Why Claims Investigation...
To Bring in lime light the following:
Fraudulent Applications and Activities Going On
Fake Hospitalization
Fake claims
To bring out the unrevealed medical facts (Pre-existing ailment)
To Save Exorbitant charges towards medical services which are not required or over billing to take the benefits
or undue advantage of the Insurance provisions.
Identifying the frauds involved
Taking preventive action in future
Underwriting modifications
Avoiding / blacklisting the fraud players
Gradually obstruct the malpractices in industry.
Reducing the mal-practices/notoriousness events
Saving a lot of money.
Claims Investigation can help in...