Senior Executive - TPA

The Senior Executive – TPA manages insurance coordination, claim processing, and communication with Third Party Administrators for smooth cashless and reimbursement services.

Key Responsibilities

• Coordinate with TPA and insurance companies
• Process cashless and reimbursement claims
• Verify insurance documents and approvals
• Handle patient insurance queries and support
• Maintain claim records and documentation
• Follow up on pending approvals and settlements
• Ensure compliance with insurance procedures
• Coordinate with billing and clinical departments
• Resolve claim-related discrepancies efficiently
• Prepare TPA reports and operational updates