JOB DESCRIPTION – DEPUTY MANAGER – INSURANCE

Department: Insurance
Designation: Deputy Manager – Insurance
Reporting To: General Manager – Insurance / Finance Head

JOB RESPONSIBILITIES

- Manage and supervise the day-to-day operations of the Insurance/TPA Department.
- Handle cashless approvals, pre-authorizations, extensions, and final approvals.
- Coordinate with insurance companies, TPAs, corporate clients, and patients.
- Ensure timely and accurate submission of insurance claims with complete documentation.
- Monitor pending claims, queries, rejections, deductions, and settlements.
- Follow up with TPAs and insurance companies for timely claim settlement.
- Review claim deductions and rejections and take necessary corrective action.
- Coordinate with Billing, Medical Records, Nursing, Pharmacy, Laboratory, Radiology, and Finance departments.
- Monitor insurance outstanding and ensure timely collection and reconciliation.
- Prepare daily, weekly, and monthly reports related to insurance claims and settlements.
- Handle escalated issues related to insurance approvals, billing, claims, and settlements.
- Ensure proper documentation and compliance with insurance/TPA requirements.
- Train, guide, and supervise Insurance Department staff.




- Monitor team performance and ensure timely completion of assigned duties.
- Identify opportunities to reduce claim rejections, deductions, and outstanding amounts.
- Maintain confidentiality of patient and financial information.
- Perform any other duties assigned by the Management.

QUALIFICATION

- M.Com / MBA – Finance / Hospital Administration or equivalent.
- Additional qualification in Insurance/Healthcare Management will be an advantage.

EXPERIENCE

- 5–8 years of experience in Hospital Insurance/TPA operations.
- Experience in cashless approval, claim processing, TPA coordination, and claim settlement is preferred.
- Previous supervisory experience will be an advantage.

SKILLS

- Valuable knowledge of Hospital Insurance and TPA procedures.
- Strong communication and coordination skills.
- Good knowledge of medical billing and documentation.
- Good analytical and problem-solving skills.
- Proficiency in MS Office and MS Excel.
- Ability to manage a team and meet deadlines.
- Good negotiation and follow-up skills.

Job Type: Full-time

Pay: From ₹40,000.00 per month

Work Location: In person

📌 Deputy Manager Insurance (India)
🏢 MAGJ Hospital Mookkannoor
📍 India