Assess & approve the Claims in order to ensure that only valid claims are settled.
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Scrutinize all Claims including complex claims.
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Settle/initiate action within approved limits.
Prepare the Claim Processing Sheet in a prescribed format so that concerned Authority knows the gist of the case while approving the claim.
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For case beyond the limits scrutinize and prepare documentation for presentment in a prescribed format to the next level within TAT.
Obtain the Claim Documents by following up with relevant sources in order to process the claim.
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Follow up with Branch / Claimant to arrange for the Claim Documents
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Follow up with the Third Party Agencies such as Investigator / Translator for the Claim documents.
Provide inputs for developing Claims System to cater to all general needs.
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Provide necessary data and inputs to the system development team.
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Carry out testing of the system to ensure a desired result has been achieved.
