Tpa Executive

Roles and Responsibilities

• Manage health claims from receipt to settlement, ensuring timely and accurate processing.
• Coordinate with hospitals, insurance companies, and other stakeholders for smooth claim settlement.
• Conduct thorough analysis of medical records and bills to determine claim validity.
• Ensure compliance with regulatory requirements and industry standards during the claims process.
• Maintain accurate records of all interactions with clients, hospitals, and insurers.

Desired Candidate Profile

• 2-5 years of experience in TPA (Third Party Administrator) or related field.
• Strong knowledge of healthcare services, mediclaim policies, and medical insurance procedures.
• Excellent communication skills for effective coordination with multiple stakeholders.
• Proficiency in handling complex cases involving high-value claims or disputes.