Health Insurance

CRP partners leading players in the Insurance Industry in their endeavor to create a fact-based claims investigation environment. It has expert personnel and cutting edge technology. The company helps its customers serve their clients through better and quicker claim reimbursements. CRP provides outsourcing solutions for the three major types of Insurance - Health Insurance, Life Insurance and General Insurance.

CRP handles health insurance claims investigation for its clients through its Health Insurance Verification and Outsourcing Solutions vertical. CRP's health insurance claims processing team consists of people who have experience in various claims issues like nature of health problems, disease management lifecycle and claims scenario resolution. This guarantees accurate judging of each claim and prevents losses arising from false or misjudged claims. CRP's robust technology system, back up arrangements and data security practices ensure quick, safe and unhindered service.

As claims investigation and processing is mainly dependent on the information provided by the claimant, CRP ensures that the claimant provides necessary and complete information.

On the basis of this information and CRP's claims investigation standards, the CRP team investigates various facts related to the health of the assured. Analyzing the assured's history and records with hospitals, pharmacies and general practitioner or specialists helps in verifying the claim in an objective manner.

Certain key areas of investigation are:

The claims made by the assured are verified against the data collected through investigation. The collected information is analysed using data from past records. CRP's database, built over a decade's experience and records is used to check past claims and create predictive analytical scenarios. The final report is then submitted to the Insurance Company in an agreed time frame thus compressing the total time for the entire claims processing.

CRP's value proposition is its expertise in providing independent and thorough investigation and accurate data. This ensures that the claim and the amount of claim are rightly judged, thus safeguarding the profits of the insurer. CRP personnel's keen understanding of medicine, disease management, hospitalization and patient treatment procedures, give the company an edge in judging health insurance claims.