Tpa Executive
4 hours ago
Post - TPA Executive
Location - Chembur
Salary - 24,000 to 25,000
Cashless & Mediclaim Experience
- **Claims Processing**:TPA professionals are responsible for managing the entire claims process, from receiving and reviewing documents to verifying eligibility and disbursing payments.
- **Network Management**:They maintain relationships with healthcare providers, including hospitals and clinics, to establish a network for cashless treatments and discounted rates.
- **Customer Support**:TPAs often provide customer support services, such as helplines and online portals, to assist policyholders with inquiries and claims.
- **Record Keeping**:They maintain accurate records of policyholders' claims history to help insurance companies analyze trends and make data-driven decisions.
- **Coordination**:TPAs coordinate with various internal and external stakeholders, including policyholders, hospitals, and insurance companies, to ensure smooth claim processing and customer satisfaction.
- **Documentation**:Accurate and thorough documentation is crucial for claim processing and compliance, so TPA professionals need to be meticulous in their record-keeping.
- **Communication**:Effective communication with policyholders and other stakeholders is essential for resolving inquiries, addressing concerns, and ensuring a positive customer experience.
- **Compliance**:TPAs must adhere to all relevant regulations and guidelines related to health insurance.
Pay: ₹24,000.00 - ₹25,000.00 per month
Schedule:
- Day shift
Work Location: In person
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