TPA Executive – Reputed Multi-Speciality Hospital | Ankleshwar

Job Title: TPA Executive
Location: Ankleshwar, Gujarat
Industry: Healthcare / Multi-Speciality Hospital
Employment Type: Full-time
Qualification: Any Graduate
Experience: Minimum 2–3 years preferred
Salary: ₹20,000 – ₹35,000 per month

Job Description

A reputed multi-speciality hospital in Ankleshwar is looking for an experienced and detail-oriented TPA Executive to manage insurance and TPA-related processes and ensure smooth coordination between patients, hospital departments and insurance/TPA companies.

Key Responsibilities
- Handle day-to-day TPA and insurance-related activities for hospital patients.
- Process insurance cases from admission through discharge and final settlement.
- Handle pre-authorisation requests and coordinate with TPA/insurance companies.
- Prepare and submit required documents for insurance approvals and claims.
- Verify patient insurance details, eligibility and policy coverage.
- Coordinate with billing, medical, nursing and other hospital departments for required documentation.




- Follow up with TPAs and insurance companies regarding approvals, queries and claim settlements.
- Ensure accurate and timely submission of claim documents.
- Identify and resolve discrepancies or queries raised by TPAs/insurance companies.
- Maintain proper records of insurance cases, approvals, claims and settlements.
- Coordinate with patients and their attendants regarding insurance-related queries.
- Follow hospital policies and insurance/TPA procedures.

Eligibility & Skills
- Graduate from a recognised institution.
- Minimum 2–3 years of experience preferred, preferably in hospital TPA, insurance or billing.
- Valuable knowledge of insurance documentation and claims processing.
- Experience handling pre-authorisations and discharge approvals.
- Good understanding of TPA and insurance processes.
- Strong follow-up and coordination skills.
- Excellent communication and interpersonal skills.
- Good

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