Insurance Advisor

Job Summary:

We are seeking a detail-oriented and proactive Team Lead – TPA to oversee and manage a team handling third-party administration services. This role is responsible for ensuring accurate and timely processing of claims, coordination with insurers and clients, compliance with policies, and maintaining high customer satisfaction standards.

Key Responsibilities:

• Lead and supervise a team of TPA associates to ensure efficient day-to-day operations.

• Monitor workload distribution, productivity, and performance metrics.

• Ensure accurate and timely processing of claims, pre-authorizations, and reimbursements.

• Serve as an escalation point for complex or disputed claims and resolve issues promptly.

• Maintain strong communication with insurers, hospitals, clients, and internal departments.

• Conduct training and mentoring sessions for team members to improve performance and process adherence.

• Ensure compliance with regulatory requirements, company policies, and SLAs.

• Prepare and submit regular reports on operational metrics, team performance, and process improvements.

• Participate in audits and implement corrective actions when needed.

• Drive continuous process improvement initiatives.

Requirements:

• Bachelor’s degree in any discipline (Healthcare or Business preferred).

• 5+ years of experience in TPA operations, with at least 1–2 years in a team leadership role.

• Strong knowledge of health insurance claims processing, policy terms, and regulatory compliance.

• Excellent communication, leadership, and problem-solving skills.

• Proficient in MS Office and claims management systems.

• Ability to manage high-volume workloads and meet tight deadlines.

• It is a Full Time Customer Support / TeleCaller job for candidates with 3 - 6 years of experience.

More about this Insurance Advisor job

1. What is the eligibility criteria to apply for this Insurance Advisor job?
   Ans: The candidate should be Graduate and above and above with 3 - 6 years of experience of experience
2. How much salary can I expect for this job role?
   Ans: You can expect a salary of ₹30000 - ₹40000 per month that depends on your interview. It's a Full Time job in Chennai.
3. How many working days are there for this Insurance Advisor job?
   Ans: This Insurance Advisor job will have 6 working days.
4. Are there any charges applicable while applying or joining this Insurance Advisor job?
   Ans: No, there is no fee applicable for applying this Insurance Advisor job and during the employment with the company, i.e., TANDEM ACCOUNTING SERVICES PRIVATE LIMITED.
5. Is it a work from home job?
   Ans: No, it’s not a work from home job and can't be done online.
6. How many openings are there for this Insurance Advisor role?
   Ans: There is an immediate opening of 3 Insurance Advisor at TANDEM ACCOUNTING SERVICES PRIVATE LIMITED
7. Who can apply for this job?
   Ans: Both Male and Female candidates can apply for this Customer Support / TeleCaller job.
8. What are the timings of this Insurance Advisor job?
   Ans: This Insurance Advisor job has Day Shift.