Tpa Domestic Claims
5 days ago
**Job Duties & Responsibilities**
- To interact with hospital insurance patients.
- Sending Pre-Authorization and getting approval for Cashless claims.
- Cross checking Packages or tariff before sending to Insurance Company or TPA.
- Educating patient about deduction on settlement.
- To create awareness about reimbursement claims. (Pre, Post & Hospitalization)
- Collecting claim support documents from the patients / hospitals & coordinate with back-end team to ensure smooth transfer of data to the TPA/Insurance company.
- Be available at the assigned hospital for six days in a week b/w 9.30am to 6.30pm
- Efficiently and effectively handle grievance / issue raised by hospital staff & patients, escalate issue to the team leader, as necessary.
- Follow-up and Updates to be given to the clients
- To manage the assigned the team of Insurance Claim Executives and Assistant Manager placed at the partner hospital
**Qualifications & Skills.**
- Graduation / Post Graduation
- 2+ years of relevant experience
- Should have good analytical skills
- Excellent interpersonal & communication skills
- Open to travel and to be placed at different Hospital locations to complete the task and to manage the teams that are assigned
**Experience.**
- 2+ years of experience in Hospital or Insurance or TPA or similar field
**Additional Skills.**
- Strong verbal skills - Fluency in English & Kannada.
- Strong problem-solving skills and enthusiasm for new tasks and challenges
- Relationship building skills.
- Ability to multitask and prioritize, with a strong work ethic and attention to detail
- Ability to operate with a high level of confidentiality and professionalism
- Willingness to accept a high degree of uncertainty, jump in and help wherever needed, get hands dirty, and wear multiple hats on a fast-moving team.
- Should be able to manage the task assigned, while managing the tasks of the team/ team members that are assigned
Pay: ₹25,000.00 - ₹35,000.00 per month
Schedule:
- Day shift
- Monday to Friday
**Experience**:
- total work: 2 years (preferred)
Work Location: In person
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