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.
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Claims Investigation can help in. |
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.
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