Tpa Executive

11 hours ago


Darbhanga, India S N Sarraf Hospital Full time

A Third Party Administrator (TPA) is a company that provides services to insurance companies and policyholders. A TPA's job description can include:

- **Claims processing**TPAs manage the claims process from start to finish, including receiving and reviewing documents, verifying eligibility, assessing the claim, and disbursing payment.
- **Benefits audits**TPAs conduct audits to ensure that employees are using company benefit plans appropriately.
- **Policyholder services**TPAs provide services to policyholders, such as claim guidance, photo identity cards, and approval for cashless claims.
- **Coordination**TPAs coordinate with patients, hospital staff, and insurance companies.
- **Documentation**TPAs maintain and upload patient files, courier medical files, and prepare split bills.
- **Compliance**TPAs adhere to regulations and guidelines set by state programs, HMO/PPO, and other organizations.
- **Compliance** ECHS & CGHS/CAPF Claim Processing.

Some skills that may be useful for a TPA job include: Assertiveness, Persistence, Effective communication, Organizational skills, Effective time management, IT literacy, and Business consciousness.

Pay: ₹12,000.00 - ₹25,000.00 per month

**Benefits**:

- Cell phone reimbursement
- Food provided
- Health insurance
- Paid sick time
- Paid time off
- Provident Fund

Schedule:

- Day shift
- Morning shift
- Night shift
- Rotational shift

Supplemental Pay:

- Performance bonus
- Yearly bonus

**Experience**:

- total work: 5 years (preferred)

Work Location: In person



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