Job Description

Post - TPA Executive

Location - Chembur

Salary - 24,000 to 25,000

Experience Candidate Only

Cashless & Mediclaim Experience

2 to 3 Years Experience Candidate

Claims Processing:

TPA professionals are responsible for managing the entire claims process, from receiving and reviewing documents to verifying eligibility and disbursing payments.

Network Management:

They maintain relationships with healthcare providers, including hospitals and clinics, to establish a network for cashless treatments and discounted rates.

Customer Support:

TPAs often provide customer support services, such as helplines and online portals, to assist policyholders with inquiries and claims.

Record Keeping:

They maintain accurate records of policyholders' claims history to help insurance companies analyze trends and make data-driven decisions.

Coordination:

TPAs coordinate with various internal and external stakeholders, including policyholders, hospitals, and insurance companies, to ensure smooth claim processing and customer satisfaction.

Documentation:

Accurate and thorough documentation is crucial for claim processing and compliance, so TPA professionals need to be meticulous in their record-keeping.

Communication:

Effective communication with policyholders and other stakeholders is essential for resolving inquiries, addressing concerns, and ensuring a positive customer experience.

Compliance:

TPAs must adhere to all relevant regulations and guidelines related to health insurance.
Job Type: Full-time

Pay: ?24,000.00 - ?25,000.00 per month

Schedule:

Day shift
Work Location: In person