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Claim Processing jobs in Dadar, Mumbai, Maharashtra

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    • Ensure timely and accurate claim processing.
    • Handle TPA and health insurance claims.
    • Process cashless pre-authorization and reimbursement claims.
    • View all HRDR jobs - Mumbai, Maharashtra jobs - Executive jobs in Mumbai, Maharashtra
    • Salary Search: TPA Executive salaries in Mumbai, Maharashtra
    • You will be managing end to end claims.
    • Vertical. As the GGB UK – Specialty Claims vertical, you will be responsible for handling complex claims and.
    • Communicate effectively with internal teams to ensure smooth processing of claims and remittances.
    • Ability to navigate and configure payer systems for claim…
    • Reconcile reinsurance claims data with internal claims, finance and policy systems.
    • Timely processing and monitoring of reinsurance recoveries.
    • Ensure all required documents are included and claims are submitted timely.
    • Medical Billing: Prepare and submit claims to insurance companies for…
    • Claims department conducts required assessments of the claims to determine its credibility.
    • Work Experience: 7+ years’ experience in Insurance Industry,…
    • Professionals in this group focus on processing insurance claims.
    • They validate members, provider and other claims information.
    • Assist clients in completing claim forms and providing necessary documentation.
    • Maintain organized records of all claims and prepare periodic reports.
    • Manage volumes effectively & efficiently to maintain Turnaround time of processing cases.
    • Job Designation-: Insurance TPA, Claim Specialist*.
    • Legal Qualification: Assess whether claims meet applicable legal, evidentiary, and platform requirements before proceeding with processing of legal claims.
  • View similar jobs with this employer
    • Verify the required documents for processing.
    • Check the medical admissibility of a claim by.
    • Scrutinize the claims, as per the terms and.
  • View similar jobs with this employer
    • The goal is to ensure timely and accurate claim resolution.
    • Business solutions that support the healthcare claim function, leveraging a knowledge of the…
    • Strong understanding of insurance claims.
    • 2-5 years of robust experience in insurance claims processing, preferably with an insurance broker, TPA, or insurance…
    • Coordinate with internal teams for timely processing and execution.
    • Green Stapler specializes in recovering financial investments such as shares, mutual funds,…
    • Acknowledge and verify vendor and travel claims; Scan and upload images in VBMS within TAT; Generate and file reports for tracking and claims; L Discharging…

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TPA Executive
HRDR
Mumbai, Maharashtra
₹1,00,000 - ₹3,00,000 a month
Full-time
Apply now

Job details

₹1,00,000 - ₹3,00,000 a month
Paid time off, Paid sick time
Full-time
Mumbai, Maharashtra

Full job description

TPA Assistant / TPA Executive

Location: Mumbai
Experience: 4–7 Years
Job Type: Full-time

Key Responsibilities

  • Handle TPA and health insurance claims.
  • Process cashless pre-authorization and reimbursement claims.
  • Coordinate with TPAs, insurance companies, patients, and hospital departments.
  • Verify insurance eligibility, policy details, and claim documents.
  • Follow up on approvals, queries, rejections, and settlements.
  • Maintain claim records, trackers, and MIS reports.
  • Coordinate with billing and medical departments for required documents.
  • Resolve insurance and TPA-related queries promptly.
  • Ensure timely and accurate claim processing.

Requirements

  • Graduate with 4–7 years of relevant experience.
  • Experience in hospital TPA/insurance desk preferred.
  • Good knowledge of cashless and reimbursement processes.
  • Good communication and coordination skills.
  • Basic knowledge of MS Excel and hospital billing.

Apply Now!
madhurapadekar@hrdr.in
+91 9552175191

Pay: ₹100,000.00 - ₹300,000.00 per month

Benefits:

  • Paid sick time
  • Paid time off

Work Location: In person

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