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Department: Insurance / TPA Reports To: Administrative Officer / Manager Operations Location: Sushrushah Hospital, Nagercoil, Tamilnadu Job Purpose To coordinate all insurance and TPA-related activities, ensuring timely pre-authorization, claim processing, documentation, billing, and settlement while providing excellent support to patients and insurance companies. Job Responsibilities - Handle insurance and TPA claim processes. - Obtain pre-authorization approvals for cashless patients. - Verify insurance documents and patient eligibility. - Coordinate with insurance companies, TPAs, doctors, and billing department. - Prepare and submit claim documents accurately and on time. - Follow up on pending approvals, claims, and settlements. - Resolve claim queries and maintain proper records. - Guide patients regarding insurance procedures. Requirements - Any Bachelor's Degree. - 13 years of experience in hospital insurance/TPA claim processing preferred. - Good communication and coordination skills. - Basic computer knowledge (MS Office/Hospital Software). - Ability to work independently and maintain accurate documentation. Skills - Positive communication and interpersonal skills. - Knowledge of insurance and TPA procedures. - Strong documentation and record-keeping skills. - Basic medical terminology knowledge. - Computer proficiency (MS Office and Hospital Information System). - Time management and multitasking abilities. - Problem-solving and negotiation skills. Salary: Salary will be commensurate with the candidate's qualifications and relevant experience. Working Hours - As per hospital duty roster. - May be required to work on weekends, holidays, or extended hours based on patient admissions and discharge requirements. Benefits: - Commuter assistance - Provident Fund Work Location: In person .