Personal Injury Protection Medical Pay Claims Representative jobs at Tesla

• Develop building and fire code compliance documents and fire life safety designs for new production lines / materials and other improvement in the facility
• Perform hazardous material analysis for code compliances purposes, such as chemical classification, chemical quantity analysis, chemical inventory management, and related system design support
• Develop & create fire protection system design criteria for new production lines / materials and other improvements in the facility
• Review and comment on shop drawing design packages developed by contractors
• Support Staff Fire Protection Engineer and other team members to develop AM&M (Alternate Means & Methods) to local AHJ to help with performance-based design criteria to meet intent of code
• Coordinate with various disciplines during the design process
• Support construction team to develop field solutions
• Perform system field inspection and testing observations to ascertain installation meets all design intents
• Develop process improvements / workflows / templates to increase design productivity and quality of deliverables
• Mentor team members from different functional groups

• Licensed Fire Protection Engineer (CA license required, or able to obtain reciprocity)
• Minimum 5 years of related experience
• Bachelor’s Degree in Fire Protection Engineering or equivalent experience
  
• Advance knowledge in NFPA standards and model codes (e.g. ICC codes) related to building fire safety
• Advance knowledge in hazardous materials evaluation for code compliances
• Experiences with fire suppression system and fire detection/alarm system designs and inspection
• Experiences with AutoCAD and Revit
• Ability to work cross-functionally and with large teams
• Ability to work well under pressure and can manage multiple priorities simultaneously
• Strong communication skills to explain complex technical challenges and solutions clearly and concisely

• Work scheduling maintenance
• Vehicle arrival preparation
• Customer communication and expectations
• Rental coordination and hand off
• Vehicle status updates
• Material and supplies reordering
• Repair review and delivery

• Ability to establish and maintain cooperative working relationships with those contacted in the course of work, including the public
• Must be willing to train others
• Ability to work independently in limited supervision environments
• Microsoft Office experience, preferred
• Excellent written and verbal communication skills as well as the ability to follow instructions
• Certificate from Vocational School in Collision Repair, preferred

• Work scheduling maintenance
• Vehicle arrival preparation
• Customer communication and expectations
• Rental coordination and hand off
• Vehicle status updates
• Material and supplies reordering
• Repair review and delivery

• Ability to establish and maintain cooperative working relationships with those contacted in the course of work, including the public
• Must be willing to train others
• Ability to work independently in limited supervision environments
• Microsoft Office experience, preferred
• Excellent written and verbal communication skills as well as the ability to follow instructions
• Certificate from Vocational School in Collision Repair, preferred

Multiple locations possible: Fremont, CA; Austin, TX

• Act as main liaison to internal and external stakeholders (the affected employee, claims adjuster, HR, EHS, supervisor, and manager) for the purpose of ensuring an immediate and direct line of communication and action
• Manage catalogue of open workers' compensation claims to focus on cost mitigation and reducing liability through continued medical treatment activity, targeted return-to-work efforts, and ongoing case progression; provide settlement authority within limits
• Provide risk-based workers' compensation oversight as needed for day-to-day operations, project management, employee disputes, and claim escalations
• Coordinate with dedicated operations teams for information related to accommodation of work restrictions, witness statements and workplace investigations
• Support the internal benefits team with reviewing temporary and permanent disability benefits pertaining to workers' compensation claims,excused and unexcused absences, FMLA exhaustion and denials, short-termdisability claims, and long-term disability claims
• Conduct interactive process with employees for disputes based on escalation type; maintain contact with the ADA team as needed for return-to-work concerns, performance issues surrounding occupational injuries, and the alternate job search process for employees with permanent work restrictions
• Coordinate with internal counsel for effective management of litigated workers' compensation claims and accompanying employment claims

