TPA Manager

Qualification - BAMS/BHMS/MBBS

experience - Minimum 2 yrs. as TPA manager

Key skills -

Team management experience is mandatory

Roles and Responsibilities

• Manage health claims from receipt to settlement, ensuring timely and accurate processing.
  
• Coordinate with Doctors, and other stakeholders for claim investigation and documentation.
  
• Conduct thorough reviews of medical records, bills, and supporting documents to determine claim validity.
  
• Negotiate settlements with insurance companies on behalf of policyholders.
  
• Ensure compliance with regulatory requirements and internal processes throughout the claims lifecycle.