Job Description

The TPA Executive is responsible for coordinating with Third Party Administrators (TPAs), hospitals, and internal teams to ensure smooth processing of medical insurance claims, approvals, and policy-related activities. The role requires strong communication, documentation handling, and follow-up skills.

Key Responsibilities

Coordinate with TPAs for cashless and reimbursement medical insurance claims Process and track employee health insurance claims and approvals Liaise with hospitals for admission intimation, pre-authorization, and discharge process Verify and maintain claim-related documents and records Follow up with TPAs on pending claims, queries, and settlements Support employees in understanding insurance coverage, claim procedures, and policy benefits Ensure timely resolution of claim discrepancies and escalations Maintain MIS reports for claims, approvals, and settlements Ensure compliance with company policies and insurance guidelines Coordinate with HR and Finance teams for insurance-related matters
Job Type: Full-time

Pay: ₹20,000.00 - ₹25,000.00 per month

Benefits:

Provident Fund
Work Location: In person