Job Description

Work Timing:

10:00 AM to 7:00 PM

Weekly Off:

Sunday

Experience Required:

1-3 years in TPA desk, mediclaim, or hospital insurance processes

Education:

Graduate in any stream (Preference for candidates with hospital administration/insurance background)

:

Dr. Kamthe Piles Clinic Pvt. Ltd. is hiring a

TPA Desk Executive

to manage

mediclaim processing, cashless approvals, and patient insurance claims.

The ideal candidate should be experienced in handling

TPA coordination, hospital billing, and insurance settlements.

Key Responsibilities:

Manage

cashless & reimbursement mediclaim

processes

Coordinate with

Third-Party Administrators (TPAs)

and insurance companies for approvals

Verify

policy documents, patient eligibility

, and required paperwork

Ensure timely submission of

pre-authorization & final settlement claims

Follow up with TPAs and insurance companies for claim status and pending approvals

Maintain records of

claims, approvals, and patient documentation

Assist patients in understanding the

mediclaim process

Work closely with the

billing & accounts department

for smooth claim settlements

Skills Required:

Knowledge of

TPA & Mediclaim

processes
Experience in handling

hospital insurance claims

Good

communication & coordination skills

Basic computer knowledge & MS Office proficiency

Strong

follow-up skills

with TPAs & insurance providers

Preferred Experience:

Hospital / Healthcare / Insurance Company

experience is preferred Familiarity with

TPA portals & cashless claim processing

Job Type: Full-time

Pay: ₹12,000.00 - ₹18,000.00 per month

Schedule:

Day shift
Work Location: In person