Services

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Services We Provide

Claims Investigation

We specialize in comprehensive claims investigation services to ensure the integrity of insurance processes:​

Health Insurance Claims: Assessment of both cashless and reimbursement claims.
Personal Accident Claims: Thorough evaluation to verify claim authenticity.
Miscellaneous HAT Claims: Investigation of various Health, Accident, and Travel claims.
Crop Insurance Claims Management: Expertise in assessing agricultural claims to support farmers and insurers.
Cattle Insurance Claims: Verification of livestock-related insurance claims.​

Training Programs

Our training modules are designed to enhance the skills and knowledge of professionals in the insurance sector:​

  • Field Officer Investigation Training: Equipping field officers with effective investigation techniques.
  • Medical Practitioners Audit Training: Guidance on auditing and evaluating medical claims.
  • Service Network Management Training: Strategies for efficient management of service networks.
  • Claims Adjudication Training: Comprehensive training on the adjudication process for claims

Audit Services

We offer meticulous audit services to ensure compliance and efficiency:​

  • Claims Audit: Detailed review of claim processes to identify discrepancies.
  • Network Audit Project Management: Evaluation and management of service provider networks.
  • Expert Opinion in Health Insurance Claims: Providing professional insights on complex health insurance cases.​

Network Development

Assisting insurers in building and maintaining high-quality service networks:​

  • Hospital Networks: Establishing partnerships with reputable hospitals.
  • Laboratory Chains: Integrating diagnostic labs into the insurance network.
  • Pharmacy Chains: Collaborating with pharmacies to streamline claim processes.​

Business Development Assistance

Supporting insurers in expanding their reach, especially in rural areas:​

Rural Penetration Projects: Consultancy and implementation of initiatives to increase insurance accessibility in rural regions.