Health Insurance Claims TPA Coordinator

₹12500-37500 INR

Open

Posted 3 days ago

•

Ends in 4 days

₹12500-37500 INR

Paid on delivery

I need an experienced TPA coordinator who can take full ownership of our health-insurance claim flow from first notice of loss through final settlement. The work is entirely claims processing, so your day will revolve around validating incoming documentation, adjudicating each file against plan rules, communicating decisions to providers and members, and recording every step in the system. You will plug into our proprietary claims platform the moment you start; ease with typical health-insurance software and solid Excel skills will help you move fast, but the key requirement is accuracy and consistency. Deliverables • All assigned claims fully processed and documented each day • Zero outstanding queries older than 24 hours • A concise weekly status report showing volumes, turnaround time, and any red-flag issues Timeliness, policy compliance, and meticulous record-keeping will be the acceptance benchmarks for each milestone.

Excel

Documentation

Insurance

Health Care Management

Project ID: 40383263

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Active 2 days ago

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3 freelancers are bidding on average ₹22,500 INR for this job

@waleeds05

Hi, I can support you as a Health Insurance Claims TPA Coordinator by managing, organizing, and streamlining claim-related processes with accuracy and efficiency. I’ll focus on handling claim documentation, coordinating between patients, insurance providers, and healthcare facilities, ensuring proper verification, tracking claim status, and reducing delays or errors in processing. I can also help maintain clear records, follow-up systems, and structured communication for smooth claim approvals. The final result will be a well-organized and efficient claims coordination process that improves accuracy, reduces turnaround time, and ensures smooth communication between all parties involved. Let’s make your claims management process more efficient and reliable! Best regards, Waleed Saleem

₹12,500 INR in 2 days

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@LegalInsurance

I bring solid experience in insurance claims management, with a strong background in handling structured claim workflows, documentation review, and coordination with insurers and brokers across international environments. I am used to working in highly detail-oriented claims processes where accuracy, consistency, and adherence to policy rules are critical. In previous roles, I have managed end-to-end claim files, ensuring all documentation is validated, records are properly maintained, and decisions are clearly communicated within required timelines. I am comfortable working within proprietary claims systems and have strong proficiency in Excel for tracking, reporting, and maintaining structured workflows. I adapt quickly to new platforms and processes, ensuring smooth onboarding and immediate productivity. I understand the importance of: * Accurate and timely claims processing * Strict compliance with policy guidelines * Clear documentation and audit-ready records * Fast resolution of queries to avoid backlog I would be confident taking full ownership of the claims flow and ensuring all deliverables are met, including daily processing targets and weekly performance reporting. I am available to start immediately and can commit to delivering consistent, reliable results within your SLA requirements. Best regards

₹25,000 INR in 7 days