Injury Adjuster (Remote) (Nationwide)
Company: USAA
Location: Colorado Springs
Posted on: June 22, 2022
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Job Description:
Purpose of JobWe are currently seeking a talented Injury
Adjuster for any location in the U.S.
* Role may offer flexibility to work from home once training has
been completed. To enable this flexibility, please consider the
following:
Must have internet bandwidth with minimum capability of consistent
speeds of 25 Mbps download and 5 Mbps upload. Satellite or Wireless
are not currently approved. Ability to provide workspace at home
that is safe, suitable for work, and provide a distraction free
environment from background noises that may distract a member or
internal USAA customer. **
**Within defined guidelines and framework, responsible to adjust
non-attorney involved soft tissue bodily injury or auto PIP/MP
medical claims 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 empathy.Job RequirementsIdentify and
manage existing and emerging risks that stem from business
activities and the job role.Ensure risks associated with business
activities are effectively identified, measured, monitored, and
controlled.Follow written risk and compliance policies and
procedures for business activities.Adjust non-attorney involved
soft tissue bodily injury claims, as well as all auto physical
damage associated with those claims. -Adjust soft tissue,
moderately complex and complex 1st party PIP/MP medical
claims.Identify, confirm, and make coverage decisions on soft
tissue claims.Investigate loss details, determine legal liability,
evaluate, negotiate, and arrive at claim settlement within
appropriate authority guidelines.Clearly document thought process,
investigation, evaluation, negotiation, and settlement
decisions.Provide advice and set expectations into next steps to
members.Collaborate and support 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.Minimum Experience:
Keywords: USAA, Colorado Springs , Injury Adjuster (Remote) (Nationwide), Other , Colorado Springs, Colorado
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