Tpa Executive

**Job Title**: TPA Executive

**Location**: Dadri, Uttar Pradesh

**Experience Required**: 1-3 years

**Qualification**: Graduate in any discipline (preferably with background in Healthcare / Insurance Management)

**Responsibilities**:

- Handle end-to-end **TPA (Third Party Administrator) coordination** for cashless and reimbursement claims.
- Process admission, discharge, and claim-related documentation in line with TPA requirements.
- Liaise with insurance companies, TPAs, and patients for claim approvals and settlements.
- Maintain accurate records of claims, approvals, rejections, and follow-ups.
- Prepare and submit periodic MIS/reports related to TPA operations.
- Ensure compliance with all statutory and organizational guidelines for claim processing.
- Coordinate with the billing and finance departments to ensure timely payment realization.
- Address and resolve queries from patients, insurance representatives, and internal stakeholders.

**Key Skills & Competencies**:

- Good knowledge of **TPA/Insurance claim procedures**.
- Strong communication and interpersonal skills.
- Attention to detail and accuracy in documentation.
- Ability to work under pressure and meet deadlines.
- Proficiency in MS Office and hospital billing software.

Pay: ₹25,000.00 - ₹30,000.00 per month

**Experience**:

- total work: 3 years (required)