Job Description

Greetings From

LINK K INSURANCE TPA

We are Looking for

Claims Manager

for our

Claims Department

at Our Chennai Corporate Office.

Year Of Experience

: 5 to 15 Years. (TPA or Health Insurance Experience must )

Qualification

: BHMS, BAMS.

Work Location

: Anna Nager, Chennai,

Roles and Responsibility

Lead and manage end-to-end health insurance claims processing (cashless and reimbursement) across all functions and teams. Supervise a team of medical officers, Claims Executive , and customer service representatives. Ensure claims are processed in compliance with IRDAI regulations, policy terms, SLAs, and internal SOPs. Monitor TAT, quality metrics, and claim turnaround efficiency; drive improvements in productivity and accuracy. Liaise with network hospitals, insurance companies, underwriting teams, and medical audit teams. Handle high-value and complex claims escalations with sensitivity and professionalism. Coordinate with medical experts to ensure accurate clinical adjudication and justification of claims. Analyze claims trends, fraud indicators, and prepare regular MIS/reports for senior leadership and insurer clients. Support the implementation of automated tools and digital claims processing platforms. Ensure periodic audits, internal controls, and regulatory compliance protocols are met. Lead team training, performance management, and knowledge-sharing initiatives.
Interested candidate can share your update resume.

hr.vasanth@linkktpa.com

Job Types: Full-time, Permanent

Pay: Up to ?65,000.00 per month

Benefits:

Provident Fund
Schedule:

Morning shift
Education:

Bachelor's (Required)
Experience:

pre-authorization, cashless, and reimbursement claims: 5 years (Required)
Work Location: In person