identifies, confirms, and makes coverage decisions on complex 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 and provides timely claims status updates.
- Collaborates and supports team members to resolve issues and identifies appropriate matters for escalation.
- Partners and/or directs vendors and internal business partners to facilitate timely claims resolution.
- Serves as a resource for team members on complex claims.
- Delivers a best-in-class member service experience by setting appropriate expectations and providing proactive communication.
- 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.
- High School Diploma or General Equivalency Diploma.
- 4 years auto injury claims adjusting experience.
- Advanced 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.
- Advanced negotiation, investigation, communication, and conflict resolution skills.
- Demonstrated strong time-management and decision-making skills.
- Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.
- Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims.
- Ability to exercise sound financial judgment and discretion in handling insurance claims.
- Advanced knowledge of coverage evaluation, loss assessment, and loss reserving.
- Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
- Should be in Central, Mountain or Pacific time zone.
- 2 or more years of high-value catastrophic injury experience (e.g. traumatic brain injury, disfigurement, fatality) to include UM/UIM coverage
- College Degree (Bachelor's or higher)
- Insurance Designation
- US military experience through military service or a military spouse/domestic partner
$63.59k - $117.99k
...The Opportunity As a dedicated Sr. Injury Adjuster, you will work within defined guidelines... ..., negotiating, defending, and settling claims in compliance with state laws and... ...claims for Washington State and the North Central region. ~4 or more years auto liability/...SuggestedFull timeContract workWork at officeRemote workRelocation package3 days per week$57.97k - $103.87k
...policy and business needs. The Opportunity As a dedicated Injury Adjuster, you will work within defined guidelines and framework,... ...investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable for...SuggestedFull timeContract workH1bWork at officeRemote workRelocation package3 days per week$57.97k - $103.87k
...policy and business needs. The Opportunity As a dedicated Injury Adjuster, you will work within defined guidelines and framework,... ...investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable for...SuggestedContract workH1bWork at officeRemote workRelocation package3 days per week$52.96k - $89.37k
...Auto Adjuster you will proactively handle the complete end to end claims process. Taking statements, policy and coverages, determination... .... * Progressive experience handling low complexity auto non injury liability claims. * Acquisition and maintenance of insurance adjuster...SuggestedH1bWork at officeRemote workRelocation packageFlexible hoursAfternoon shift3 days per week- ...never asks for money during its onboarding process. Job Title: Injury Adjuster Contract: 12+ Months On Site Work Job Description: As a... ...Employment type Contract Job function Finance Industries Insurance, Claims Adjusting, Actuarial Services, and Insurance Agencies and...SuggestedContract workWork experience placementVisa sponsorship
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...Description A client of AlphaStaffHCM™ is searching for an Inside Senior Injury Adjuster. This insurance client empowers customers to achieve... ...be responsible to adjust attorney-involved, moderately complex claims or moderately complex to include confirming coverage,...Contract workLocal areaWork from homeAfternoon shift3 days per week- ...Job Description Job Description A client of AlphaStaffHCM™ is seeking an Injury Adjuster to support non‑attorney involved soft tissue bodily injury claims. This role is responsible for confirming coverage, determining liability, investigating losses, evaluating...Work at officeLocal areaRelocation packageMonday to FridayAfternoon shift3 days per week
$85.04k - $162.55k
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...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers about insurance...Hourly payFor contractorsImmediate start- ...month training including an experienced peer to help mentor youA wide support network that extends from your branch office to your region to the home officeYou'll often work independently but will have a team of thousands backing you every step of the wayCan you see yourself...Temporary workWork at officeWork from homeFlexible hours
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...certifications, relevant work experience, related skills and competencies, as well as Federal Government Contract Labor categories. Central to Watermark’s employment philosophy is the wellbeing of our employees which is why we offer a robust benefits package and wellness...Hourly payContract workWork experience placementWork at officeLocal area$59.76k - $100.85k
...active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a dedicated Property Claims Adjuster - Theft you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle low to...Permanent employmentH1bWork at officeLocal areaRemote workAfternoon shift3 days per week$136.8k - $170.9k
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...Adjuster, you will work within defined guidelines and framework, investigate, evaluate, negotiate and settle complex property insurance claims presented by or against our members. Confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in...Hourly payH1bWork at officeLocal areaRemote workRelocation packageMonday to FridayShift workAfternoon shift3 days per week
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