TPA Manager

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TPA Manager

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

Grecian Super Speciality Hospital, Mohali

time outline iconMohali, Punjab, India

Posted on 18-09-2024

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1 Vacancy

Description

  • Develop and maintain strong relationships with third-party administrators to ensure effective communication and service delivery.
  • Serve as the primary point of contact for TPAs, addressing any issues or concerns that arise.
  • Oversee the administration of insurance claims, ensuring that they are processed accurately and efficiently.
  • Monitor and review claims processing to ensure adherence to company policies and regulatory requirements.
  • Prepare and review reports on claims performance, including metrics on processing times, approval rates, and cost management.
  • Conduct audits and assessments to ensure the accuracy and integrity of claims data and processes.
  • Implement best practices and process improvements to enhance service delivery and reduce operational costs.
  • Monitor industry trends and developments to ensure the organization’s practices remain competitive and up-to-date.

Category

Administration / Management

Key Skills

TPA Relationship ManagementClaims AdministrationCompliance and ReportingProcess ImprovementTeam Management

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