+ Process all claims in each Level 1, 2 within 3 business day and maintain the turnaround time with in the specified global target + Discussed with market on age claims on weekly basis and take appropriate actions on the claims" + Claim Assessing based on Policy and provide suggestion to be implemented in policy + Do Claim Adjudication feedback analysis and come up with proper RCA for adjudicator errors, implement the action plan to avoid same errors appearing in future + Respond to queries from the markets and customer regarding claim assessed and procedures + Analysis the complete set up of selection parameter process, suggest for appropriate selection parameter to pay claims correctly + Randomly check the correctness of the system paid claims + Wherever finance impact, analysis the reason of incorrect process by the system and inform to the market on impact and raise a request to correct the selection parameter in system + Analysis all the appeal claims every month classified in three groups, appeal due to system issue or appeal due to dealer issue or appeal due to adjudicator issue + If dealer appeals the claims due to adjudicator issue, will work on the RCA and implement the action plan to avoid those errors not to occur in future + To avoid incorrect labor paid to dealer, adjudicator will do an analysis on NSL paid every month + Process all claims in each Level 1, 2 within 3 business day and maintain the turnaround time with in the specified global target + Discussed with market on age claims on weekly basis and take appropriate actions on the claims" + Claim Assessing based on Policy and provide suggestion to be implemented in policy + Do Claim Adjudication feedback analysis and come up with proper RCA for adjudicator errors, implement the action plan to avoid same errors appearing in future + Respond to queries from the markets and customer regarding claim assessed and procedures + Analysis the complete set up of selection parameter process, suggest for appropriate selection parameter to pay claims correctly + Randomly check the correctness of the system paid claims + Wherever finance impact, analysis the reason of incorrect process by the system and inform to the market on impact and raise a request to correct the selection parameter in system + Analysis all the appeal claims every month classified in three groups, appeal due to system issue or appeal due to dealer issue or appeal due to adjudicator issue + If dealer appeals the claims due to adjudicator issue, will work on the RCA and implement the action plan to avoid those errors not to occur in future + To avoid incorrect labor paid to dealer, adjudicator will do an analysis on NSL paid every month UG/PG with relevant years of experience **Requisition ID** : 40396