Office Adjuster - Medical Claims

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. Injury Adjuster, you will work within defined guidelines and framework, responsible to adjust attorney involved moderately complex bodily injury claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. This hybrid role requires an individual to be in the office 3 days per week. Relocation assistance is not available for this position. Identifies and manages existing and emerging risks that stem from business activities and the job role. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled. Follows written risk and compliance policies, standards, and procedures for business activities. Adjusts attorney-involved moderately complex bodily injury claims with demonstrable injuries (e.g. torn meniscus, broken bones, disc herniations), as well as all auto physical damage associated with those claims. Identifies, confirms, and makes coverage decisions on moderately complex bodily injury claims. Investigates loss details, determines legal liability, evaluates, negotiates, and arrives at claim settlement within appropriate authority guidelines. Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions. Prioritizes and manages assigned claims workload to keep members and other involved parties informed, provides timely claims status updates. Partners and/or directs vendors and internal business partners to facilitate timely claims resolution. Supports workload surges and/or Catastrophe Operations as needed. High School or General Equivalency Diploma. 2 years of auto liability claims adjusting experience. Deep knowledge and understanding of the auto claims contract as well as application of case law and state laws and regulations. Proficient knowledge of human anatomy and medical terminology associated with bodily injury claims. Ability to exercise sound financial judgment and discretion in handling insurance claims. Acquisition and maintenance of insurance adjuster license within 90 days and designated number of attempts. 4 or more years auto liability/casualty adjusting experience. 1yr Medical experience to include coding and billing or EMT. Ongoing Professional Development with a focus on Insurance. Bachelors degree or higher. US military experience through military service or a military spouse/domestic partner. 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.