K
Kokilaben Dhirubhai Ambani Hospital
TPA Manager
Skills
Compliance
2 months ago
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Important information
Contract type:
Permanent
Location:
Navi Mumbai, Maharashtra, India
Work mode:
Onsite
Published on:
17 August 2026
What they need
Qualification - BAMS/BHMS/MBBS
experience - Minimum 2 yrs. as TPA manager
Key skills -
Team management experience is mandatory
Roles and Responsibilities
- Manage health claims from receipt to settlement, ensuring timely and accurate processing.
- Coordinate with Doctors, and other stakeholders for claim investigation and documentation.
- Conduct thorough reviews of medical records, bills, and supporting documents to determine claim validity.
- Negotiate settlements with insurance companies on behalf of policyholders.
- Ensure compliance with regulatory requirements and internal processes throughout the claims lifecycle.
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