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Tpa Executive

2 months ago

Gurugram Haryana, India Shivangi Group of Management Full time

Full job description

We are looking for a **TPA** for Our Client company based in Austrelia in Gurgaon.

(**What Is a Third-Party Administrator (TPA)?**

A third-party administrator is **a company that provides operational services such as claims processing and employee benefits management under contract to another company**. Insurance companies and self-insured companies often outsource their claims processing to third parties.)

**Roles & Responsibilities**
- Handling TPA related all processes from billing to co-ordinate with TPA companies.
- **Check the medical admissibility of a claim by confirming the diagnosis and treatment details**. Interpret the ICD coding, evaluate co-pay details, and classify non-medical expenses, room tariff, capping...
- Assisting with all co-ordination activities from patient's admission to discharge.
- Follow up with Insurance companies to pass or clear the Health Insurance claims.

**REQUIREMENTS**
- Should have good knowledge of all TPA work.
- Must be aware of the norms of the insurance sector.
- Basic Knowledge of billing.

**Education Qualification**
*

**Salary**: ₹35,000.00 - ₹55,000.00 per month

Schedule:

- Day shift

Ability to commute/relocate:

- Near Mg Metro Station, Gurgaon - 122001, Haryana
- Reliably commute or planning to relocate before starting work (preferred)

**Experience**:

- TPA: 1 year (preferred)

**Salary**: ₹40,000.00 - ₹50,000.00 per month

**Experience**:

- TPA: 1 year (required)

Ability to Commute:

- Gurgaon, Haryana (required)

Ability to Relocate:

- Gurgaon, Haryana: Relocate before starting work (required)

Work Location: In person

**Speak with the employer**

+91 9971031879

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