Job Description

TPA (Third Party Administrator) in Medical Insurance acts as an intermediary between the insurance company and policyholders, managing claims, processing documents, and ensuring smooth communication. The role involves verifying claims, coordinating with hospitals, maintaining databases, and ensuring compliance with insurance regulations. TPAs play a key role in customer service, ensuring timely claim settlements and accurate policy administration within the health and general insurance domains.

Key Responsibilities

Process and verify insurance claims with accuracy and efficiency. Maintain detailed records of policyholders, claims, and reimbursements. Coordinate with hospitals, insurers, and clients for claim settlements. Ensure compliance with insurance laws and regulatory standards. Review claim documents and authenticate patient or policyholder details. Handle customer queries and provide professional assistance regarding policies. Generate periodic reports and maintain management information systems efficiently. Support digitalization and automation of claims and policy processes.

Skill & Experience

Strong knowledge of health and general insurance claim processes. Excellent communication and negotiation skills with clients and hospitals. Ability to handle confidential data with high attention to detail. Proficiency in MS Office and insurance claim management software. Problem-solving and analytical skills for quick decision-making. Good understanding of IRDAI rules and TPA operational procedures

Note:

Salary is disbursed in the local currency of the country of employment.



Date Posted November 3, 2025
Location Delhi
Offered Salary: 540000 - 850000
Expiration date December 17, 2025
Experience 1 Year
Gender Both
Industry Management
Qualification Associate Degree
Career Level Others