TPA Coordinator
0 - 5 Years of Experience
Not disclosed 
Full TimeDY Patil Hospital, Navi Mumbai
Navi Mumbai, Maharashtra, India
Posted on 13-03-2024
1 Vacancy
Description
- Serve as the primary point of contact for TPAs, establishing and maintaining strong working relationships to ensure effective collaboration and communication.
- Coordinate onboarding and offboarding processes for TPAs, including contract negotiation, implementation, and termination, ensuring compliance with organizational policies and procedures.
- Manage the enrollment process for employees and beneficiaries in TPA-administered insurance and benefit programs, ensuring accurate and timely submission of enrollment forms and data.
- Verify eligibility criteria, coverage options, and enrollment deadlines, and communicate relevant information to employees and HR personnel as needed.
- Oversee the claims submission, processing, and adjudication process with TPAs, ensuring accuracy, completeness, and compliance with contractual terms and regulatory requirements.
- Monitor claims status, follow up on pending claims, and resolve discrepancies or issues in collaboration with TPAs and internal stakeholders.
- Coordinate the administration of employee benefit plans, including health insurance, dental insurance, vision insurance, disability insurance, and other employee benefits administered by TPAs.
- Provide guidance and support to employees regarding benefit plan options, coverage details, claims procedures, and reimbursement processes.
Category
Administration / Management
Key Skills
Attention to DetailCommunicationInsurance KnowledgeCustomer ServiceOrganization
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