TPA Executive

As an Insurance TPA Claim Specialist, your role involves working in a Hospital Insurance desk, providing medical opinions for Health Insurance Claims, processing Cashless Requests and Health Insurance Claim Documents, and demonstrating proficiency with medical terms and systems. You will be required to understand Policy terms, various Protocols, and Guidelines, as well as Claims adjudication and Processing. It is essential to maintain and ensure Standard Operating Procedures and Protocols, perform Ailment Wise ICD and Procedure Coding, manage volumes effectively to maintain Turnaround time, process VIP Claims efficiently, and manage Claim Case and Cost effectively. Qualifications Required: - Minimum 2-3 years of experience in Medical Officer Claims Processing for Cashless/Reimbursement cases in any hospital setting - Excellent oral and written communication, negotiation, and decision-making skills - Strong customer service and relationship-building abilities, with the capacity to work effectively in a fast-paced environment with shifting priorities As an Immediate Joiner for this Permanent role, you can benefit from Health insurance and Provident Fund coverage. The work location is in person. (Note: No additional details about the company were provided in the job description.),