Manager (TPA -Operations) (Bengaluru)

Manager (TPA -Operations) (Bengaluru)

03 Nov
|
Vidal Health Insurance
|
Bengaluru

03 Nov

Vidal Health Insurance

Bengaluru

Key Responsibilities

- Monitor Network and reimbursement claim settlement.

- Ensure the claims are processed within the agreed TAT as per Insurer SLA

- Establish claim adjudication guidelines and governance frameworks.

- Monitor TPA performance against SLAs as per Metrics.

- Follow up monthly operational reviews with MIS team.

- Coordination with Insurer on daily basis for Rejection and approval claims

- Resolve service issues and escalations from Insurer.

- Ensure compliance with insurer guidelines.

- Preparing reports

Key Skills

- Health claims management.

- TPA governance.

- Fraud risk assessment.

- Data analytics.

- SLA compliance.

- TPA quality scores.

- Operational efficiency.

- Excel knowledge

- Claims adjudication

- Analytical ability

📌 Manager (TPA -Operations) (Bengaluru)
🏢 Vidal Health Insurance
📍 Bengaluru

Reply to this offer

Impress this employer describing Your skills and abilities, fill out the form below and leave Your personal touch in the presentation letter.

Subscribe to this job alert:

Get the latest job offers by email for: manager (tpa -operations) (bengaluru) / bengaluru