Tpa Executive

4 days ago

Dhanori Pune Maharashtra, India Bharat Global School Full time

**Claims Management**:TPAs handle the entire claims process, from receiving documents to verifying eligibility, assessing claims, and disbursing payments.
- **Network Management**:They establish and maintain a network of hospitals and healthcare providers for cashless treatments and discounted services.
- **Customer Support**:TPAs provide customer support through helplines and online portals to assist policyholders with queries, claims, and policy information.
- **Record Keeping**:They maintain records of claims history and other relevant data for insurance companies.
- **Cashless Hospitalization**:TPAs facilitate cashless treatments at network hospitals by verifying policy coverage and coordinating with the hospital.
- **Policyholder Support**:TPAs offer assistance with pre-authorization for treatments, explain policy terms, and provide guidance during hospitalization.
- **Document Verification**:They ensure accuracy and completeness of documents submitted by policyholders and hospitals.

In essence, a TPA's role is to streamline the insurance process for both the policyholder and the insurance company, ensuring efficient and effective management of health insurance benefits.

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

Pay: ₹20,000.00 - ₹35,633.84 per month

Work Location: In person

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