Sr. Workers' Compensation Claims Professional

Sr. Workers' Compensation Claims Analyst

Reporting to the Workers' Compensation Manager, the Sr. Workers' Compensation Claims Analyst will require an extensive background in claims adjudication, and/or risk management with direct experience in the workers' compensation field to be successful in the position. The individual will have the ability to analyze data and readily available information to make appropriate recommendations, interpret, and apply medical and legal terminology to internal stakeholders, organize conflicting work priorities, and coordinate multiple projects with deadlines. The individual will also possess the required knowledge, skills, and abilities to work cohesively with several groups, and manage various projects both independently and collaboratively with other teams. This position is based in Fremont, CA and requires regional travel.

Responsibilities

• 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-term disability 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

Requirements

• Bachelor's Degree in Business Administration, Insurance, Risk Management, 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

Compensation & Benefits

Benefits

Along with competitive pay, as a full-time Tesla employee, you are eligible for the following benefits at day 1 of hire:

• Medical plans > 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 Accounts) HSA Contribution when enrolled in the High-Deductible medical plan with HSA
• Healthcare and Dependent Care Flexible Spending Accounts (FSA)
• 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 (90 day waiting period)
• Employee Assistance Program
• Sick and Vacation time (Flex time for salary positions, Accrued hours for Hourly 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

Expected Compensation $72,000 - $162,000/annual salary + cash and stock awards + benefits

Pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. The total compensation package for this position may also include other elements dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment.