Injury Claims Adjuster
About the role
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 Adjuster, you will work within defined guidelines and framework, responsible to adjust non-attorney involved soft tissue bodily injury to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable for delivering a concierge level of best in class member service through setting appropriate expectations, proactive communications, advice, and compassion.
Responsibilities
- Identifies and handles 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 non-attorney involved soft tissue bodily injury claims, as well as all auto physical damage associated with those claims.
- Identifies, confirms, and makes coverage decisions on soft tissue 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.
- 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 and/or directs vendors and internal business partners to facilitate timely claims resolution.
- Supports workload surges and/or Catastrophe Operations as needed.