First Party Medical Claims Adjuster (Hiring Immediately) Job at USAA, Phoenix, AZ

NWtrdG15SVNRVkpZeEVHRlRXTHRHOWR6Z2c9PQ==
  • USAA
  • Phoenix, AZ

Job Description

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.

The Opportunity

As a dedicated Injury Adjuster- FPI , you will within defined guidelines and framework, responsible to adjust First Party Injury non-attorney involved soft tissue bodily injury or auto Personal Injury Protection ( PIP) and MedPay (MP) medical 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, advice, and empathy.

This hybrid role requires an individual to be in the office 3 days per week . These multiple positions can be based in one of the following locations: San Antonio, TX, Phoenix, AZ Colorado Springs, CO, Chesapeake, VA or Tampa, FL . Relocation assistance is not available for this position.

Training Schedule: Must be available to attend mandatory training for 5 weeks. PTO will not be permitted during these time frames.

Work Schedule: Must be open and available to work any schedule assigned between Monday - Friday 7:00a.m - 7:30 p.m.

What you'll do:

  • Adjusts moderately complex and complex 1st party Personal Injury Protection (PIP) and Medical Payments (MP) claims.
  • Identifies, confirms, and makes coverage decisions on soft tissue 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.
  • 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 with and/or directs vendors and internal business partners to facilitate timely claims resolution.
  • Delivers a best-in-class member service experience through setting appropriate expectations and proactive communication.
  • Supports 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.

What you have:

  • High School Diploma or General Equivalency Diploma.
  • 1 year of injury adjusting or auto liability adjusting experience to include highly complex vehicle physical damage, such as multi-vehicle, non-owned vehicles, or total loss claims.
  • Working 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.
  • Demonstrated negotiation, investigation, communication, and conflict resolution skills.
  • Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.
  • Exercise sound financial judgment and discretion in handling insurance claims.
  • Knowledge of coverage evaluation, loss assessment, and loss reserving.
  • Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.

What sets you apart:

  • 2+ years Auto Liability/Casualty adjusting experience to include complex/multi vehicle liability.
  • 3+ years PIP/MedPay coverage handling experience.
  • Ongoing Professional Development with a focus on Insurance.
  • Bachelors Degree or higher.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Compensation: The salary range for this position is: $54,940 - $98,440 .

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. The actual salary for this role may vary by location.

 

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

 

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

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. Additionally, our career path planning and continuing education assists employees with their professional goals.

 

For more details on our outstanding benefits, visit our benefits page on USAAjobs.com

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

 

USAA is an Equal Opportunity Employer. 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.

Job Tags

Holiday work, Full time, Contract work, Immediate start, Relocation package, Afternoon shift, 3 days per week, Monday to Friday,

Similar Jobs

Realm Business and Tax Advisory

Senior Bookkeeper Job at Realm Business and Tax Advisory

 ...workflows, and real relationships. Whether working with real estate investors, hospitality...  ...assistance ~ Retirement plan ~ Work from home Schedule: ~ Monday to Friday...  ...Performance bonus Yearly bonus Education: ~ Associate (Preferred) Experience... 

LHH

Loan Associate Job at LHH

 ...LHH is working with a partner in banking in Baltimore for a Home Equity Processor for a six month contract. The Home Equity Processor...  ...essential in delivering high-quality service and support to credit union partners and their members. The ideal candidate is a strong... 

Dexian

Python Developer Job at Dexian

 ...Hybrid 3 days onsite in Charlotte, NC or Columbus, OH We are looking for strong python developer with AI/ML experience or Data engineer with GCP will also work. 5+ years of software engineering experience 5+ years working with Java, Python, OpenShift containers... 

Blackstone Consulting, Inc.

Systems Administrator II Job at Blackstone Consulting, Inc.

 ...The Healthcare Security System Administrator plays a critical role in maintaining the safety and security of healthcare facilities by configuring, managing, and monitoring security systems. This role requires strong technical expertise in security technology, a deep understanding... 

GardaWorld Security Services U.S.

Security Officer- Warehouse Surveillance Job at GardaWorld Security Services U.S.

 ...Job Description: GardaWorld Security Services is Now Hiring a Surveillance Security Officer! Guard Card Required Site Location: Buckeye/ AZ Set schedule: Mornings, Days, Nights,(Full Time, 40 hours per week) Competitive hourly wage of $19.33/ hour Ready...