injury claims manager

USAA

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 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 OpportunityAccountable for auto, property or other claims teams to deliver operational business results at scale. Responsible for member service, paying what we owe, controlling expenses, employee engagement, quality, operational risk and compliance across multiple MSTs. Executes and influences claim's strategies and plans. Leads diverse groups of virtual and office based teams across multiple geographic locations. Responsible for identifying and advancing broad process improvements to the operation including efficiency, effectiveness, compliance and regulatory adherence.We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in one of the following locations: San Antonio, TX, Phoenix, AZ, Colorado Springs, CO or Chesapeake, VA.<ul><li>Influences, drives and supports operations strategy, plan, goals and objectives in support of Claims Strategy.</li><li>Accountable for supporting claims servicing solutions across process, technology, workforce, third party, and/or analytics in support of P&C product competitiveness</li><li>Provides directional guidance and workload prioritization duties in support of operations for the functional area assigned.</li><li>Establishes and maintains operational controls around member contact and non-member contact staffing requirements within assigned process.</li><li>Provides guidance on technical matters and extends settlement authority within their process (or as delegated).</li><li>Monitors the utilization, quality and costs of independent appraiser, adjusters, alliance partners and others in accordance with established quality, service and budgetary guidance.</li><li>Effectively leverages internal partnership to achieve shared accountabilities. </li><li>Responsible for leadership, communication, employee engagement and coordination of business and Enterprise initiatives. </li><li>Inspires a high performing team to deliver exceptional experiences to the members, engaged employees and achieve exceptional results.</li><li>Hires, develops, and coaches claims leaders for results delivery. </li><li>Creates conditions for success removes obstacles, leads and champions change.</li><li>Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.</li></ul>What you have:<ul><li>Bachelor's degree; OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.</li><li>10 years of progressive customer service, operational, military or leadership experience to include minimum of 6 years demonstrated P&C proficiency and experience. </li><li>4 years of people leadership experience in building, managing and/or developing high-performing teams.</li><li>Demonstrated ability to lead through change, drive business results and create a culture of accountability.</li><li>Proven leadership and ability to influence at all levels of management.</li><li>Demonstrated ability to effectively communicate, both orally and in writing, to executive leadership, driving accountability and sense of urgency.</li><li>Strong knowledge and applied compliance with Department of Insurance, Fair Claims Practices and Federal regulations governing claims handling. </li><li>Business and technical acumen in the areas of effective claims handling processes, claims risk and compliance, integrated change management and front-line communications leading to operational excellence.</li></ul>What sets you apart:<ul><li>5 years Injury Claims adjudication experience</li><li>Minimum of 5 years of Operational experience leading teams who handle Injury and Casualty claims.</li><li>Bodily Injury management experience overseeing a distributed office and/or remote workforce.</li><li>Business analytics experience and/or experience working with data and metrics to manage the work and drive results.</li><li>Experience collaborating with key resources and stakeholders, influencing decisions, and managing work to achieve strategic goals required.</li><li>Executive-level business acumen in the areas of business operations, industry practices and emerging trends required.</li></ul>What we offer:Compensation:The salary range for this position is: $169,880 - $305,780. 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. 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. Long Term Incentive Plan: Cash payment for Executive level roles only, representing a cash payment which is both time and performance based. 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 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.

Executive Director, Early Settlement Bodily Injury Claims

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 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 OpportunityAs 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 role is remote eligible in the continental U.S. with occasional business travel. However, individuals residing within a 60-mile radius of a USAA office will be expected to work on-site three days per week.What you'll do:<ul><li>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.</li><li>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.</li><li>Prioritizes and manages assigned claims workload to keep members and other involved parties informed and provides timely claims status updates.</li><li>Collaborates and supports team members to resolve issues and identifies appropriate matters for escalation.</li><li>Partners and/or directs vendors and internal business partners to facilitate timely claims resolution.</li><li>Serves as a resource for team members on complex claims.</li><li>Delivers a best-in-class member service experience by setting appropriate expectations and providing proactive communication.</li><li>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.</li><li>May be assigned CAT deployment travel with minimal notice during designated CATs.</li><li>Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.</li><li>Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.</li></ul>What you have:<ul><li>High School Diploma or General Equivalency Diploma.</li><li>4 years auto claims and injury adjusting experience.</li><li>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.</li><li>Advanced negotiation, investigation, communication, and conflict resolution skills.</li><li>Demonstrated strong time-management and decision-making skills.</li><li>Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.</li><li>Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims.</li><li>Ability to exercise sound financial judgment and discretion in handling insurance claims.</li><li>Advanced knowledge of coverage evaluation, loss assessment, and loss reserving.</li><li>Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.</li></ul>What sets you apart:<ul><li>2 or more years of catastrophic injury experience (e.g. traumatic brain injury, disfigurement, fatality)</li><li>Experience handling UM/UIM injury claims</li><li>College Degree (Bachelor's or higher).</li><li>Insurance Designation.</li></ul>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 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.

Injury Examiner

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Executive Director, Early Settlement Bodily Injury Claims

Executive Director, Early Settlement Bodily Injury Claims

Executive Director, Early Settlement Bodily Injury Claims

Executive Director, Early Settlement Bodily Injury Claims

Executive Director, Early Settlement Bodily Injury Claims

Injury Examiner

Injury Examiner