Health & Personal Accident Investigation
We verify each health and personal accident claim at every point where it can be checked: the insured, the hospital, the treating doctor, the lab and, for accident claims, police and post-mortem records.
What we verify in each type of claim
Cashless, reimbursement, critical illness, hospital cash and disease protect
- Insured
- Neighbourhood
- Hospital
- Treating doctor
- Lab & pathologist
- Family doctor
- Diagnostic centre
- Employer / corporate
Personal accident — death & disability (TTD / PTD)
- Claimant
- Treating doctor
- Hospital
- Post-mortem centre
- Police records
- Spot visit
Expert & on-site forensic opinion
- Panel of specialists
- Super-specialists
Legal action on fraud
- Complaints against errant doctors to the medical council
- Police complaints against fraud nexus
Paid claim audits & recovery
- Network hospital audits
- Recovery of wrongly paid amounts
Have a claim that needs a second look?
Send us the claim details and we'll tell you how we'd investigate it and when you can expect the report.