Akolta Solutions Private Limited is looking for an experienced Operation Executive to join our USA Insurance TPA Process team. This role is ideal for professionals with experience in US Healthcare Insurance, Third-Party Administrator (TPA) operations, insurance claims processing, claim settlement, and back-office support.
Key Responsibilities
- Process and manage USA insurance claims accurately and efficiently.
- Coordinate with insurance companies, TPAs, healthcare providers, and internal teams.
- Review insurance claims and supporting documents for completeness and accuracy.
- Follow up on pending claims to ensure timely settlement.
- Verify insurance eligibility, policy details, and claim information.
- Maintain accurate records and update claims in internal systems.
- Prepare operational reports and maintain documentation.
- Resolve claim-related queries through email and phone communication.
- Ensure compliance with company policies and applicable US healthcare guidelines.
- Support daily back-office operations and process improvements.
Required Qualifications
- Bachelor's degree in any discipline.
- USA Insurance Process
- TPA Operations
- Insurance Claims Processing
- Healthcare Back Office
- Medical Claims Management
- Strong communication and documentation skills.
- Good working knowledge of Microsoft Office (Excel, Word, Outlook).
- Ability to manage multiple tasks while maintaining high accuracy.
Why Join Us?
- Competitive salary package
- Stable full time opportunity
- Professional work environment
- Career growth and learning opportunities
- Collaborative team culture
How to Apply
If your experience matches the above requirements, we'd be happy to hear from you. Please apply through LinkedIn with your updated resume.