Roles and Responsibilities
- Manage health claims from receipt to settlement, ensuring timely and accurate processing.
- Coordinate with hospitals, insurance companies, and other stakeholders for smooth claim settlement.
- Conduct thorough analysis of medical records and bills to determine claim validity.
- Ensure compliance with regulatory requirements and industry standards during the claims process.
- Maintain accurate records of all interactions with clients, hospitals, and insurers.
Desired Candidate Profile
- 2-5 years of experience in TPA (Third Party Administrator) or related field.
- Robust knowledge of healthcare services, mediclaim policies, and medical insurance procedures.
- Excellent communication skills for effective coordination with multiple stakeholders.
- Proficiency in handling complex cases involving high-value claims or disputes.
📌 Tpa Executive (Lucknow)
🏢 Divine Heart Hospital Research Centre
📍 Lucknow
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