TPA Executive

TPA Executive – Reputed Multi-Speciality Hospital | Ankleshwar

Job Title: TPA Executive
Location: Ankleshwar, Gujarat
Industry: Healthcare / Multi-Speciality Hospital
Employment Type: Full-time
Qualification: Any Graduate
Experience: Minimum 2–3 years preferred
Salary: ₹20,000 – ₹35,000 per month

Job Description

A reputed multi-speciality hospital in Ankleshwar is looking for an experienced and detail-oriented TPA Executive to manage insurance and TPA-related processes and ensure smooth coordination between patients, hospital departments and insurance/TPA companies.

Key Responsibilities

• Handle day-to-day TPA and insurance-related activities for hospital patients.
• Process insurance cases from admission through discharge and final settlement.
• Handle pre-authorisation requests and coordinate with TPA/insurance companies.
• Prepare and submit required documents for insurance approvals and claims.
• Verify patient insurance details, eligibility and policy coverage.
• Coordinate with billing, medical, nursing and other hospital departments for required documentation.
• Follow up with TPAs and insurance companies regarding approvals, queries and claim settlements.
• Ensure accurate and timely submission of claim documents.
• Identify and resolve discrepancies or queries raised by TPAs/insurance companies.
• Maintain proper records of insurance cases, approvals, claims and settlements.
• Coordinate with patients and their attendants regarding insurance-related queries.
• Follow hospital policies and insurance/TPA procedures.

Eligibility & Skills

• Graduate from a recognised institution.
• Minimum 2–3 years of experience preferred, preferably in hospital TPA, insurance or billing.
• Good knowledge of insurance documentation and claims processing.
• Experience handling pre-authorisations and discharge approvals.
• Good understanding of TPA and insurance processes.
• Strong follow-up and coordination skills.
• Excellent communication and interpersonal skills.
• Good attention to detail and documentation.
• Ability to work effectively in a fast-paced hospital environment.
• Experience with hospital billing/TPA software will be an advantage.

Salary

₹20,000 – ₹35,000 per month

Salary will be based on the candidate's relevant experience, skills and overall suitability for the role.

Why Join Us?

• Opportunity to work with a reputed multi-speciality hospital in Ankleshwar.
• Professional and supportive working environment.
• Exposure to hospital insurance and TPA operations.
• Opportunity for career growth and professional development.

Pay: ₹20,000.00 - ₹35,000.00 per month

Work Location: In person