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 coverage
- Handle complex to highly complex Medpay / PIP files inclusive of 3rd party 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
- Responds promptly to written or verbal inquiries from injured parties, medical providers, and attorneys
Requirements
- 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 adjuster's license where domiciled or obtained within 90 day of start date
- Exceptional organization skills while moving from task to task in a high pace environment
Compensation and Benefits
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
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. Analyze file documentation, medical bills, medical records, employment, wage information and other d...
Medical Claims Representative Trainee
Focusing on personal injury protection medical coverage, you'll analyze accident details, medical records and terminology. Medical Claims Representative TraineeAs a. Conducts research to understand correlations between medical records and motor vehicle accidents, injuries or medical conditions. You'...
Seasonal: Guest Advocate (Cashier), General Merchandise, Fulfillment, Food and Beverage, Front of Store Attendant (Cart Attendant), Style, Tech, Inbound (Stocking) (T1752)
Starting Hourly Rate / Salario por Hora Inicial: $15.Working at Target means helping all families discover the joy of everyday life.We bring that vision to life through our values and culture.Seasonal Specialty Sales Roles: A sales force of specialized consultants who provide tailored suggestions an...
Tooele Caregivers | No Experience Required | Earn up to $600/week
Home Instead provides a variety of non-medical services in .Competitive pay to start between $13.Full-time and part-time openings.Full-time and part-time medical benefits that include health insurance, dental, vision, and telehealth.Hourly pay during time in between shifts.Up to 40 hours a year of P...
Residential Youth Caregiver - Relocation to Hershey, PA Required
Milton Hershey School (MHS) is one of the world's best private schools, where students in pre-K through 12th grade from disadvantaged backgrounds receive an exceptional career-focused education with housing, meals, and more—and all costs are covered.Thanks to the generosity of Milton and Catherine H...
Sandy Client 1pm-4pm M-F, Caregiver/Personal Care Attendant/CNA/Certified Nursing Assistant-FREE CEU Training
ARE YOU A CARE-GIVING SUPER HERO?.Our Caregivers think of senior care as their calling, not as a job.They understand the importance of building meaningful relationships and being confident and dedicated to the commitments they've made.They possess the knowledge, experience and know how to speak, lis...
Certified Nursing Assistant (CNA) / CareGiver
HomeWell is a unified team that makes a difference in our community by servicing our clients with the best care! Our goal to caregivers is to make sure we are providing you with a GREAT work-life balance, GREAT pay, benefits, and a support team who cares. HomeWell Care Services is BEST known for bui...
Regional Security Officer - UT (Hybrid Schedule)
We are now accepting applications/resumes for our Regional Security Officer position located in Utah. Requires a Bachelor's and 2+ years of relevant experience with bank security and regulations, electronic security systems, operational risk, law enforcement or other directly related experience. Wor...
Customer Service Representative
Joining Yessio LLC as a full- or part-time Customer Service Rep means diving into a dynamic day of customer interactions that keep you on your toes. George, UT, with remote flexibility for individuals throughout the state of Utah, including Cedar City, Logan, Price, Provo, Salt Lake City, and beyond...
Warehouse Associate
Our Warehouse Associates are an important part to distributing our products. The Warehouse person will properly and safely stock our roofing materials in our warehouse, pull inventory for customer pick-ups, use a forklift to unload inventory from incoming delivery trucks and load our trucks for jobs...