Insurance Claims- Tpa

2 days ago

JP Nagar Bengaluru Karnataka, India Stalwarts Servicios Full time

**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
- 5+ 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.**
- 5+ 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: ₹200,000.00 - ₹300,000.00 per year

Schedule:

- Day shift
- Monday to Friday

**Experience**:

- total work: 3 years (preferred)

Work Location: In person

**Speak with the employer**
+91 9075084796

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