TPAs handle the entire claims process, from receiving documents to verifying eligibility, assessing claims, and disbursing payments.
Network Management:
They establish and maintain a network of hospitals and healthcare providers for cashless treatments and discounted services.
Customer Support:
TPAs provide customer support through helplines and online portals to assist policyholders with queries, claims, and policy information.
Record Keeping:
They maintain records of claims history and other relevant data for insurance companies.
Cashless Hospitalization:
TPAs facilitate cashless treatments at network hospitals by verifying policy coverage and coordinating with the hospital.
Policyholder Support:
TPAs offer assistance with pre-authorization for treatments, explain policy terms, and provide guidance during hospitalization.
Document Verification:
They ensure accuracy and completeness of documents submitted by policyholders and hospitals.
In essence, a TPA's role is to streamline the insurance process for both the policyholder and the insurance company, ensuring efficient and effective management of health insurance benefits.
Job Types: Full-time, Permanent
Pay: ?20,000.00 - ?35,633.84 per month
Work Location: In person
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