Medical Claims Adjuster

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. As a dedicated Property Adjuster, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle low to moderate complexity property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. This hybrid role requires an individual to be in the office 3 days per week . Relocation assistance is not available for this position.This is an experienced desk based Property Adjuster role working in a telephone concentrated environment without physical inspection of loss. This is an hourly, non-exempt position with paid overtime available. Training will be approximately 12 weeks, Monday to Friday and hours may vary by location. Upon successful completion of training, employees will transition to an eight-hour work shift ranging between 8:00 am – 5:30 pm (local time) Monday to Friday with availability for occasional evenings and weekends based on business needs.Proactively manages assigned claims caseload comprised of claims with low to moderate complexity damages that require commensurate knowledge and understanding of claims coverage.Partners with vendors and internal business partners to facilitate low to moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing investigation information involving low to moderate complexity policy terms and contingencies.Determines and negotiates low to moderate complexity claims settlement. Coordinates with management for guidance on assessing settlement amounts outside of authority limits to support managing claims outcomes.Maintains accurate, thorough, and current claim file documentation throughout the claims process.Applies knowledge of estimating technology platforms and virtual inspection tools to prepare and manage low to moderate complexity property insurance claims estimatesSupports 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.High School Diploma or General Equivalency Diploma.~1 year of customer service, military leadership, construction related industry/insurance experience and/or experience handling low complexity property claims~ Knowledge of estimating losses using Xactimate or similar tools and platforms.~ Working knowledge and understanding of claims contracts as well as application of case law and state laws and regulations.~ Ability to prioritize and multi-task, including navigating through multiple business applications.~ May need to travel up to 25% of the year (local & non-local) and/or work catastrophe duty when needed.~ Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.1+ years relevant property adjusting claims of moderate complexity~ Experience desk adjusting residential property claims to include water, roof, and personal property~ File ownership handling claims from start to finish (scoping the loss, assessing damages, estimating, interpreting policy, making coverage decisions, settlement)~ Proficient in estimate writing using Xactimate and virtual tools (such as Claim X, Hover, and Hosta)~ Currently hold an active P&C Adjuster license~ Experience working directly for a standard insurance carrier~ US military experience through military service or a military spouse/domestic partnerMay require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car.Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include 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, and various wellness programs. Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.