Role & responsibilities

1. Claims Verification: Checking submitted bills for accuracy, ensuring they align with policy terms and coverage.

2. Medical Documentation Review: Examining hospital records, prescriptions, and treatment details to validate claims.

3. Fraud Detection: Identifying discrepancies or potential fraudulent claims.

4. Coordination with Insurers & Hospitals: Communicating with insurance companies and healthcare providers to resolve billing issues.

5. Policy Compliance: Ensuring claims adhere to regulatory guidelines and insurance policies.

6. Submission of Claims: Submitting claims on time to all TPAs/Insurance.

7. Data Entry & Reporting: Maintaining accurate records and generating reports on claim status and trends.

Preferred candidate profile

- 5-10 Yrs of Experience in TPA Particularly experience in handling claims
- Positive Communication & Coordination skills

If interested please share your profile to [email protected] or call (phone hidden)

📌 Team Lead TPA Claims (Third party administrator)- Chennai
🏢 Prodigy Recruitment Consultants
📍 Chennai