Talent.com
Injury Examiner
Injury ExaminerRemoteWorker US • Colorado Springs, CO, US
serp_jobs.error_messages.no_longer_accepting
Injury Examiner

Injury Examiner

RemoteWorker US • Colorado Springs, CO, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.job_card.part_time
job_description.job_card.job_description

Join to apply for the Injury Examiner role at RemoteWorker US

2 days ago Be among the first 25 applicants

Join to apply for the Injury Examiner role at RemoteWorker US

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.

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 Examiner , you will be responsible to adjust complex bodily injury claims, UM / UIM, and small business 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 . This position 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.

What You'll Do

  • Adjusts complex auto bodily injury claims with significant injuries (e.g. traumatic brain injury, disfigurement, fatality) and UM / UIM, and small business claims, as well as some auto physical damage associated with those claims. Identifies, confirms, and makes coverage decisions on complex 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.
  • Prioritizes and manages assigned claims workload to keep members and other involved parties informed and provides timely claims status updates.
  • Collaborates and supports team members to resolve issues and identifies appropriate matters for escalation.
  • Partners and / or directs vendors and internal business partners to facilitate timely claims resolution.
  • Serves as a resource for team members on complex claims.
  • Delivers a best-in-class member service experience by setting appropriate expectations and providing 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 in accordance with risk and compliance policies and procedures.

What You Have

  • High School Diploma or General Equivalency Diploma.
  • 4 years auto claims and injury adjusting experience.
  • Advanced 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.
  • Advanced negotiation, investigation, communication, and conflict resolution skills.
  • Demonstrated strong time-management and decision-making skills.
  • Proven 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.
  • What Sets You Apart

  • 2 or more years of catastrophic injury experience (e.g. traumatic brain injury, disfigurement, fatality)
  • Experience handling UM / UIM injury claims
  • College Degree (Bachelor's or higher).
  • Insurance Designation.
  • Compensation range : The salary range for this position is : $85,040 - $162,550 USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

    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.

    Seniority level

    Seniority level

    Mid-Senior level

    Employment type

    Employment type

    Full-time

    Job function

    Job function

    Other

    Industries

    Staffing and Recruiting

    Referrals increase your chances of interviewing at RemoteWorker US by 2x

    Get notified about new Examiner jobs in Colorado Springs, CO

    RN Forensic Nurse Examiner / Safe Instructor

    Part Time Transportation Officer - As needed

    Part Time Sr. Transportation Officer - As needed

    Tax Senior, Unclaimed Property Tax; State and Local Tax (SALT)

    Tax Manager, Unclaimed Property Tax - State and Local Tax (SALT)

    We're unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

    J-18808-Ljbffr

    serp_jobs.job_alerts.create_a_job

    Examiner • Colorado Springs, CO, US

    Job_description.internal_linking.related_jobs
    Texas Licensed Bodily Injury Adjuster

    Texas Licensed Bodily Injury Adjuster

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for a TPA Casualty Bodily Injury Adjuster to evaluate, investigate, and settle bodily injury claims related to auto accidents. Key Responsibilities Establish timely contact wi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Claims Adjuster I - MD / DC

    Claims Adjuster I - MD / DC

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Adjuster I - MD / DC (Remote).Key Responsibilities Investigate and perform adjustments of claims, ensuring adherence to authority limits and standard procedures U...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Claims Adjuster - Multi-State Licensed

    Claims Adjuster - Multi-State Licensed

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Resolution Manager to manage claims and ensure effective resolution processes.Key Responsibilities Execute decision-making to analyze claims exposure and litigat...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Property Adjuster Specialist - Field CAT Team

    Property Adjuster Specialist - Field CAT Team

    USAA • Colorado Springs, CO, US
    serp_jobs.job_card.full_time
    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...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Medical Claims Examiner

    Medical Claims Examiner

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for a Medical Claims Examiner.Key Responsibilities Receives and adjudicates medical claims / bills for payment or denial Researches bills and claims for appropriate support do...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Certified Medical Audit Specialist

    Certified Medical Audit Specialist

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for a Priority Claims Specialist III.Key Responsibilities Ensure accurate and timely payment for services provided, maintaining compliance with relevant laws and policies Ut...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Disability Benefits Examiner

    Disability Benefits Examiner

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for a Disability Benefits Examiner to analyze claims and determine eligibility for disability benefits. Key Responsibilities : Investigate and analyze claimants' medical condit...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Claim Specialist - Property Field Inspection

    Claim Specialist - Property Field Inspection

    State Farm • Castle Rock, CO, United States
    serp_jobs.job_card.full_time
    Being good neighbors - helping people, investing in our communities, and making the world a better place - is who we are at State Farm. It is at the core of how we operate and the reason for our suc...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    PC Authorization Associate

    PC Authorization Associate

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for a PC Authorization Associate I.Key Responsibilities Contact insurance companies and third-party payers for pre-certification and pre-authorization requirements Obtain ne...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Washington State Insurance Authorization Specialist

    Washington State Insurance Authorization Specialist

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for an Insurance Authorization Specialist.Key Responsibilities Verify insurance and determine pre-authorization needs, following relevant payer rules Communicate updates on ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    New York Licensed Claim Adjuster

    New York Licensed Claim Adjuster

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for a Multi-Line Claim Adjuster.Key Responsibilities Negotiate and settle large exposure commercial general liability and property claims Prepare written status and large lo...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    California Licensed Bodily Injury Adjuster

    California Licensed Bodily Injury Adjuster

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for an Attorney-Represented Bodily Injury Claims Adjuster.Key Responsibilities Investigates all aspects of bodily injury claims, exercising discretion and independence Appli...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Insurance Authorization Specialist

    Insurance Authorization Specialist

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for an Insurance Verification Auth Specialist.Key Responsibilities Secure pre-authorizations for complex, high dollar healthcare services Respond to clinical inquiries to su...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Texas Licensed Transportation Adjuster

    Texas Licensed Transportation Adjuster

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for a TPA Casualty Transportation Adjuster.Key Responsibilities Investigate and evaluate insurance claims arising from various transportation incidents Conduct on-site inspe...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Claims Adjuster (Any State License)

    Claims Adjuster (Any State License)

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for a Resolution Manager to manage claims and provide exceptional customer service.Key Responsibilities Execute decision-making to analyze and resolve claims effectively Int...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Senior Claims Examiner

    Senior Claims Examiner

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Claims Examiner (Final Expense).Key Responsibilities Lead the adjudication of complex or contested life insurance claims Conduct thorough investigations of poli...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Claims Adjuster

    Claims Adjuster

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Resolution Manager who will manage claims and ensure effective resolution processes.Key Responsibilities Analyze claims exposure and litigation to determine appr...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Post-Acute Authorization Specialist

    Post-Acute Authorization Specialist

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for a Post-Acute Prior Authorization Specialist.Key Responsibilities Initiate and obtain insurance authorization requests for post-acute services Collaborate with case manag...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Claims Examiner

    Claims Examiner

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Examiner.Key Responsibilities Review and evaluate insurance claims for accuracy and compliance Determine the validity of claims and authorize payments based on ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Illinois / Wisconsin Licensed Adjuster

    Illinois / Wisconsin Licensed Adjuster

    VirtualVocations • Colorado Springs, Colorado, United States
    serp_jobs.job_card.full_time
    A company is looking for a Casualty Litigation Adjuster for remote work in Illinois and Wisconsin.Key Responsibilities Investigate automobile accidents involving property damage and bodily injury...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted