TPA Executive

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TPA Executive

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

Bhatia Hospital, Mumbai

time outline iconMumbai, Maharashtra, India

Posted on 07-11-2024

70 Views

1 Vacancy

Description

  • Process and validate health insurance claims, ensuring that all necessary documentation is submitted accurately and promptly.
  • Review claims for compliance with policy terms and conditions, ensuring that claims are processed efficiently and without errors.
  • Coordinate with healthcare providers, policyholders, and insurance companies to resolve discrepancies or issues with claims.
  • Follow up with clients and healthcare providers to ensure timely submission and settlement of claims.
  • Act as the primary point of contact for policyholders, answering queries related to claims, coverage, and policy details.
  • Provide clear and accurate information to customers about their insurance coverage, the claims process, and any required documentation.
  • Assist customers with troubleshooting and resolving any issues they encounter during the claims process.
  • Ensure that all claims are accurately documented and entered into the system, including claim forms, medical bills, and relevant communications.
  • Prepare reports on claims status, pending claims, and claim settlements for management review.
  • Track and monitor claims to ensure they are processed within the agreed timelines, and provide updates to clients as needed.

Category

Administration / Management

Key Skills

CommunicationPositivityAttention to DetailProblem solving

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