TPA Executive (Assistant Supervisor )

Roles and Responsibilities

• Manage medical claims from start to finish, ensuring timely processing and resolution.
  
• Coordinate with healthcare providers, insurance companies, and patients to resolve claim-related issues.
  
• Conduct pre-authorizations for mediclaim cases and ensure compliance with regulatory requirements.
  
• Handle cashless hospitalization processes for policyholders.
  
• Provide excellent customer service by responding promptly to queries and resolving grievances efficiently.
  

Desired Candidate Profile

• Bachelor's degree in BDS (Any Specialization), BAMS (Any Specialization), or equivalent qualification.
  
• Strong knowledge of insurance cases, claims processing, and Mediclaim procedures.
  
• 3-5 years of experience in TPA (Third Party Administrator) operations or related field

For inquiries, kindly reach out to -

Mr. Hament, at 7011324972 or at hament.gautam@fortishealthcare.com