TPA Executive

Company DescriptionTulip Multispeciality Hospital Pvt Ltd, established in 2014. With state-of-the-art facilities – a 100-bedded hospital with speciality and super speciality departments in the heart of Sonipat – the hospital upholds its vision of providing world-class healthcare at affordable costs. Focusing on preventing illness, promoting health, and enabling recovery, Tulip Hospital adheres to core values of Quality Care, Commitment, Ethics, Empathy, and Teamwork. A highly qualified team of consultants, medical professionals, and administrative staff ensures top-notch services across various specialties.Role DescriptionThis is a full-time on-site role based in Sonipat for a TPA (Third Party Administrator) Executive. The TPA Executive will handle end-to-end management and coordination of insurance and claims processes. Responsibilities will include liaising with insurance companies, verifying documents, processing claims, managing patient queries, following up with insurance-related communications, and ensuring smooth approval and disbursal of claims. The individual will also collaborate closely with the hospital's administrative and billing departments to optimize patient satisfaction and operational efficiency.Qualifications5+ Years of Experience in Third-Party Administration (TPA) processes, claims handling, and policy coordination.Experience in insurance coordination, claims processing, and TPA management.Proficiency in documentation, record-keeping, and handling insurance-related databases or systems.Strong understanding of healthcare services, medical terminology, and insurance processes.Excellent communication and interpersonal abilities to engage professionally with patients, insurance companies, and colleagues.Problem-solving, attention to detail, and organizational skills to ensure precise and timely claim approvals.Ability to work collaboratively with cross-functional teams within the hospital.Educational qualification in business administration, hospital management, or related fields is preferred.Knowledge of local and national health insurance regulations is an advantage.

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