Job Description

Personal Injury Protection & Medical Pay Claims Representative

In this role you will be investigating, confirming, paying or denying and resolving claims involving first and third party medical payments coverage or PIP that involve moderate to severe complexity. This person will also be providing outstanding customer service and have the ability to handle a large volume of claims.

What to Expect

In this role you will be investigating, confirming, paying or denying and resolving claims involving first and third party medical payments coverage or PIP that involve moderate to severe complexity. This person will also be providing outstanding customer service and have the ability to handle a large volume of claims.

• Analyze, review, and interpret policies to assess coverage
• Handle complex to highly complex Medpay/PIP files inclusive of 3rdparty claimants
• Review and process reimbursement requests under the applicable 1st party medical coverage based on fee schedules, policy terms limits and reasonable or customary charges
• Analyze file documentation, medical bills, medical records, employment, wage information and other documentation provided
• Respond promptly to written or verbal inquiries from injured parties, medical providers, and attorneys

• Comprehensive knowledge of medical terminology, CPT and ICD 10 codes
• 3+ years experience handling Medpay and/or PIP claims, including understanding and interpreting auto policies
• Superior knowledge of and adherence to the state laws and regulations governing the handling of auto Medpay/PIP claims
• State adjusters license where domiciled or obtained within 90 days of start date
• Exceptional organization skills while moving from task to task in a high pace environment

Along with competitive pay, as a full-time Tesla employee, you are eligible for the following benefits at day 1 of hire:

• Aetna PPO and HSA plans > 2 medical plan options with $0 payroll deduction
• Family-building, fertility, adoption and surrogacy benefits
• Dental (including orthodontic coverage) and vision plans, both have options with a $0 paycheck contribution
• Company Paid (Health Savings Account) HSA Contribution when enrolled in the High Deductible Aetna medical plan with HSA
• Healthcare and Dependent Care Flexible Spending Accounts (FSA)
• 401(k) with employer match, Employee Stock Purchase Plans, and other financial benefits
• Company paid Basic Life, AD&D, short-term and long-term disability insurance
• Employee Assistance Program
• Sick and Vacation time (Flex time for salary positions), and Paid Holidays
• Back-up childcare and parenting support resources
• Voluntary benefits to include: critical illness, hospital indemnity, accident insurance, theft & legal services, and pet insurance
• Weight Loss and Tobacco Cessation Programs
• Tesla Babies program
• Commuter benefits
• Employee discounts and perks program

Tesla is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to any factor, including veteran status and disability status, protected by applicable federal, state or local laws.

Tesla is also committed to working with and providing reasonable accommodations to individuals with disabilities. Please let your recruiter know if you need an accommodation at any point during the interview process.

Privacy is a top priority for Tesla. We build it into our products and view it as an essential part of our business. To understand more about the data we collect and process as part of your application, please view our Tesla Talent Privacy Notice.

Job Tags

Similar Jobs