TPA Executive

Job Description

Post - TPA Executive Location - Chembur Salary - 24,000 to 25,000 Experience Candidate Only Cashless & Mediclaim Experience 2 to 3 Years Experience Candidate Claims Processing: TPA professionals are responsible for managing the entire claims process, from receiving and reviewing documents to verifying eligibility and disbursing payments. Network Management: They maintain relationships with healthcare providers, including hospitals and clinics, to establish a network for cashless treatments and discounted rates. Customer Support: TPAs often provide customer support services, such as helplines and online portals, to assist policyholders with inquiries and claims. Record Keeping: They maintain accurate records of policyholders' claims history to help insurance companies analyze trends and make data-driven decisions. Coordination: TPAs coordinate with various internal and external stakeholders, including policyholders, hospitals, and insurance companies, to ensure smooth claim processing and customer satisfaction. Documentation: Accurate and thorough documentation is crucial for claim processing and compliance, so TPA professionals need to be meticulous in their record-keeping. Communication: Effective communication with policyholders and other stakeholders is essential for resolving inquiries, addressing concerns, and ensuring a positive customer experience. Compliance: TPAs must adhere to all relevant regulations and guidelines related to health insurance. Job Type: Full-time Pay: ₹24,000.00 - ₹25,000.00 per month Schedule: Day shift Work Location: In person