TPA Executive

verified

1 - 2 Years of Experience rupess outline icon

25K - 30K Per Month time outline icon

Full Time

Morya Hospital, Pune

time outline icon Pune, Maharashtra, India

Posted on 19-04-2024

251 Views

4 Vacancies

Description

TPAs take care of policy administration tasks and health card issuance.
They also ensure that policyholders have all the required papers and information about their health insurance coverage.
They are also in charge of conducting medical exams before the purchase of an insurance policy to underwrite the health insurance policy.
TPAs handle health insurance claim processing. When a policyholder's medical expenses are reimbursed by their insurance policy, the TPA reviews the documents and talks with healthcare providers and policyholders to ensure a smooth settlement process.
TPAs often have connections with a network of healthcare providers, including hospitals, clinics, and diagnostic facilities.
These networks help policyholders access cashless healthcare services, streamlining the payment procedure and providing timely medical care.
TPAs provide customer support to policyholders by answering questions, addressing problems, and providing information about policy benefits, claim status, and other related issues.
They serve as a link between policyholders and insurance firms, enabling transparent communication.
Policyholders may need TPA’s pre-authorisation before undertaking certain medical treatments or hospitalisations to ensure that the treatment is covered by the insurance policy.