<ul><li>Liaise with TPAs, insurance companies, and patients for pre-authorization and cashless approvals.</li><li>Process and verify insurance claims, supporting documents, and approvals.</li><li>Ensure timely submission of reimbursement claims and follow up with insurance providers.</li><li>Educate patients about insurance coverage, policy terms, and claim procedures.</li><li>Maintain accurate records of all insurance transactions, approvals, and claims.</li><li>Coordinate with hospital departments (billing, medical records, OPD/IPD) for smooth claim processing.</li><li>Resolve patient and insurance-related queries professionally.</li><li>Ensure compliance with insurance policies, hospital guidelines, and regulatory requirements.</li></ul>

TPA Executive