Cashless / Pre auth Claims
The verification and Documentation includes Preauth, Reimbursement, Critical Illness claims. The past records stands as an evident of the team performing with an average of 90 percent Turn Around Time, 3 to 12 hours in case of preauth and 8 days in case of reimbursement / Personal Accident cases and 45-50 percent Hit rate. A complete 360 degree verification with appropriate documentation is our key strength apart from our massive presence in the entire South of India .
Reimbursement Claims
All reimbursement cases are investigated and closed in a turn around time of 7 to 10 days. The reimbursement investigation includes member verification, hospital documentations, Family doctor and Treating doctor verifications, Pathology lab verifications, Pharmacy verifications, Employment verifications if applicable , Vicinity survey and past hospitalization documentations if any. The success rates are maintained between 45% to 65% in reimbursement cases with a TAT of 75% to 90%.
Personal Accident verification
A specific Team with an expertise in Personal accident claims handles the portfolio which has yielded a very good results in the past. The verification and documentation stands unbiased with a genuine findings and clear presentations. A complete penetration into the case explaining all the touch points remains as our key strength all along the way of our journey.
Motor Accident Claims
A massive portfolio including Motor Personal accident claims, Third party Accident claims is managed by Special Team with good expertise in MACT norms and regulations. Our Team has managed to win the confidence of the Insurer – ICICI Lombard GIC after fulfilling their promises with a good hit rate and Turn Around Time of almost 70 percent cases closed in 21 days. Our experience in Loss Mitigation achieved by scrutinising the Medical bills has yielded a very positive response from the Insurers. MPA claims verification and Documentation is simply again a diamond on the crown.
Loss of Jobs Verification
These claims are investigated to verify and establish the Loss of Job as claimed by the insured. This includes the current employer verifications, past employment details, neighbour verifications and a thorough vicinity survey.
LIFE INSURANCE CLAIMS VERIFICATION
With a Successful past records the team with Experts in Life Insurance Claims stands high in performance and holds a strong line of confidence with our existing clients. Our support has been rewarded by our clients based on the success rate and the Turn around time . Pre-claim Verification, a new approach for Loss Mitigation by the Insurers are managed by expert professionals in our team to establish the TAT and hit rate.
