Tpa
3 months ago
Job Title: TPA Head
Location: Greater Noida
Salary Range: ₹25,000 - ₹30,000 per month
**Job Type**: Full-Time
Job Summary:
Key Responsibilities:
- Operations Management: Oversee daily operations of the TPA department, ensuring timely and accurate processing of health insurance claims.
- Team Leadership: Lead and manage a team of claims processors and customer service representatives, providing guidance and support to achieve departmental goals.
- Claims Processing: Ensure all claims are processed in compliance with company policies and regulatory requirements, and address any escalations or discrepancies.
- Customer Service: Maintain high standards of customer service, addressing customer queries and resolving issues in a timely manner.
- Quality Assurance: Implement and monitor quality assurance processes to ensure the accuracy and efficiency of claims processing.
- Reporting: Prepare regular reports on departmental performance, including key metrics and trends, and present findings to senior management.
- Compliance: Ensure compliance with all relevant laws, regulations, and company policies, and stay updated on industry best practices and changes in regulations.
- Collaboration: Work closely with other departments, including underwriting, finance, and IT, to ensure smooth operations and continuous improvement.
Qualifications:
- Education: Bachelor's degree in Business Administration, Healthcare Management, or a related field.
- Experience: Minimum of [X] years of relevant experience in health insurance, claims processing, or TPA management. Prior experience in a leadership role is preferred.
- Skills:
- Strong leadership and team management skills
- Excellent communication and interpersonal skills
- In-depth knowledge of health insurance policies and claims processes
- Ability to analyze data and generate reports
- Strong problem-solving and decision-making abilities
- Proficiency in using claims management software and MS Office Suite
**Benefits**:
- Competitive salary within the range of ₹25,000 - ₹30,000 per month
- Health insurance coverage
- Professional development opportunitiesPay: ₹25,000.00 - ₹30,000.00 per month
Schedule:
- Day shift
**Experience**:
- total work: 1 year (preferred)
Work Location: In person
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