Manager - Corporate and TPA

The TPA (Third Party Administrator) Executive is responsible for handling all insurance-related activities, including managing claims processing, coordination with insurance companies, and ensuring smooth functioning of TPA processes for patients. The role requires excellent communication skills and attention to detail to ensure that patients receive timely...

Full job descriptionKey Responsibilities:TPA & Insurance CoordinationLiaise with various TPAs, insurance companies, and corporate clients for emplacement and claim processing.Ensure timely submission and follow-up of all pre-authorization and final claim documents.Maintain records of all cashless and reimbursement patients.Claims ManagementVerify patient...

**Key Responsibilities**: **1. Insurance Coordination & Approvals** - Liaise with **TPAs and insurance companies** for pre-authorization and claim processing. - Ensure timely **cashless approvals** for inpatient admissions and procedures. - Regularly follow up on **pending approvals, claim rejections, and reimbursements**. - Provide **insurance eligibility...

1. Claims ProcessingVerify, process, and submit insurance claims with accurate documentation. Track claim status, address rejections, and handle appeals if necessary. 2. Patient AssistanceGuide patients on claim procedures, coverage details, and exclusions. Assist with pre-authorizations for treatments as required. 3. Coordination with Insurance...

Claims Management: Coordinate with TPAs for pre-authorization, cashless treatment approvals, and claims processing. Verify documents and ensure accurate and timely submission of claims. Track claim statuses and follow up on pending or rejected claims. Patient Coordination: Guide patients on eligibility and processes for PMJAY and TPA-related services. Ensure...

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...

**Claims Processing**:Handling all stages of insurance claims, from initial submission to final settlement, including verifying eligibility, processing claims, and ensuring accurate and timely payments. - **Coordination with Insurance Companies**:Liaising with various insurance companies to facilitate smooth claim processing and address any issues that may...

**Job Title**: TPA & Mediclaim Executive **Location**: Indore **Salary**: ₹20,000 - ₹35,000 per month (based on experience) **Job Type**: Full-time **Job Summary**: **Key Responsibilities**: - Coordinate with TPAs and insurance companies for cashless approvals and claim settlements. - Handle patient admission and discharge processes related to...

The Claims Executive is responsible for handling all insurance-related activities, including managing claims processing, coordination with insurance companies, and ensuring smooth functioning of TPA processes for patients. The role requires excellent communication skills and attention to detail to ensure that patients receive timely assistance with their...

**Specialized in** **All Job Areas** **Company name** **Innovera Corporate Solutions** **Locality** **New Ashok Nagar** **ADDRESS** - B-318, New Ashok Nagar, New Delhi **Mobile** **+91 78270 58900** **Description for "Innovera Corporate Solutions - New Ashok Nagar"**: - Company Profile We introduce our self as a group of seasoned professionals having more...