• Bachelor's Degree in Business Administration, Insurance, or Risk Management preferred, or combination of education, training, and experience, or equivalent experience
• A minimum of 5 years of experience as an indemnity workers’ compensation claims adjuster with a focus on severe injuries, complex cases, and litigation
• A background in risk management and/or workers’ compensation claims management with a large-scale manufacturer or distributor is preferred but not required
• An Insurance Education Association (IEA) certificate is desirable. CPCU, ARM, WCCA, WCCP and/or self-insured license is strongly preferred

• Analyze, review, and interpret policies to assess coverage
• Handle moderate to highly complex mostly attorney represented BI claims, with some unrepresented UIMBI/UMBI claims
• Daily contact with insureds and/or claimants and/or attorney and/or vendors
• Investigate liability on claims by taking statements, reviewing police reports and talking to witnesses
• Execute on reviewing, evaluating and negotiating injury claims

• Medical terminology and medical bill experience
• Auto accident investigation experience
• 1+ years experience handling BI/UMBI/UIMBI, including understanding and interpreting auto policies
• Comprehensive knowledge of and adherence to the state laws and regulations governing the handling of auto BI/UMBI/UIMBI claims
• State adjuster’s license where domiciled or obtained within 90 day of start date
• Non-resident adjuster’s license where required in the states where we do business
• Exceptional organization skills while moving from task to task in a high pace environment

We are looking for an experienced Claims Processor who has the ability to communicate compassionately and effectively to resolve insurance claims. You’ll be responsible for working in partnership with internal teams to resolve claims, assigning claims to appropriate adjusters and handling payments and processing responsibilities as needed. In addition, you’ll work with customers, agents, and repair facilities via phone, email and text as the needs dictate. You’ll also help with pending claims management, sending regulatory letters and issuing payments.

• Reviews and determines payment of minor, undisputed and/or limited authorization claims. Assigns all other claims to appropriate adjuster
• Verifies coverage and damage reports received from vendors and customers for accuracy and consistency with the claim as reported
• Audits bills for detection of possible fraud; refers findings to management for referral to Special Investigations Unit as advised
• Prepares and submits administrative reports as required
• Provides support for unit claims associates and managers
• Deliver outstanding customer service to all internal, external, current, and prospective nationwide customers

• 3+ years directly related work experience in financial and insurance claims processing
• Onsite presence is required every day

• Oversee RN and Locum RN staffing, shift schedules, supplies, equipment, budgeting, POs, policies, emergency plans, and administrative operations of the On-Site Medical station, including locum agency coordination
• Work with Tesla EMS paramedics to respond to acute medical emergencies, provide clinical assessments, triage, first aid, stabilization, and determine appropriate disposition, including return to work or external referrals
• Develop, implement, and maintain medical surveillance programs, ensuring compliance with applicable laws and best practices, while coordinating with Industrial Hygiene (IH) to determine surveillance needs by shop
• Maintain 90%+ compliance for required medical surveillances, track personnel status through dashboards and audit programs, and ensure timely medical clearance execution with minimal disruption to production
• Document and update medical surveillance workflows, including physical screening requirements, vendor coordination, and process changes to ensure smooth execution
• Educate EHS and shop leadership on medical surveillance importance, legal requirements, and health impacts, while providing first-level consultation on results to employees with concerns
• Ensure competency and professionalism of nursing staff, manage BBP program compliance, conduct clinical reviews for OSHA recordability, and coordinate employee care transitions with external medical entities

• Associate’s Degree in Nursing (ADN) or Bachelor’s Degree in Nursing (BSN)
• Currently licensed Registered Nurse (RN) in the State of California, in good standing with no disciplinary actions
• Minimum 2 years of Supervisory clinical experience or equivalent
• Minimum 5 years of experience in emergency department, urgent care, or similar acute care environments encompassing the scope of medical and traumatic conditions
• Certified Occupational Health Nurse (COHN) certification preferred; and mid-level practitioner
• Supervisory clinical experience in outpatient/ambulatory settings including workplace or occupational medicine clinic. Experience with and knowledge of workers’ compensation and private medical insurance, and OSHA recordability criteria preferred
• Current training in Basic Life Support (BLS) required. Advanced Cardiac Life Support (ACLS) certification required