TPA Executive

St. Columba's hospital hazaribag

13 - 17 years

0 Lacs

hazaribagh jharkhand

Posted:1 day ago| Platform: Shine logo

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Skills Required

coordination documentation settlements relationship management record keeping query resolution communication skills interpersonal skills ms office health insurance claims processing medical documents verification claim status monitoring claim management software

Work Mode

On-site

Job Type

Full Time

Job Description

As a TPA Executive, you will be responsible for coordinating and managing health insurance claims between the organization, insurance companies, and Third Party Administrators (TPAs). Your role will involve ensuring timely processing, documentation, and settlement of claims while maintaining strong relationships with stakeholders. Key Responsibilities: - Handle end-to-end processing of health insurance claims. - Coordinate with TPAs, insurance companies, and internal departments. - Verify and submit medical documents for claim processing. - Monitor claim status and ensure timely settlements. - Maintain accurate claim records and reports. - Resolve queries related to insurance and reimbursement. Qualifications Required: - Graduate in any discipline, preferably in a healthcare or insurance-related field. - 3+ years of experience in TPA or insurance claims processing. - Good communication and interpersonal skills. - Proficient in MS Office and claim management software.,

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Salary: Not disclosed

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St. Columba's hospital hazaribag

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TPA Executive