TPA Executive
0 - 5 Years of Experience
Not disclosed 
Full TimeBhatia Hospital, Mumbai
Mumbai, Maharashtra, India
Posted on 07-11-2024
163 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
Aggregated job.
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