Company: Jeena Sikho Lifecare Ltd.

Job Title: TPA Executive / Insurance Desk Executive

Department: TPA / Insurance Operations

Location: As per requirement

Employment Type: Full-Time

Working Days: 6 Days a Week

Salary Budget: 30,000 per month

Positions: 2

Job Summary

We are looking for TPA-trained non-medical professionals to manage insurance and TPA-related operational activities, including portal submissions, documentation, coordination with TPAs/insurance companies, and settlement reconciliation. The ideal candidate should have hands-on experience in hospital TPA/insurance desk operations.

Key Responsibilities

- Manage TPA/insurance portal submissions for pre-authorization and claims.
- Upload and submit required patient and claim-related documents on TPA/insurance portals.
- Track documentation and ensure all required documents are submitted within defined timelines.
- Coordinate with TPAs, insurance companies, hospital departments, and patients for claim-related requirements.
- Follow up on pending approvals, queries, deficiencies, and claim status.
- Maintain accurate records of submitted claims, approvals, rejections, queries, and settlements.
- Coordinate with the billing and accounts teams for claim settlement and reconciliation.
- Verify settlement statements against billed/approved amounts and identify discrepancies.




- Follow up with TPAs/insurers for pending payments and settlement issues.
- Maintain proper documentation for audits and future reference.
- Prepare daily/weekly/monthly TPA MIS reports as required.
- Ensure timely closure of pending TPA/insurance cases.
- Resolve documentation-related issues and coordinate with concerned departments.
- Maintain confidentiality of patient and insurance-related information.
- Ensure compliance with hospital and TPA/insurance processes and guidelines.

Required Qualification & Skills

- Graduate in any discipline; Hospital Administration / Healthcare Management qualification will be an added advantage.
- Prior experience in TPA/Insurance Desk operations is preferred.
- TPA-trained candidates will be preferred.
- Good knowledge of insurance claims, cashless processes, pre-authorization, and settlement procedures.
- Valuable working knowledge of MS Excel and hospital/TPA portals.
- Strong documentation and follow-up skills.
- Good communication and coordination skills.
- Strong attention to detail and accuracy.
- Ability to manage multiple claims and meet deadlines.

Preferred Experience 2+ years of relevant experience in hospital TPA/insurance desk, healthcare claims, insurance coordination, or settlement/reconciliation.

📌 TPA BAMS Doctor (Zirakpur)
🏢 Jeena Sikho Lifecare
📍 Zirakpur