What are the main tasks for claim manager?

1- supervising claim receiving within the agreed contracutal time duly with all required documents.
2- supervising claims technical & medical evaluation.
3- creating market benchmark using claims petterns & profiles.
4- providing fraud dectection/prevention unit with data & pinpoint fraud triggers.
5- promoting & developing claim adjuster performance & production.
6- directing claim processors to acheive the prospected production target.
7- due payment settlement & reconciliation.
8- coordination with other operaion unit (approval & network) to reap optimal results.

Triggering networking team about the over charging of tariff accordance with the market price

 

Expeditious and judicious claims settlement with least administration cost and to contribute to the overall organization goal of earning reasonable operating surplus.