Assistant General Manager - TPA

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

Key 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.

Qualification & Experience

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