Maintains high standards of productivity through effective desk management, timely follow ups, and ... claims resolution. May also involve external regulatory coordination to ensure appropriate ...
Maintains high standards of productivity through effective desk management, timely follow ups, and ... claims resolution. May also involve external regulatory coordination to ensure appropriate ...
Senior Construction Scheduler
Fairfax, VA · On-site
$100K - $130K/yr
Lead delay claims resolution efforts. II. RESPONSIBILITIES AND TASKS * Develop, manage, update, and monitor individual project schedules and integrated overall master program schedule. * Review ...
Quick apply
Senior Construction Scheduler
Fairfax, VA · On-site
$100K - $130K/yr
Lead delay claims resolution efforts. II. RESPONSIBILITIES AND TASKS * Develop, manage, update, and monitor individual project schedules and integrated overall master program schedule. * Review ...
Medical Billing/Claims/Collections
Bethesda, MD · On-site
$21 - $22/hr
We are looking for an experienced Medical Billing/Claims/Collections specialist to support a busy ... Proven ability to work denials and manage appeals through resolution. * Knowledge of hospital ...
Quick apply
Medical Billing/Claims/Collections
Bethesda, MD · On-site
$21 - $22/hr
We are looking for an experienced Medical Billing/Claims/Collections specialist to support a busy ... Proven ability to work denials and manage appeals through resolution. * Knowledge of hospital ...
Claims Representative, Auto | Property Damage
Alexandria, VA · On-site
$50K - $55K/yr
... resolution. * Identifies and pursues subrogation opportunities; secures and disposes of salvage ... Management retains the discretion to add or to change the duties of the position at any time.
Claims Representative, Auto | Property Damage
Alexandria, VA · On-site
$50K - $55K/yr
... resolution. * Identifies and pursues subrogation opportunities; secures and disposes of salvage ... Management retains the discretion to add or to change the duties of the position at any time.
Claims Representative, Auto | Property Damage
Washington, DC · On-site
$50K - $55K/yr
... resolution. * Identifies and pursues subrogation opportunities; secures and disposes of salvage ... Management retains the discretion to add or to change the duties of the position at any time.
Claims Representative, Auto | Property Damage
Washington, DC · On-site
$50K - $55K/yr
... resolution. * Identifies and pursues subrogation opportunities; secures and disposes of salvage ... Management retains the discretion to add or to change the duties of the position at any time.
Healthcare EDI Claims Analyst
Columbia, MD · On-site
$52.96/hr
Incident/ticket management experience. * Basic SQL skills for querying and analyzing data ... This is a hands-on role focused on claims operations and issue resolution rather than software ...
Quick apply
Healthcare EDI Claims Analyst
Columbia, MD · On-site
$52.96/hr
Incident/ticket management experience. * Basic SQL skills for querying and analyzing data ... This is a hands-on role focused on claims operations and issue resolution rather than software ...
Ability to manage multiple priorities, time sensitive tasks, and meet deadlines. * Passionate about ... Conflict resolution and negotiation abilities * Highly organized, detail oriented and disciplined ...
Ability to manage multiple priorities, time sensitive tasks, and meet deadlines. * Passionate about ... Conflict resolution and negotiation abilities * Highly organized, detail oriented and disciplined ...
... Management Agency (USDA RMA) to write MPCI policies. With six regional offices throughout the U.S ... Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions ...
... Management Agency (USDA RMA) to write MPCI policies. With six regional offices throughout the U.S ... Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions ...
Senior Claims Specialist, Remote - CA Workers Compensation
Washington, DC · Remote
$110K - $120K/yr
... resolution. The candidate hired for this position will work from an office in their home with ... Working closely with defense attorneys and other vendors including medical case management ...
Senior Claims Specialist, Remote - CA Workers Compensation
Washington, DC · Remote
$110K - $120K/yr
... resolution. The candidate hired for this position will work from an office in their home with ... Working closely with defense attorneys and other vendors including medical case management ...
Claim Rep, Outside Property
La Plata, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
La Plata, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Bowie, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Bowie, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Waldorf, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Waldorf, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Silver Spring, MD · On-site
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Silver Spring, MD · On-site
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Silver Spring, MD · On-site +1
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Silver Spring, MD · On-site +1
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Silver Spring, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Silver Spring, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Largo, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Largo, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Laurel, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Laurel, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Upper Marlboro, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Upper Marlboro, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Rockville, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Rockville, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Silver Spring, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claim Rep, Outside Property
Silver Spring, MD · Remote
$67K - $110K/yr
Handles claims and other functional work involving one or more lines of business other than ... Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with ...
