What is an Insurance Claims Investigation?

Insurance companies often conduct claims investigations to evaluate the legitimacy of a claim. The investigation process helps the claims adjuster make an educated decision about how to proceed with a claim.

Insurance claims investigations are used to combat the prevalence of false or inflated claims. An illegitimate claim is unjustifiable or inaccurate, and by identifying it early you avoid paying potentially significant costs to a fraudster.

Insurance claims investigations rely on evidence, interviews and records to conclude whether a claim is legitimate or illegitimate.

There are several types of insurance investigations depending on the claim being made.

We have a dedicated team of investigators who are well versed with the kinds of frauds under Personal Accident Claims. We verify each and every aspect of the claim with their vigil eyes and ascertain the authenticity of the claims.

We continuously strive to help you to provide a consistently high standard of service and understand the extensive enquiries related to the Insurance sector. We discuss all the issues in complete confidential manner which is also included non disclosure agreement where necessary.

Type of Insurance Claim-

• Motor Vehicle Insurance Claims
  • Verification of claims for the cases lodged in Motor Accident Claims Tribunal (MACT)
  • Theft claims
  • Own Damage Claims
  • Personal Accident  Claim
  • Pay & Recovery Matters
  • Other miscellaneous accident related claims
• Medical insurance claim
  • Cashless investigation
  • Spot Cashless investigation
  • Medical reimbursement

• Life Insurance
  • Pre & Post check of addresses and other credentials before issuance of fresh policies.

Parameters for Insurance Claims Investigation?

Key Validations: Complete Case details & insured details

Source & Mode of Verification

Site Visit by Field Representatives

TAT (Turn-Around Time)

10 to 15 Working days