Roles and Responsibility:• Reviewing medical evidence, including medical records and independent medical exams to determine whether an injury or illness is work-related.• Reviewing claims and cross check with medical reports, investigations and type of treatment to conclude the final payment to insured.• Approved the final settlement to insurer as per client guidelines.• Few claims can be directly paid to providers (hospitals, health care centers)• Quality checks on claims and provide feedback if any errors and any missing benefits.• Allocate works to team members on daily basis.• Maintaining productions and quality check reports and circulate emails to team.• Client updates and amendments are entered in Update tracker and SOP.• Conducting PKT (Process Knowledge Test) monthly basis.• Approaching client via call/teams/email for clarifications and handling new scenarios in process related.• Conducting huddle meeting in absence of Team lead.