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TPA Executive

Nakshatra skill and development PVT ITD

1 - 2 years

1 - 2 Lacs

Vasai, Maharashtra

Posted:1 day ago| Platform: SimplyHired logo

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Skills Required

In-person

Work Mode

On-site

Job Type

Full Time

Job Description

Post - TPA Executive

Location - Vasai

Salary - 15,000 to 20,000

Immediate Joiner

Fixed Shift

Experience - 1 to 2 Years

Core Responsibilities:

Claims Processing:TPAs handle the entire claims process, from receiving and reviewing documents to verifying policyholder eligibility and assessing claims.
Network Management:They manage and maintain a network of hospitals and healthcare providers, negotiating agreements for cashless treatments and discounted rates.
Customer Support:TPAs provide customer support services, including helplines and online portals, to assist policyholders with inquiries, claim submissions, and claim tracking.
Record Keeping:They maintain accurate records of claims history, which can be used by insurance companies for analysis and decision-making.
Compliance:TPAs ensure compliance with regulatory requirements and internal processes related to claims processing.

Specific TPA Roles:

TPA Coordinator:May be responsible for coordinating with TPA teams, resolving customer queries, and providing support to other departments.
TPA Executive:Might focus on managing the billing and claims submission process for TPAs, potentially overseeing the overall operation of claims processing.
TPA Billing Executive:Could be specifically involved in handling billing, updating implant bills, and reconciling accounts.
Assistant TPA Insurance:Might assist in processing insurance claims and managing TPA functions within a healthcare setting.

Job Type: Full-time

Pay: ₹15,000.00 - ₹20,000.00 per month

Schedule:

Day shift

Work Location: In person

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