6 Tpa Experience Jobs

As an executive in our claims department, your role will involve processing health insurance claims, including both cashless and reimbursement claims. It is essential to have 1-4 years of experience in this field, with specific TPA experience being mandatory. The location for this position is in Chembur, and it is a full-time job with day shift schedule. Key Responsibilities: - Processing health insurance claims, both cashless and reimbursement - Utilizing your 1-4 years of experience in the field - Mandatory requirement of TPA experience Qualifications Required: - 1-4 years of experience in processing health insurance claims - TPA experience is mandatory Please note that this position is ba...

As a Medical Officer at Medi Assist Insurance TPA Pvt Ltd, your role involves processing claims such as Preauthorization and Reimbursement claims. You will be responsible for validating and processing these claims within the specified Turnaround Time (TAT). Having good communication skills and medical knowledge is crucial for this role. Any previous experience in Third Party Administrator (TPA) work would be considered an added advantage. Key Responsibilities: - Processing claims including Preauthorization and Reimbursement claims - Validating and processing claims within the specified TAT - Ensuring no financial implications for the organization during claims settlement Qualifications Requi...

Role: Assistant Manager Company: MediAssist TPA Location: IBC Knowledge Park, Bannerghatta Road, Bengaluru, India (On-site) Employment Type: Full-time Onrole Experience: 5 to 10 years (Minimum 5 years in TPA mandatory ) CTC: 6 LPA TO 7 LPA (based on experience) Role Summary: Lead policy configurations and health insurance claims operations, including internal IR handling, CRM/account management tickets, and policy document rechecks ensuring accuracy, compliance, and timely closures. Key Responsibilities: Policy configuration as per insurer/client guidelines Handle Internal IR and CRM/Account Management tickets within TAT Recheck and validate policy documents; ensure accurate setup Support en...

The role of Medical Officer involves processing preauthorization and reimbursement claims, ensuring validation and processing within the specified Turnaround Time (TAT). It requires strong communication skills, medical knowledge, and familiarity with Third Party Administrator (TPA) processes. Experience in TPA handling is considered an advantage for this role. One of the key responsibilities is to manage claims settlement efficiently to prevent any financial implications for the organization. The ideal candidate should possess knowledge and skills in clinical practices, TPA procedures, and medical aspects with a background in insurance. The educational qualification required for this role in...

As an executive in our claims department, you will be responsible for processing health insurance claims, both cashless and reimbursement. The ideal candidate should have 1-4 years of experience, with TPA experience being mandatory for this role. This is a full-time position located in Chembur, with a day shift schedule. If you have the required experience and skills in processing health insurance claims, we invite you to join our team and contribute to our mission of providing efficient and accurate claims processing services.,

Job description Check the medical admissibility of a claim by confirming the diagnosis and treatment details. Scrutinize the claims as per the terms and conditions of the insurance policy Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiate open billing and package, etc. Understand the process difference between PA and an RI claim and verify the necessary details accordingly. Verify the required documents for processing claims and raise an IR in case of an insufficiency. Coordinate with the LCM team in case of higher billing and with the provider team in case of non-availability of tariff. Approve or deny the claims as ...