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