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Senior Workers' Compensation Claims Specialist
2 months ago
Tesla is seeking a highly skilled Senior Workers' Compensation Claims Specialist to join our team. As a key member of our risk management department, you will be responsible for managing workers' compensation claims, providing risk-based oversight, and ensuring compliance with regulatory requirements.
Key Responsibilities- Claims Management
- Manage a portfolio of workers' compensation claims, including severe injuries, complex cases, and litigation
- Develop and implement strategies to mitigate costs and reduce liability
- Provide settlement authority within limits
- Risk-Based Oversight
- Provide risk-based oversight for day-to-day operations, project management, employee disputes, and claim escalations
- Identify and mitigate potential risks and exposures
- Communication and Collaboration
- Act as a liaison to internal and external stakeholders, including employees, claims adjusters, HR, EHS, supervisors, and managers
- Coordinate with dedicated operations teams for information related to accommodation of work restrictions, witness statements, and workplace investigations
- Benefits Administration
- Support the internal benefits team with reviewing temporary and permanent disability benefits, excused and unexcused absences, FMLA exhaustion and denials, short-term disability claims, and long-term disability claims
- Dispute Resolution
- Conduct interactive processes 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
- Legal and Compliance
- 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, or equivalent combination of education, training, and 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
- Ability to sit/stand at a computer for up to 8-10 hours/day
- Aetna PPO and HSA plans with $0 payroll deduction
- Family-building, fertility, adoption, and surrogacy benefits
- Dental (including orthodontic coverage) and vision plans with $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
