Medical Adjudication of Health ClaimsProcessing of settlement claim based on the singed rate list and policy T&CIdentifying the FraudsProblem solving and seeking resolution to prevent escalationsEnsuring efficient and timely progress of all cases in the divisionAdhering to SLAs and processing the claims with in the TAT as per policy terms and conditionsSupporting CRM, Provider, sales and grievance teamsQualification either MBBS, BAMS, BHMS is required for this roleThis is work from office roleFreshers may also apply