Assistant Supervisor TPA Insurance

Drlogy Technologies Pvt. Ltd.; Ludhiana; Presencial; INR 420.000 - 540.000; Jornada completa

Descripción de la vacante

Drlogy Technologies Pvt. Ltd. in Ludhiana invites applications for an Assistant Supervisor TPA Insurance. The role centers on supervising insurance and TPA processes for patient admissions, approvals, billing, claims and settlements, with cross‑functional coordination across hospital departments.

The position requires 2-6 years in related work, a graduate degree, and the ability to ensure timely claim processing while maintaining data confidentiality.

Formación

• Experience: 2-6 years in TPA/insurance operations.
• Graduate degree typical for this role.
• Open to all genders.

Responsabilidades

• Assist in supervising daily TPA and insurance operations.
• Coordinate insurance-related admission and discharge processes.
• Verify insurance and patient documentation.
• Coordinate pre-authorizations and cashless approvals.
• Follow up with TPAs and insurance companies for pending approvals.
• Coordinate with billing, medical records, clinical, and patient-care teams.
• Review claim documents for completeness and accuracy.
• Monitor submission and processing of insurance claims.
• Track pending, queried, rejected, and settled claims.
• Assist in resolving insurance and TPA-related discrepancies.
• Monitor turnaround time for approvals and claim settlements.
• Maintain accurate insurance and TPA records.
• Prepare status reports and MIS related to insurance claims.
• Support staff in resolving routine insurance queries.
• Coordinate with patients and attendants regarding insurance documentation.
• Assist with claim reconciliation and settlement follow-up.

Conocimientos

Insurance Claim Processing

TPA Coordination & Documentation

Cashless Authorization Handling

Query Resolution

Educación

Graduate

Descripción del empleo

Free to Apply Verified Employer Secure & Private No Hidden Charges

Job Requirements

Experience

2 - 6 Years Experience

Education

• Graduate (typical)

All Gender

Vacancy

1

Last Date to Apply

29, March 2027

Job Role

Work Location

Ludhiana

Work Mode

Work From Office

Department

TPA , Insurance Desk

Role

Assistant Supervisor TPA Insurance

Employment type

• Full time

Key Skills

Insurance Claim Processing

TPA Coordination & Documentation

Cashless Authorization Handling

query resolution

Preference Languages

Any Language

Job Description

Assistant Supervisor - TPA Insurance supports the management of insurance and Third-Party Administrator (TPA) processes related to patient admissions, approvals, billing, claims, and settlements. The includes supervising TPA activities, coordinating with insurers and hospital departments, monitoring documentation, and supporting timely claim processing.

• Assist in supervising daily TPA and insurance operations.
• Coordinate insurance-related admission and discharge processes.
• Verify insurance and patient documentation.
• Coordinate pre-authorizations and cashless approvals.
• Follow up with TPAs and insurance companies for pending approvals.
• Coordinate with billing, medical records, clinical, and patient-care teams.
• Review claim documents for completeness and accuracy.
• Monitor submission and processing of insurance claims.
• Track pending, queried, rejected, and settled claims.
• Assist in resolving insurance and TPA-related discrepancies.
• Monitor turnaround time for approvals and claim settlements.
• Maintain accurate insurance and TPA records.
• Prepare status reports and MIS related to insurance claims.
• Support staff in resolving routine insurance queries.
• Coordinate with patients and attendants regarding insurance documentation.
• Assist with claim reconciliation and settlement follow-up.
• Support audits and review of insurance documentation.
• Identify process gaps and suggest operational improvements.
• Ensure confidentiality of patient and insurance information.
• Follow hospital policies and applicable insurance/TPA procedures.