Claims Resolution Manager information
What is the difference between Claims Resolution Manager vs Claims Adjuster?
| Aspect | Claims Resolution Manager | Claims Adjuster |
|---|---|---|
| Credentials | Insurance licenses, sometimes management certifications | Insurance licenses, specific to claims handling |
| Work Environment | Supervisory roles, team coordination | Field or office-based, claims investigation |
| Employer & Industry Usage | Insurance companies, claims departments | Insurance companies, third-party administrators |
| Search & Comparison Intent | Understanding managerial roles in claims | Details about claims handling and investigation |
The Claims Resolution Manager oversees claims processes and manages teams, focusing on strategy and resolution. Claims Adjusters handle the investigation and evaluation of individual claims. While both roles require insurance licenses, the manager's role is more supervisory, whereas the adjuster is more hands-on with claims investigation.
Is claims processing a stressful job?
What does a claims resolution manager do?
What are the key skills and qualifications needed to thrive as a claims resolution manager, and why are they important?
How much do claims resolution managers make in the US?
What are the primary challenges a claims resolution manager faces when balancing client expectations with policy limitations?
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 17 days ago
USAA rating
8.2
Based on 262 frontline employees who took The Breakroom Quiz
51st of 170 rated banks
Job description
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.
We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs.
The Opportunity
As a dedicated Sr. Field Auto Appraiser, you will within defined guidelines and framework responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate accuracy in compliance with state laws and regulations. Accountable for delivering exceptional member service through setting appropriate expectations, proactive communications, advice, and empathy.
This is a field-based role in the Baltimore and Montgomery County area. Candidates who are willing and able to work in Baltimore and Montgomery County are encouraged to apply.
What you'll do:
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With the use of digital tools, evaluates and appraise highly complex auto physical damage claims in accordance with the terms and conditions of the contract, corporate guidelines and state laws and regulations.
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Investigates claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members and third parties.
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Reviews facts of loss and vehicle damage to determine if subrogation opportunities exist and ensures all supporting physical damage documentation is in the claim.
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Demonstrates advanced knowledge of P&C insurance industry products, services, contracts, and internal processes/systems/procedures to ensure compliance with laws, regulations, and policy provisions.
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Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for handling, if applicable.
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Maintains accurate and current claim file documentation throughout the claims process for complex claims.
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Maintains high standards of productivity through effective desk management, timely follow ups, and accurate mapping of repair plan and timeline for repair in support of fast and accurate claims adjudication.
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Responsible for reviewing additional damages received from repair facilities to either complete a supplement or triage to field provider method of inspection.
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May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team members on escalated issues of a routine nature.
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Partners with vendors and internal business partners to facilitate the highest complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.
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Proactively provides policyholders with information regarding their coverage, repair estimate or total loss valuation, and claims/repair process while setting appropriate expectations.
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Supports workload surges and catastrophe (CAT) response operations as needed, including required on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
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May be assigned CAT deployment travel with minimal notice during designated CATs.
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Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
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Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
What you have:
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High School Diploma or General Equivalency Diploma.
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4 years of auto appraising experience.
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Proficient knowledge of P&C insurance policy contracts and coverages, auto parts distribution process and claim appraisal process and procedures.
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Advanced working knowledge of estimating losses using CCC or similar estimating platforms.
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Demonstrated written and verbal skills to communicate with members, claimants, repair facilities, and other internal and external stakeholders.
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Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
What sets you apart:
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US military experience gained through military service or gained as a military spouse / domestic partner
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I-CAR certification
Physical Demand Requirements:
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May require the ability to operate a company vehicle within assigned territory.
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May require the ability to reach, handle, squat, bend, climb, and are keen as needed to complete inspections of damaged vehicles.
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May require the ability to work outdoors in inclement weather conditions; May be exposed to working in body shop and/or salvage yard environments up to 25% of the time.
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May be required to meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver’s license.
Compensation range: The salary range for this position is: $63,590 - $121,530.
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.
About USAA
Sourced by ZipRecruiter
Industry
Finance and insurance
Company size
10,000+ Employees
Headquarters location
San Antonio, TX, US
Year founded
1922