<ul><li>Coordinate with Third-Party Administrators (TPAs) for smooth processing of insurance claims.</li><li>Verify patient documents, eligibility, and insurance coverage for medical treatments.</li><li>Facilitate pre-authorization approvals for cashless treatment procedures.</li><li>Maintain accurate records of claim submissions, approvals, and settlements.</li><li>Address patient queries regarding insurance policies, claim status, and reimbursement processes.</li><li>Liaise with healthcare providers to ensure compliance with TPA requirements and protocols.</li><li>Monitor claim status and follow up on pending or rejected claims for resolution.</li><li>Prepare and submit periodic reports on TPA transactions and claim trends.</li><li>Ensure adherence to confidentiality and data security standards.</li><li>Stay updated on changes in insurance policies and industry regulations.</li></ul>

TPA Executive