Purpose of Job Investigates, evaluates, negotiates and adjusts moderately complex auto claims presented by or against our insured to confirm coverage, determine legal liability and equitably settle/defend in compliance with all state regulatory requirements. Works under limited supervision to perform work assignments and problem resolution. Recognizes life events, understands member s needs and provides advice in order to deliver appropriate solutions to members. Job Requirements
Provides AUTO/CASUALTY claims service via internal channels (phone/email/fax/mail/other electronic channels) to members and third party customers. Adjusts moderately complex auto claims. Severity of claims includes soft tissue losses involving neck injury, back injury, and Personal Injury Protection (PIP)/ Medical Payments (MP). Acquires and applies developing knowledge of P&C insurance industry products, services, and processes to include P&C insurance policy contracts and coverages, and USAA claim handling process and procedures. Collaborates with team members to resolve issues and to identify appropriate issues for escalation. Partners and/or directs vendors and internal business partners to facilitate claims resolution. Supports workload surges and/or Catastrophe Operations as needed to include working significant overtime during designated CATs.
High School Diploma General Equivalency Diploma
1 or more years Auto Liability/Casualty adjusting experience Developing knowledge of auto claims contracts
Acquisition and maintenance of insurance adjuster license within designated number of attempts.
2+ years Auto Liability/Casualty adjusting experience to include complex/multi vehicle liability
Bachelors Degree or higher.
1yr Medical experience to include coding and billing or EMT.