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 specialists 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.
Prio

📌 Tpa Bams Doctor Zirakpur (India)
🏢 Jeena Sikho Lifecare
📍 India