Auto claims adjuster job description

Within defined guidelines and framework, responsible to adjust auto non-injury insurance claims presented by or against our members to include the end to end claims process and settling claims in compliance with state laws and regulations. Accountable for delivering a concierge level of best in class member service, in a contact center environment, through setting appropriate expectations, proactive communications, advice, and empathy.
Job Requirements
Let’s do something that really matters.
We have an important mission: serving the members of the military community and their families. It’s both a chance to say thank you and the opportunity to put your talents to work in a meaningful way. To do it right, we need the right people. We’re looking for those who share our values of honesty, integrity, loyalty and service. Because what we do is just as important as how we do it. Come be a part of what makes us so special!
It is all about learning and growing.
There’s a lot to learn, but the journey is mapped out to help you build a lasting career and USAA is willing to invest in you! Our comprehensive, fully paid four-month training program includes all training materials, class discussions, hands-on training, e-learning modules, and the instructor led guidance will help you to support our membership independently. We also pay for all licensing costs!
In addition to experienced adjusters, military veterans and spouses/domestic partners are highly encouraged to apply.

Our in-office development program provides the training you need and the encouragement to create a proactive and independent support style to service our membership. After six months in-office, you’ll have the opportunity to work in a hybrid model where you can work from home 2 days a week.

Job Requirements

We are currently seeking dedicated professionals to work in our San Antonio office for future claims customer service opportunities in 2022/2023. Work schedule times will vary and may include some weekends. We have new training classes starting soon so apply now.

As a Claims Adjuster in Auto Non-Injury, you’ll work under supervision to investigate, evaluate, negotiate, and adjust low to moderately complex claims presented by or against our insureds to confirm coverage, resolve legal liability and equitably settle/defend in compliance with all state regulatory requirements. In this role, you will make a difference to our members as you recognize life events, understand needs, and provide advice to deliver appropriate solutions to the member.

Primary Responsibilities:
Acquires and applies basic knowledge of Property & Casualty insurance industry products, services, and processes to include P&C insurance policy contracts and coverages and the USAA claim handling process and procedures. Provides claims service via internal channels (phone/fax/email/mail) to members and third-party customers. Adjusts low to moderately intricate Auto claims. Seeks mentorship from team members to resolve issues and identify appropriate issues for additional review. Partners with/ advises vendors and business partners to facilitate claims resolution. Contributes to business goals, performance measurements, and efficiently uses tools & technology. Supports workload surges and catastrophe operations during designated catastrophic events.
Minimum Qualifications:
High School Diploma or GED Ability to communicate clearly and professionally with members by phone, fax and email to process information for claims Successfully acquire an insurance adjuster license and applicable state registrations within 90 days of hire (USAA provides study materials and the training environment to assist you with the licensing exam)
Preferred Qualifications:
Bachelor’s degree 1+ years of auto claims adjusting experience preferred to include coverage determination, complex liability, physical damage OR total loss Insurance Adjuster’s license US military service or a military spouse 2 years of customer service experience Experience in an inbound phone-intensive, contact center environment using a headset Digital literacy in a Windows operating environment
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 : 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 position. The hiring range for this position is: $50,130.00 - $52,380.00.

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

Geographical Differential: Geographic pay differential is additional pay provided to eligible employees working in locations where market pay levels are above the national average.

Shift premium: Addressed on an individual basis for applicable roles that are consistently scheduled for non-core hours.

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.

To see details on our outstanding benefits, visit USAA Total Rewards.

Relocation assistance is not available for this position
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.

At EMC, you'll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company's success. EMC strives to hire and retain the best people by engaging, developing and rewarding employees.
Essential Functions:
Investigates multiple-line claims of moderate complexity Reviews the claim notice and policy to verify coverage, deductibles, claim payee/mortgagees and confirms that the claim date falls within the coverage period Initiates contact with insureds and claimants to obtain information on the claim and provide information on claim process Takes statements from insureds/claimants/witnesses Documents claim files Sets timely, adequate reserves in compliance with the company reserving philosophy and methodology Resolves questions of coverage, liability and the value of claims Secures the necessary official reports, claim forms and documents Reviews bills, invoices and receipts for accuracy Provides prompt, detailed responses to agents, insureds and claimants on the status of claims Identifies opportunities for recovery and investigates and pursues accordingly Negotiates, settles and/or resolves claims Assists in suits, mediations and arbitrations Communicates with other departments to submit referrals or share risk reports

Education & Experience:
Bachelor's degree or equivalent work experience Three years of claims adjusting experience Insurance designations preferred

Knowledge, Skills & Abilities:
Strong knowledge of the theory and practice of the claim function Analytical ability and sound judgment with respect to liability and coverage Strong knowledge of insurance contracts, medical terminology and legal aspects of court procedures High standards of professional conduct Strong knowledge of computers and claims systems Strong organizational and written and verbal communication skills Solid investigative and problem-solving abilities Travel required; a valid driver's license with an acceptable motor vehicle report per company standards required if traveling

Our employment practices are in accord with the laws which prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws.

All of our locations are tobacco free including in company vehicles.

To learn more about why you're gonna love it here, watch the video below.

Claims Service Representative I - Early Response

Communicate and interact with a variety of individuals including insured's and claimants. Explain benefits, coverage's, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Conduct phone investigations to determine liability and damages. Identify and obtain statements from insured's and claimants to resolve first and third-party claimants and witnesses. Evaluate and determine claim values upon receipt and assessment of property, medical and liability data. Negotiate within settlement authority with insured's and claimants to resolve first and third-party claims Handle administrative functions, update database production reports, and document and update claims files via company systems, i.e. CACS, HUON, HOC, etc. Verify and interpret/resolve coverage's by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required. Identify cross-sell opportunities based on members' product needs and service requests. Enhance member relationship by diversifying use of products and services. Provide sales leads to insurance, travel and other departments as appropriate. Perform other duties and responsibilities as assigned or required.

What's in it for me?
A career with growth potential Our comprehensive and employee centric training facility located in Costa Mesa provides training programs to help employees acquire various skills necessary to do their jobs and to support career development.The satisfaction of knowing you provide a meaningful service to our insured who rely on you for assistance Potential to work from home after the training period is completed

Qualifications

Successful candidates have the following qualifications:
Bachelor's (4 year) degree or equivalent combination of education and experience.No prior work experience required.3-6 months prior claims experience preferred.Microsoft Office proficiency.Strong organizational skills.Strong oral and written communication skills.Strong interpersonal skills.

Remarkable benefits:• Health coverage for medical, dental, vision• 401(K) saving plan with company match AND Pension• Tuition assistance• PTO for community volunteer programs• Wellness program• Employee discounts

The Automobile Club of Southern California is part of the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity - we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.

"Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.”

AAA is an Equal Opportunity Employer