<ul><li>Coordinate with insurance companies and TPAs for claim approvals and settlements.</li><li>Verify patient documents, hospital bills, and insurance policies for claim processing.</li><li>Resolve queries from patients, hospitals, and insurance providers regarding claims.</li><li>Maintain records of claims, approvals, rejections, and follow-up actions.</li><li>Support hospital staff in pre-authorization, cashless, and reimbursement processes.</li><li>Monitor claim status, track pending approvals, and ensure timely resolution.</li><li>Prepare reports and assist in audits or management reviews related to TPA operations.</li></ul>

Executive/Sr. Executive-TPA