TPA Claims Executive

2 - 6 years

0 Lacs

Posted:2 weeks ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Role Overview: As a TPA Executive at our hospital in Gomti Nagar, Lucknow, you will be responsible for managing the end-to-end Third-Party Administrator (TPA) process. Your role will involve handling insurance claims, documentation, and communication with insurance companies and agents to ensure smooth coordination. Key Responsibilities: - Manage the complete TPA process in the hospital, ensuring smooth coordination. - Raise insurance claims accurately, ensuring all required documents are submitted. - Communicate effectively with insurance companies, agents, and the claim team via email. - Understand claim requirements and provide necessary documents as requested. - Handle queries related to claim approvals, rejections, and documentation. - Ensure timely claim processing and follow-up for approvals. Qualifications Required: - Minimum 2 years of experience in TPA claims processing and coordination. - Strong command over email communication and documentation. - Knowledge of insurance claim procedures, hospital forms, and required documentation. - Ability to handle queries and resolve issues related to insurance claims. - Candidates must be from Lucknow and willing to work 6 days a week. Role Overview: As a TPA Executive at our hospital in Gomti Nagar, Lucknow, you will be responsible for managing the end-to-end Third-Party Administrator (TPA) process. Your role will involve handling insurance claims, documentation, and communication with insurance companies and agents to ensure smooth coordination. Key Responsibilities: - Manage the complete TPA process in the hospital, ensuring smooth coordination. - Raise insurance claims accurately, ensuring all required documents are submitted. - Communicate effectively with insurance companies, agents, and the claim team via email. - Understand claim requirements and provide necessary documents as requested. - Handle queries related to claim approvals, rejections, and documentation. - Ensure timely claim processing and follow-up for approvals. Qualifications Required: - Minimum 2 years of experience in TPA claims processing and coordination. - Strong command over email communication and documentation. - Knowledge of insurance claim procedures, hospital forms, and required documentation. - Ability to handle queries and resolve issues related to insurance claims. - Candidates must be from Lucknow and willing to work 6 days a week.

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