Manager - Insurance & Corporate Relations

Xponentiate; Mumbai; On-site; INR 1,200,000 - 1,800,000; Full time

Job summary

Xponentiate in Mumbai is seeking an experienced SSO – TPA / Corporate Manager to manage relationships with TPAs, insurers, corporate clients, and other institutional partners for hospital operations in Mumbai.

You will oversee cashless processing, pre-authorizations, and coordination with clinical, billing, front office, and medical teams to ensure timely documentation and claims, while driving revenue realization and strong partner relationships.

Qualifications

• Experience with TPA, insurers, and corporate healthcare partners.
• Strong knowledge of cashless approvals and pre-authorizations.
• Ability to coordinate with clinical, billing, and front office teams.
• Experience in MIS/reporting related to TPA/corporate business.

Responsibilities

• Manage day-to-day relationships with TPAs, insurers, corporates, and institutional clients.
• Ensure cashless approvals, pre-authorizations, extensions, and final approvals.
• Coordinate with clinical, billing, front office, and medical teams for documentation and claims.
• Monitor TPA/corporate cases from admission to discharge.
• Submit bills and claims to TPAs/insurers promptly.
• Track claim queries, deductions, rejections, and discrepancies.
• Strengthen relationships with existing partners.
• Identify opportunities to onboard new corporate/insurance/TPA relationships.
• Monitor tariffs, packages, rate contracts, and terms.
• Coordinate negotiations and renewals of corporate/TPA agreements.
• Prepare MIS/reports on TPA/corporate business, approvals, claims, collections.
• Work with finance/collections to improve realization and reduce receivables.
• Ensure compliance with hospital policies and contractual requirements.
• Handle escalations from patients, corporate clients, and TPAs.

Skills

TPA knowledge

Insurance processes

Negotiation skills

Relationship management

Cashless processing

Billing knowledge

Job description

Job Description – TPA / Corporate Manager

Location: Mumbai
Function:
Industry: Healthcare / Hospitals
Experience: 2–10 years
Employment Type: Full-time

About the Role

We are looking for an experienced SSO – TPA / Corporate Manager to manage and strengthen relationships with TPAs, insurance companies, corporate clients, and other institutional partners for our hospital operations in Mumbai.

The role will be responsible for ensuring smooth cashless and corporate patient processes, timely coordination, revenue realization, and strong partner relationships.

Key Responsibilities

• Manage day-to-day relationships with TPAs, insurance companies, corporates, and institutional clients.
• Ensure smooth processing of cashless approvals, pre-authorizations, extensions, and final approvals.
• Coordinate with clinical, billing, front office, and medical teams for timely documentation and claim processing.
• Monitor TPA/corporate cases from admission to discharge.
• Ensure timely submission of bills, documents, and claims to respective TPAs/insurers.
• Track and resolve claim-related queries, deductions, rejections, and discrepancies.
• Maintain and strengthen relationships with existing corporate and insurance partners.
• Identify opportunities for onboarding new corporate/insurance/TPA relationships.
• Monitor agreed tariffs, packages, rate contracts, and commercial terms.
• Coordinate negotiations and renewals of corporate/TPA agreements wherever required.
• Prepare MIS and reports related to TPA/corporate business, approvals, claims, collections, and outstanding amounts.
• Work closely with the finance and collections teams to improve realization and reduce outstanding receivables.
• Ensure compliance with hospital policies, contractual requirements, and applicable processes.
• Handle escalations from patients, corporate clients, and TPAs.

Key Skills

• Strong knowledge of TPA, insurance, cashless and corporate healthcare processes.
• Good understanding of hospital billing and claims.
• Strong communication and negotiation skills.
• Relationship management skills.
• Analytical and problem-solving ability.
• Strong coordination with cross-functional teams.

Preferred Background

Candidates from hospitals, healthcare organizations,healthcare service providers with relevant experience will only be considered.