JOB DESCRIPTION – DEPUTY MANAGER – INSURANCE

Department: Insurance
Designation: Deputy Manager – Insurance
Reporting To: General Manager

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
Good knowledge of Hospital Insurance and TPA procedures.
Solid communication and coordination skills.
Valuable knowledge of medical billing and documentation.
Valuable 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 Kochi
🏢 MAGJ HOSPITAL
📍 Kochi