Senior TPA Claims Processor- Chennai

4 - 9 years

4 - 6 Lacs

Posted:1 week ago| Platform: Naukri logo

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Work Mode

Work from Office

Job Type

Full Time

Job Description

Role & responsibilities

  • Process

    cashless & reimbursement TPA claims end-to-end

  • Verify

    policy coverage, GIPSA rules, exclusions, room rent eligibility

  • Review

    pre-auth approvals, enhancement requests

  • Validate

    medical necessity, non-medical deductions

  • Handle

    TPA queries, denials, short payments, resubmissions

  • Mentor junior processors and conduct quality checks
  • Maintain

    TPA-wise ageing and follow-up tracker

  • Coordinate with

    Medical Records & Treating Doctors

    for clarifications

Preferred candidate profile

  • 4-9 Yrs of Experience in TPA Particularly experience in handling claims
  • Good Communication & Coordination skills
  • Strong knowledge of

    GIPSA, non-medical exclusions, package rates


If interested please share your profile to yuvaraju@prodigyrecruit.com or call 9884286090

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Prodigy Recruitment Consultants logo
Prodigy Recruitment Consultants

Human Resources Services

Chennai Tamilnadu

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