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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates advanced knowledge in auto injury claims adjusting, including investigation, evaluation, negotiation, and adjudication. Excels in delivering high-quality member service while managing complex claims and ensuring compliance with legal and regulatory standards.
Highest-signal resume keywords
Auto Injury Claims AdjustingAdvanced Negotiation SkillsCoverage EvaluationBodily Injury Claims KnowledgeInsurance Adjuster License
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims InvestigationClaims AdjudicationLoss AssessmentLoss ReservingLegal Liability DeterminationConflict ResolutionTime ManagementDecision MakingMulti-taskingProblem Solving
Soft Skills
CommunicationEmpathyCollaborationExpectation Setting
Certifications & Qualifications
Insurance Designation
Industry Keywords
UM/UIM ClaimsHigh-Value Catastrophic InjuryState Laws and RegulationsHuman Anatomy KnowledgeRisk and Compliance Policies
About the role
Key responsibilities & impact- Adjust complex auto and homeowner bodily injury claims, UM/UIM claims, and small business claims
- Confirm coverage and make coverage decisions on complex claims
- Investigate loss details and determine legal liability
- Evaluate, negotiate, and adjudicate claims within authority guidelines
- Document claims accurately to support appropriate outcomes
- Prioritize and manage assigned claims workload
- Keep members and involved parties informed through timely claims status updates
- Collaborate with team members to resolve issues and identify matters for escalation
- Partner with or direct vendors and internal business partners to facilitate timely claims resolution
- Serve as a resource for team members on complex claims
- Deliver concierge-level, best-in-class member service through expectation-setting, proactive phone and written communication, advice, and empathy
- Handle higher-complexity claims and additional work as needed
- Identify, measure, monitor, and control business risks according to risk and compliance policies and procedures
Requirements
What you’ll need- High School Diploma or General Equivalency Diploma
- 4 years auto injury claims adjusting experience
- Advanced knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of claims
- Knowledge of case law and state laws and regulations
- Advanced negotiation, investigation, communication, and conflict resolution skills
- Strong time-management and decision-making skills
- Investigatory, prioritizing, multi-tasking, and problem-solving skills
- Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims
- Ability to exercise sound financial judgment and discretion in handling insurance claims
- Advanced knowledge of coverage evaluation, loss assessment, and loss reserving
- Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts
- Should be in Eastern or Central time zone
- 2 or more years of high-value catastrophic injury experience, including traumatic brain injury, disfigurement, or fatality, and UM/UIM coverage
- College Degree (Bachelor’s or higher)
- Insurance Designation
- US military experience through military service or a military spouse/domestic partner
- Must not require immigration support or visa sponsorship
- Licensed positions require a background check including criminal history, education, employment verification, and credit check consistent with applicable laws
Benefits
Comp & perks- Comprehensive medical, dental and vision plans
- 401(k)
- Pension
- Life insurance
- Parental benefits
- Adoption assistance
- Paid time off program
- Paid holidays
- 16 paid volunteer hours
- Various wellness programs
- Career path planning
- Continuing education
- Pay incentives based on overall corporate and individual performance, at the discretion of the USAA Board of Directors
- Remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs