Insurance Tpa Desk Executive

6 days ago

Gurgaon, India Dev Hospital Full time

**Roles and Responsibilities**:

- Your primary goal will be to ensure the smooth and efficient processing of claims and other administrative functions while maintaining high levels of customer satisfaction
- You will collaborate with internal teams and external stakeholders to deliver exceptional service and meet client expectations
- Responsibilities:Claims Management: Handle and process insurance claims efficiently and accurately, adhering to the company's guidelines and relevant regulations
- Client Communication: Serve as the main point of contact for clients, addressing inquiries, resolving issues, and providing updates on claim statuses
- Policy Administration: Review and validate insurance policy details to ensure correct coverage and policy benefits for claim processing
- Documentation and Record Keeping: Maintain accurate records of all claim-related documents, transactions, and communications
- Coordination with Healthcare Providers: Liaise with hospitals, doctors, and other healthcare providers to facilitate the smooth processing of medical claims
- Network Management: Collaborate with the network management team to maintain a strong network of healthcare providers and negotiate contracts with them
- Quality Assurance: Implement and maintain quality assurance processes to ensure accurate and timely claim processing

**Salary**: ₹20,000.00 - ₹25,000.00 per month

**Benefits**:

- Paid sick time

Schedule:

- Day shift

Ability to commute/relocate:

- Gurgaon, Haryana: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- TPA Insurance Executive: 1 year (preferred)

Work Location: In person

**Speak with the employer**
+91 8439260010

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