Key Responsibilities
Operations Oversight: Manage cashless and reimbursement claim lifecycles from initial pre-authorization to final settlement.
Dispute Resolution: Analyze and resolve claim denials, short payments, and rejections with insurance providers.
Team Leadership: Supervise, train, and guide TPA executives, billing staff, and front-desk coordinators.
Compliance & Audits: Conduct internal quality audits and ensure adherence to regulatory guidelines and hospital protocols.
Relationship Management: Maintain qualified liaisons with insurance brokers, corporate clients, and TPA representatives.

Qualifications & Requirements
Education: Bachelors degree in a relevant field; a Master’s or MBA in Healthcare Management, Hospital Administration, or Insurance is preferred.
Experience: 5 to 10 years of total experience in health insurance desk operations, general insurance claims processing, or TPA management.
Core Skills: Robust analytical capabilities, deep knowledge of medical billing terminologies, and proficiency in hospital management software.

Pay: ₹18,000.00 - ₹22,000.00 per month

Work Location: In person

📌 Tpa Claims Manager Chandigarh (India)
🏢 Rahi Care Private
📍 India