Job Title: Senior Executive – TPA
Location: Jupiter Hospital, Dombivli
Department: Insurance / TPA Services
Job Summary:
The Senior Executive – TPA is responsible for managing cashless hospitalization processes, coordinating with Insurance Companies and TPAs, obtaining timely approvals, ensuring accurate documentation, and facilitating smooth patient admissions and discharges.
Key Responsibilities:
- Handle pre-authorization, enhancement, and final approval requests with TPAs and insurance companies.
- Coordinate with patients, consultants, nursing units, and billing teams for required documentation.
- Monitor approval status and ensure timely follow-up with TPAs/insurers.
- Verify insurance eligibility, policy coverage, and claim requirements.
- Ensure accurate submission of claim documents and compliance with TPA guidelines.




- Resolve patient and insurer queries related to cashless and reimbursement claims.
- Support timely discharge clearance and settlement of insurance cases.
- Maintain records, MIS reports, and support audit and reconciliation activities.

Qualification & Experience:
- Graduate in any discipline; Healthcare Management qualification preferred.
- 3–5 years of experience in Hospital TPA/Insurance Operations.

Key Skills:
- TPA & Insurance Coordination
- Cashless Authorization Management
- Medical Documentation Review
- Hospital Billing Knowledge
- Communication & Negotiation Skills
- MS Excel and Hospital Information Systems (HIS)

📌 Senior Executive (Dombivli)
🏢 Jupiter Hospital
📍 Dombivli