Primary Responsibilities:
· Investigation manger
· Claim Investigation Allocation of assigned claims to respective vendors with case relevant triggers
· Follow up for IR and TAT management
· Level 1 QC clearance & validate the submissions against shared triggers
· Success in claim investigation based upon strong medical & legal evidences
· Preparing reports based on findings and observations and guide / Gathering and Analyzing the facts and
developing & creating evidence which stands in court of law
· Report submission and coordination with claims team.
· Evidence Matrix Assurance Ascertain evidence quality as per matrix Validate each & every evidence with the