Hi,

We are Vitraya Technologies Private Limited, an IT product-based company specializing in delivering innovative software solutions to the insurance industry. Given our focus on the insurance sector, we require professionals with a medical background or a strong understanding of medical terminology and procedures.

We invite individuals who have completed medical-related courses such as Nursing BDS, MDS,FDS or an Insurance TPA Background, MBBS and are looking to transition from a clinical setting to a corporate environment.

Job Summary

We are seeking a TPA Coordinator with sound medical knowledge to act as a liaison between hospitals, TPAs, and insurers. The role focuses on managing pre-authorization and claims documentation while ensuring compliance with medical and policy guidelines.

Key Responsibilities

- Coordinate with hospitals for pre-authorization and claim documentation
- Review and validate medical records and treatment details submitted by hospitals
- Ensure completeness and accuracy of claim files before submission
- Follow up with hospitals for pending medical or billing documents
- Support claim settlement by clarifying medical queries and policy conditions
- Maintain records of claims, approvals, denials, and escalations
- Assist in resolving claim-related issues between hospitals and insurers




- Ensure adherence to TPA and insurer SOPs

Required Skills & Medical Knowledge

- Solid understanding of medical terminology, procedures, and hospital billing
- Knowledge of health insurance claims process and pre-authorization
- Ability to review clinical documents and discharge summaries
- Good coordination, follow-up, and communication skills
- Basic computer skills (Excel, hospital portals, TPA systems)

Educational Qualification

- Graduate in Nursing / Pharmacy / Life Sciences / Healthcare Management
- Experience working in hospital TPA desk or insurer claims team is preferred

Your role will be crucial in ensuring the integrity and accuracy of medical claims, contributing to a streamlined and efficient claims process for our clients. Job Type: Full-time

Benefits

- Food provided
- Health insurance
- Provident Fund

Work Location: In person Interested Candidates can apply at [email protected] or WhatsApp their resume at9999043348. Kindly mention “Applying for TPA Coordinator” while applying on email or sending it to WhatsApp along with your CV attached.

Job Type: Full-time

Pay: ₹25,000.00 - ₹35,000.00 per month

Benefits

- Food provided
- Health insurance
- Provident Fund

Education:
- Doctorate (Required)

Work Location: In person

📌 TPA Executive (Sarita Vihar)
🏢 Vitraya Technologies Private
📍 Sarita Vihar