Senior TPA Claims Processor- Chennai @ A client

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Senior TPA Claims Processor- Chennai

A client
4 - 9 years
Chennai
4 months ago
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Job Description

Role & responsibilities

Process cashless & reimbursement TPA claims end-to-end
Verify policy coverage, GIPSA rules, exclusions, room rent eligibility
Review pre-auth approvals, enhancement requests
Validate medical necessity, non-medical deductions
Handle TPA queries, denials, short payments, resubmissions
Mentor junior processors and conduct quality checks
Maintain TPA-wise ageing and follow-up tracker
Coordinate with Medical Records & Treating Doctors for clarifications

Preferred candidate profile

4-9 Yrs of Experience in TPA Particularly experience in handling claims
Good Communication & Coordination skills
Strong knowledge of GIPSA, non-medical exclusions, package rates

If interested please share your profile to yu*****u@pr***********t.com or call 9884286***

Job Classification

Industry: Insurance
Functional Area / Department: Healthcare & Life Sciences
Role Category: Health Informatics
Role: TPA Executive
Employement Type: Full time

Contact Details:

Company: One Leading TPA Client
Location(s): Chennai

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Keyskills: Third Party administrator Insurance Claims TPA Medical Insurance Claims Processing Health Claims Mediclaim Claim Settlement Claims Handling Health Insurance Claim processing

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Your name (*)

Email (*)

Mobile (*)

Preferred City (* max. 2 w/comma)

Designation / Expected Role

Current / Recent Company (*)

Experience (*)

Expected Salary (*)

Desired Industry (*):

Functional area / Department (*):

Enter Skills (key skills, subjects, technologies & roles to use in search)

Write briefly about yourself, your experience and education (*)

Attach ResumeMax 2.38 MB (RTF, PDF, DOC, DOCX formats only parsed)

Please, check the file size and type.

Add social media [ + ]

Create password

I agree with website service terms and conditions

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Senior TPA Claims Processor- Chennai @ A client

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