<ul><li>Verify and process insurance claims received from policyholders or healthcare providers.</li><li>Ensure that all required documents are received for processing claims, such as claim forms, invoices, medical reports, etc.</li><li>Scrutinize claim submissions to ensure they comply with TPA guidelines and insurance policy coverage.</li><li>Generate and maintain accurate bills for insurance claims.</li><li>Review and validate hospital or clinic invoices, ensuring alignment with policy terms.</li><li>Follow up with insurance companies regarding payment of outstanding claims.</li><li>Coordinate with the internal finance team for accurate payment posting.</li><li>Maintain organized and updated records of claims, settlements, rejections, and pending cases.</li><li>Ensure accurate and timely submission of documents to relevant authorities (TPAs, insurers, hospitals).</li></ul>

TPA Billing Executive