Tpa Health Care

2 days ago


Andheri Mumbai Maharashtra, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time

Greetings From Medi Assist

**Job Title **:TPA Manager Required

**Role/Position**: Permanent

**Education**: BAMS,BHMS, BDS, BPT & MPT

**Shifts**: Rotational Shifts ( work from office)

**Job role**:
TPA/ Health Insurance

∙Focus on claims analysis, ensure quality of claims processed and prepare data analysis reports

∙ Prepare the standard operating process of health claims.

∙ Improve quality of claims processing so as to ensure zero recoveries.

∙ Provide knowledge transfer and create content for training of new joiners.

∙ Analyse the process need (area of improvement)and provide solutions for resolutions

∙ Coordinate with internal and external stakeholders for smooth processes of claims.

∙ Ensure claim processing is error free within the SLA agreed with insurers.

∙ Seek medical opinion if required to ensure smooth processing of claims.

Ability to manage team size of 5 to 10 people

∙ Support recruitment and performance appraisal of the team members.
Provide training to new members on various aspects of claims processing such as policies, terms & conditions etc. Share updates regularly with the members.

Thanks & Regards

HariPrasad

Mob :9731826983

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

Pay: ₹350,000.00 - ₹650,000.00 per year

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Day shift
- Rotational shift
- Weekend availability

Work Location: In person


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