דרושים Personal Injury Protection Medical Pay Claims Representative ב-Tesla ב-United States, Austin

• 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

• Lead and manage a team of fire protection engineers, fire suppression system designers, and fire alarm designers
• Collaborate with CSA and MEP disciplines, including electrical, mechanical, and plumbing teams, to design and integrate fire protection systems
• Work closely with construction teams to provide technical guidance and resolve any on-site fire protection system issues
• Ensure that all fire protection systems meet local, state, and national fire codes and standards
• Serve as the primary point of contact for authorities having jurisdiction (AHJs), ensuring project compliance with applicable regulations
• Conduct design reviews, risk assessments, and code compliance checks for fire protection systems
• Manage and oversee the preparation of fire protection system design documents, calculations, specifications, hydraulic calculations and construction documents
• Mentor and develop team members by providing leadership, training, and career development opportunities
• Prepare and manage project budgets, schedules, and resources for fire protection engineering projects

• Degree in Fire Protection Engineering or equivalent experience
• Professional Engineering (PE) licensure in Fire Protection Engineering in the state of Texas
• Minimum of 10 years of experience in fire protection engineering in large industrial, manufacturing, data center, or large commercial environments
• In-depth knowledge of fire protection codes, standards, and regulations, including NFPA, ICC, local fire codes, related building codes and standards
• Experience in a leadership or supervisory role
• Experience in the design, installation, and commissioning of fire suppression and fire alarm systems
• Ability to troubleshoot complex fire protection system issues and provide innovative solutions
• Proficiency in fire protection design software (e.g., AutoCAD, Revit, HydraCAD, etc.) and Microsoft Office Suite
• Preferred experience with dry fire suppression systems and experience using Revit software

• Develop and create a complete set of code analysis and reports for permit documents for various site projects, including but not limited to Dust Hazard Analysis, High-Piled Storage Analysis, Specifications, and Hazard Analysis
• Develop and create Fire Protection Reports for new vehicle production lines, materials, suppression, and detection systems coming to the factory
• Produce RFP/RFQs documents for project scoping and pricing
• Develop and summit AM&M (Alternate Means & Methods) to local AHJ to help with performance-based design criteria to meet the intent of code
• Code Planning / Life Safety Design (Schematic Design through commissioning)
• Implementation and inspections of specialty systems implementation
• Develop process improvements, workflows, and templates to increase design productivity and quality of deliverables

• Degree in Fire Protection Engineering from an ABET accredited program, or equivalent experience
• Licensed Fire Protection Engineer 8+ years relevant experience required
• Experience working with Authorities Having Jurisfiction (AHJ)
• Able to organize time and tasks in a fast-paced environment with competing priorities
• Takes initiative with solving problems
• Ability to follow process within strict deadlines
• Must be self-motivated and thrive in a team environment
• Excellent written and verbal communication skills required

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

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 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

• 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

• 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

You will be responsible for driving innovation and first principles mindset, driving projects to completion, and supporting Infrastructure Development for Sales, Service, Delivery, Collision, and Warehousing projects across North & South America. The ideal candidate thrives from working in a technically complex and fast-moving environment and is willing to challenge the status quo.

• Develop & create standard basis of design for Fire Protection scope of work. Develop process improvements / workflows / templates to increase design productivity and quality of deliverables with outsourced Fire Engineers
• Work with Fire Protection Engineers to develop AM&M (Alternate Means & Methods), Risk Mitigation Plans (RMP) and other detailed studies to submit to local AHJ to help with performance-based design criteria to meet intent of code
• Code Planning / Life Safety design review, including building code, life safety, fire sprinkler, fire alarm, paint spray applications, high-piled storage plans. Perform hazardous material analysis for code compliance purposes
• Build out external partner resources to execute the design. Collaborate with them and with internal teams to see projects through to execution
• Advocate and educate AHJ’s on Tesla’s behalf – specifically around lithium-ion technology, safety standards, etc. Educate internal Tesla teams on fire life safety requirements, including inspection, testing, and maintenance
• Support with fire inspections where necessary on the project level. Support with management for fire life safety consultants and vendors, including scheduling of surveys, deliverables, coordination, and communications. Support review of construction documents – driving consistency of standards, challenging assumptions, and driving best practices for design
• Maintain project drawing files, tracking and recordkeeping, applying lessons learned to future projects and formalizing standards to ensure repeatability

• ABET accredited 4 year Engineering Degree or equivalent degree in Engineering or Design or equivalent experience
• Ability to learn rapidly
• Revit experience
• Ability to manage and organize multiple projects with competing priorities and different timescales
• Exceptional verbal and written communication skills, with the ability to communicate technical information in a concise way to a non-technical audience, and vice versa
• Ability to prioritize work assignments in a fast-paced environment, ability to quickly learn new design and calculation software, strong communication skills required, ability to speak in a public forum, strong problem-solving skills, ability to travel up to 50%
• Working knowledge of IFC, CFC, NFPA, OSHA and various state agency regulations, international regulations a plus