Job Description

Hi,

We are Vitraya Technologies Private Limited, an IT product-based company specializing in delivering innovative software solutions to the insurance industry. Given our focus on the insurance sector, we require professionals with a medical background or a strong understanding of medical terminology and procedures.

We invite individuals who have completed medical-related courses such as Nursing BDS, MDS,FDS or an Insurance TPA Background, MBBS and are looking to transition from a clinical setting to a corporate environment.

Job Summary

We are seeking a

TPA Coordinator

with sound

medical knowledge

to act as a liaison between hospitals, TPAs, and insurers. The role focuses on managing pre-authorization and claims documentation while ensuring compliance with medical and policy guidelines.

Key Responsibilities

Coordinate with hospitals for

pre-authorization and claim documentation

Review and validate

medical records and treatment details

submitted by hospitals Ensure completeness and accuracy of

claim files before submission

Follow up with hospitals for pending medical or billing documents Support claim settlement by clarifying

medical queries and policy conditions

Maintain records of claims, approvals, denials, and escalations Assist in resolving claim-related issues between hospitals and insurers Ensure adherence to

TPA and insurer SOPs

Required Skills & Medical Knowledge

Strong understanding of

medical terminology, procedures, and hospital billing

Knowledge of

health insurance claims process and pre-authorization

Ability to review

clinical documents and discharge summaries

Good coordination, follow-up, and communication skills Basic computer skills (Excel, hospital portals, TPA systems)

Educational Qualification

Graduate in

Nursing / Pharmacy / Life Sciences / Healthcare Management

Experience working in

hospital TPA desk or insurer claims team

is preferred
Your role will be crucial in ensuring the integrity and accuracy of medical claims, contributing to a streamlined and efficient claims process for our clients.

Job Type: Full-time

Benefits:

Food provided Health insurance Provident Fund
Work Location: In person

Interested Candidates can apply at anup.dobriyal@vitraya.com or WhatsApp their resume at9999043348. Kindly mention "Applying for TPA Coordinator" while applying on email or sending it to WhatsApp along with your CV attached.

Job Type: Full-time

Pay: ₹25,000.00 - ₹35,000.00 per month

Benefits:

Food provided Health insurance Provident Fund
Education:

Doctorate (Required)
Work Location: In person