PIP/Med Pay Claims Representative

Company: Tesla Motors
Location: Austin
Posted on: May 27, 2023

Job Description:

The Role
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.

Responsibilities

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

Keywords: Tesla Motors, Austin , PIP/Med Pay Claims Representative, Other , Austin, Texas