Well trained in US Insurance ClaimsWorking as a disability fraud analyst where we need do various searches i.e. Retrieval of medication history, employment search of claimant, searching for any existing claim to identify any offset amount, retrieval of estate records etc. to identify if any fraud exists for that loss.• Also, cross trained on New Claim Initiate team I have to create, renew or update the claim/coverage as per request by following the provided guidelines by client.• Worked for Claims Intake department where I receive the first request from Beneficiaries/Funeral Homes/Assignments to initiate a claim. I need to create or deny the claim as per provided guidelines by Client. Responsible to taking care of all the queries of my team members. Also managing the query and update tracker for the team.• Taking care of team’s QC for all the different work types and do the RCA for Process Excellence prospective. • Also involve in production and trained on multiple work types for better process understanding.• Responsible to create and send various kind of Attorney and Claimant letters for various reasons i.e., Denial of deductible/claim, Acknowledgement, Pending Recovery and Subrogation etc.Policy Coverage Updation/Correction is also part of work where I need to check and update correct policy details and coverage i.e., DOL, Policy term, insured/claimant details, covered Claims and Coverage line based on Policy Deck. We also add coverages as per the policy coverage and fact of loss.• Responsible to taking care of all the queries and update related to our processes. Also managing the query and update query tracker for the team.• Alignment and training for new resource in the team.• Testing and ensuring implementation of new applications in the team/process.• Issue new policy, Reinstate (renewable) inactive policy. • Issue policy surrender Check Or policy maturity check.• Working for life and annuity death claims intake. • Working for health claims intake department where I'm responsible to approve or deny the first claim submitted by facilities/physician. Basically working as a part of commercial claims.• Handle power of attorney request, handle policy information changes request and also provide full customer support to our customers via email, fax and through a phone call. • Handling escalation and complaints of the dissatisfied customers and provide best resolution to them.• Sending payment invoices to customer also handling EFT payments, Card payments and checks payments.