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Job Code : 2796

TPA Associate

Responsibilities

  • Process and manage healthcare insurance claims accurately and efficiently.
  • Coordinate with healthcare providers and insurance companies to facilitate claims approval.
  • Review and validate claim documents for compliance with policy terms.
  • Resolve any issues or discrepancies related to claims processing.
  • Maintain up-to-date knowledge of healthcare policies and insurance regulations.
  • Provide exceptional customer service to patients and address their queries effectively.
  • Generate and analyse reports related to claims processing and status.
  • Collaborate with internal departments to improve claims management processes.

        Qualifications

  • Bachelor's degree in Healthcare Administration, Insurance, or related field.
  • At least 5 years of experience in TPA or healthcare insurance sector.
  • Strong understanding of healthcare policies, insurance regulations, and claims processing.
  • Excellent communication and interpersonal skills.
  • Exceptional problem-solving abilities and attention to detail.
  • Proficient in Microsoft Office Suite and claims management software.