Responsibilities Assess and adjudicate GAP claims in line with policy terms and conditions. Apply ICD-10 and CPT coding knowledge to accurately validate medical procedures, diagnoses, and billing. Manage claims lifecycle from registration through to finalization within agreed turnaround times. Investigate and resolve discrepancies, anomalies, or potential fraud indicators. Ensure accurate claim settlements and approvals within delegated authority. Collate, analyze, and interpret data to support decision-making. Deliver customer service excellence aligned with organizational values. Build and maintain trusting, long-term relationships with customers and stakeholders. Ensure full understanding of customer needs through data and feedback analysis. Resolve customer queries and complaints timely, taking ownership of issues. Provide accurate product knowledge and service-related information. Collaborate with internal business units, product houses, and stakeholders to drive operational effic...