Manager - Insurance & Corporate Relations

Location

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

About the Role

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.
• Good command of MS Excel and MIS reporting.

Preferred Background