Insurance Manager

Welcare Hospital is seeking a dynamic and detail-oriented Insurance Manager to lead and oversee the hospital’s health insurance operations. The ideal candidate will be responsible for managing insurance claims, liaising with TPAs and insurance providers, and ensuring smooth coordination between the hospital billing team and insurance departments.

Key Responsibilities:

• Manage end-to-end insurance claim processing, pre-authorizations, approvals, and settlements
• Coordinate with TPAs (Third Party Administrators), insurance companies, and government health schemes
• Oversee timely submission of claims and ensure minimum rejections or delays
• Maintain accurate records of claim status, denials, and follow-ups
• Supervise the insurance billing team and ensure adherence to hospital and statutory guidelines
• Act as the primary point of contact for insurance-related queries from patients and their families
• Provide regular reports to management on insurance revenue, outstanding claims, and processing timelines

Eligibility Criteria:

• Bachelor’s degree in any discipline (preferably in Healthcare Administration, Commerce, or related fields)
• 3–5 years of experience in hospital insurance operations or TPA coordination
• Sound knowledge of cashless claim processing, reimbursement procedures, and regulatory requirements
• Strong interpersonal and communication skills
• Proficiency in hospital information systems (HIS) and insurance portals

Job Type: Full-time

Pay: ₹30,000.00 - ₹40,000.00 per month

Benefits:

• Paid sick time
• Paid time off

Experience:

• Insurance: 3 years (Required)

Work Location: In person