The Insurance Executive is responsible for handling insurance and TPA-related activities, ensuring smooth cashless approvals, claim processing, and coordination between patients, insurance companies, and hospital departments.
Key Responsibilities:
- Process cashless insurance approvals.
- Handle insurance and reimbursement claims.
- Verify patient insurance details and required documents.
- Coordinate with insurance companies and TPAs.
- Follow up on pending approvals and claim settlements.
- Maintain accurate insurance records and reports.
- Assist patients with insurance-related queries.
- Coordinate with billing, medical records, and clinical departments.
Qualification:
- Bachelor's degree in any discipline.
- 1– 4 years of experience in hospital insurance/TPA is preferred.
Skills:
- Good communication skills.
- Basic computer knowledge.
- Knowledge of health insurance and TPA processes.
- Valuable organizational and documentation skills.
- Ability to work independently and as part of a team.