Tpa Executive

5 months ago


Gurugram Haryana, India Health Care at Home India Pvt Ltd Full time

Urgent requirement hiring for TPA Executive. The job description is as follows.

**Job Descriptions & Key Responsibility Area**:

- Your primary goal will be to ensure the smooth and efficient processing of claims and other administrative functions while maintaining high levels of customer satisfaction.
- You will collaborate with internal teams and external stakeholders to deliver exceptional service and meet client expectations.
- **Responsibilities: Claims Management**: Handle and process insurance claims, Managing TPAs/Insurances, Follow Ups, efficiently and accurately, adhering to the company's guidelines and relevant regulations.
- **Client Communication**: Serve as the main point of contact for clients, addressing inquiries, resolving issues, and providing updates on claim statuses.
- **Policy Administration**: Review and validate insurance policy details to ensure correct coverage and policy benefits for claim processing.
- **Documentation and Record Keeping**: Maintain accurate records of all claim-related documents, transactions, and communications.
- **Quality Assurance**: Implement and maintain quality assurance processes to ensure accurate and timely claim processing.
- **Reporting**: Prepare and present reports on insurance patient leads, conversions, claim part - under process, final, & settlement

**Job Types**: Full-time, Permanent

**Salary**: ₹20,000.00 - ₹25,000.00 per month

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Day shift

**Experience**:

- total work: 3 years (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 9618317206


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