Pip/Med Pay Claims Representative

What to Expect
Responsible for investigating, confirming, paying/denying and resolving claims involving first party medical payments coverage or PIP (Personal Injury Protection). This involves interacting with customers, employers, medical providers and attorneys. What You’ll Do

• Responds promptly to written or verbal inquiries from injured parties, medical providers, and attorneys. Ensure PIP payment logs, claim information, policy information and payment information requested is provided within Statutory timelines.
• Comply with local statutes on appropriate PIP/Medpay handling
• Review and Process reimbursement requests under the applicable 1st Party Medical Coverage based on fee schedules, policy terms, co-pays and deductibles. Analyze file documentation, medical bills, medical records, employment, wage information and other documentation provided.
• Assists customers throughout the 1st Party Medical claims process by explaining the applicable benefits, eligibility, required forms and procedures, providing claim status updates and information through both verbal and written communications

What You’ll Bring

• Exceptional organization skills
• 1+ years handling Medpay/PIP claims
• Effective verbal and written communication skills\
• Proficient in Word and Outlook
• Experience handling first party auto medical claims in Florida, Minnesota, New York, New Jersey, Oregon, Texas, Maryland and Utah.
• Adjuster license must be obtained within 90 days of the start date if do not possess one already
• Onsite presence is required every day
• Comprehensive knowledge of medical terminology, CPT codes and ICD 10.
• Ability to obtain and maintain adjuster licenses as required

Benefits
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)

LGBTQ+ care concierge services

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

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