Job highlights

- Facilitate communication between policyholders and service providers as needed .

Policyholder

Support:Assist policyholders in understanding the claims process and provide guidance on required documentation .

Fortis Healthcare Ltd is looking for Assistant TPA Insurance to join our dynamic team and embark on a rewarding career journey

- As an Assistant in the Third-Party Administration (TPA) Insurance department, you will play a crucial role in supporting the administration and coordination of insurance claims and services

- Working closely with the TPA team, your responsibilities will include processing claims, communicating with stakeholders, and ensuring efficient and accurate handling of insurance-related activities

Responsibilities

- Claims Processing:Receive and review insurance claims submitted by policyholders

- Verify the completeness and accuracy of claim documentation

- Process claims in accordance with established procedures and guidelines

- Documentation and Data Entry:Maintain detailed and organized records of insurance claims

- Accurately enter data into the claims processing system

- Ensure compliance with data protection and confidentiality standards

- Communication:Communicate with policyholders, healthcare providers,



and other stakeholders to gather necessary information

- Provide explicit and concise information regarding claim status, documentation requirements, and resolution

- Coordination with Providers:Collaborate with healthcare providers to obtain medical records and additional information for claim assessment

- Facilitate communication between policyholders and service providers as needed

- Policyholder Support:Assist policyholders in understanding the claims process and provide guidance on required documentation

- Address inquiries and concerns in a timely and customer-focused manner

- Reporting:Generate regular reports on claim status, processing times, and other relevant metrics

- Contribute to the analysis of data to identify trends and areas for improvement

- Compliance and Quality Assurance:Ensure compliance with insurance regulations, policies, and procedures

- Participate in quality assurance activities to maintain high standards of accuracy and efficiency

- Team Collaboration:Work collaboratively with other members of the TPA Insurance team

- Provide support and assistance to team members during peak workloads or in special cases

📌 Assistant TPA Insurance (Gurugram)
🏢 Fortis
📍 Gurugram