Assistant General Manager - TPA

Jupiter Hospital; Kalyan-Dombivli; On-site; INR 900,000 - 1,500,000; Full time

Job summary

Jupiter Hospital in Maharashtra invites a Senior Manager – TPA to lead third-party administration operations for insurance and cashless hospitalization processes. You will coordinate with insurers, TPAs, corporate clients and hospital departments to ensure timely pre-authorizations, submissions, approvals and settlements.

The role requires a healthcare management qualification and relevant TPA/insurance operations experience, preferably in a managerial capacity.

Qualifications

• Graduate or postgraduate in Healthcare Management, Hospital Administration, or a related field.
• Relevant experience in hospital TPA/insurance operations, preferably in a managerial role.

Responsibilities

• Manage TPA operations, insurance claims, and cashless hospitalization processes.
• Coordinate with insurance companies, TPAs, corporate clients, and hospital departments.
• Ensure timely pre-authorizations, claim submissions, approvals, and settlements.
• Monitor claim rejections, denials, and outstanding payments.
• Lead the TPA team and ensure compliance with hospital policies and insurance guidelines.
• Analyze TPA performance, resolve escalated issues, and improve operational efficiency.

Education

Graduate/Postgraduate in Healthcare Management, Hospital Administration, or related field

Job description

Job Description: Senior Manager – TPA (Third Party Administration)

Key Responsibilities:

ManageTPAoperations,insuranceclaims,andcashlesshospitalizationprocesses.

Coordinatewithinsurancecompanies,TPAs,corporateclients,andhospitaldepartments.

Ensuretimelypre-authorizations,claimsubmissions,approvals,andsettlements.

Monitorclaimrejections,denials,andoutstandingpayments.

LeadtheTPAteamandensurecompliancewithhospitalpoliciesandinsuranceguidelines.

AnalyzeTPAperformance,resolveescalatedissues,andimproveoperationalefficiency.

Qualification & Experience:

Graduate/PostgraduateinHealthcareManagement,HospitalAdministration,orarelatedfield.

Relevant experience in hospital TPA/insurance operations, preferably in a managerial role.