TPA Executive

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TPA Executive

work outline icon0 - 5 Years of Experiencerupess outline iconNot disclosed time outline iconFull Time

Madhukar Rainbow Childrens Hospital and Birthright, New Delhi

time outline iconNew Delhi, Delhi, India

Posted on 14-10-2024

69 Views

1 Vacancy

Description

  • Process and manage health insurance claims submitted by policyholders or healthcare providers.
  • Review claims for completeness and accuracy, ensuring all necessary documentation is provided.
  • Assist policyholders with inquiries related to their claims, coverage, and benefits.
  • Provide guidance on the claims process, including necessary documentation and timelines.
  • Liaise with hospitals and healthcare providers to facilitate the smooth processing of claims.
  • Verify the eligibility of patients and their coverage before treatment.
  • Maintain up-to-date records of policies, claims, and communication with clients and providers.
  • Ensure compliance with internal policies, regulatory requirements, and industry standards.
  • Accurately enter data related to claims and policyholders into the TPA management system.
  • Generate reports on claims processing metrics, trends, and performance.

Category

Administration / Management

Key Skills

Attention to DetailProblem solvingAttentivenessTeam WorkPositive AttitudeTPA Executive

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