Tesla
Personal Injury Protection & Medical Pay Claims Representative
Tesla, Draper, Utah, United States, 84020
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.
Responsibilities
Analyze, review, and interpret policies to assess coverageHandle complex to highly complex Medpay/PIP files inclusive of 3rd party claimantsReview and process reimbursement requests under the applicable 1st party medical coverage based on fee schedules, policy terms limits and reasonable or customary chargesAnalyze file documentation, medical bills, medical records, employment, wage information and other documentation providedResponds promptly to written or verbal inquiries from injured parties, medical providers, and attorneysRequirements
Comprehensive knowledge of medical terminology, CPT and ICD 10 codes3+ years' experience handling Medpay and/or PIP claims, including understanding and interpreting auto policiesSuperior knowledge of and adherence to the state laws and regulations governing the handling of auto Medpay/PIP claimsState adjuster's license where domiciled or obtained within 90 day of start dateExceptional organization skills while moving from task to task in a high pace environmentCompensation and BenefitsBenefits
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 deductionFamily-building, fertility, adoption and surrogacy benefitsDental (including orthodontic coverage) and vision plans, both have options with a $0 paycheck contributionCompany Paid (Health Savings Account) HSA Contribution when enrolled in the High Deductible Aetna medical plan with HSAHealthcare and Dependent Care Flexible Spending Accounts (FSA)LGBTQ+ care concierge services401(k) with employer match, Employee Stock Purchase Plans, and other financial benefitsCompany paid Basic Life, AD&D, short-term and long-term disability insuranceEmployee Assistance ProgramSick and Vacation time (Flex time for salary positions), and Paid HolidaysBack-up childcare and parenting support resourcesVoluntary benefits to include: critical illness, hospital indemnity, accident insurance, theft & legal services, and pet insuranceWeight Loss and Tobacco Cessation ProgramsTesla Babies programCommuter benefitsEmployee discounts and perks program
Responsibilities
Analyze, review, and interpret policies to assess coverageHandle complex to highly complex Medpay/PIP files inclusive of 3rd party claimantsReview and process reimbursement requests under the applicable 1st party medical coverage based on fee schedules, policy terms limits and reasonable or customary chargesAnalyze file documentation, medical bills, medical records, employment, wage information and other documentation providedResponds promptly to written or verbal inquiries from injured parties, medical providers, and attorneysRequirements
Comprehensive knowledge of medical terminology, CPT and ICD 10 codes3+ years' experience handling Medpay and/or PIP claims, including understanding and interpreting auto policiesSuperior knowledge of and adherence to the state laws and regulations governing the handling of auto Medpay/PIP claimsState adjuster's license where domiciled or obtained within 90 day of start dateExceptional organization skills while moving from task to task in a high pace environmentCompensation and BenefitsBenefits
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 deductionFamily-building, fertility, adoption and surrogacy benefitsDental (including orthodontic coverage) and vision plans, both have options with a $0 paycheck contributionCompany Paid (Health Savings Account) HSA Contribution when enrolled in the High Deductible Aetna medical plan with HSAHealthcare and Dependent Care Flexible Spending Accounts (FSA)LGBTQ+ care concierge services401(k) with employer match, Employee Stock Purchase Plans, and other financial benefitsCompany paid Basic Life, AD&D, short-term and long-term disability insuranceEmployee Assistance ProgramSick and Vacation time (Flex time for salary positions), and Paid HolidaysBack-up childcare and parenting support resourcesVoluntary benefits to include: critical illness, hospital indemnity, accident insurance, theft & legal services, and pet insuranceWeight Loss and Tobacco Cessation ProgramsTesla Babies programCommuter benefitsEmployee discounts and perks program