NEERAJ PRABHAKAR

• Investigated claims to decide whether to decline or approve a request.
• Followed policy provisions in negotiating the settlement of cases.
• Collaborated with claims adjusters to review unusual claims and authorize

payments for approved cases.

• Established reserve accounts for clients and released payment on approval.
• Presented concrete evidence in court to testify against false claims by policyholders.
• Reviewed and suggested reimbursement amounts for clients in different industries.
• Scanned cases for potentially fraudulent claims and submitted relevant data to a special investigations team.

• Examine insurance policy documentation for coverage limits, exclusions, and other conditions that may have an impact on the claim.
• Examine claims for mistakes and inconsistencies, such as wrong dates or amounts.
• Calculate claim amounts and determine policy coverage.
• Assist with insurance processing, and follow company policies as well as local, state, and federal guidelines.