Life Insurance
CRP offers end-to-end verification
and outsourcing processing solutions to the Life Insurance sector. Its
services help Life Insurance companies ascertain the right amount of
claim and also, expedite the process because of CRP's reach, network and
past expertise in this area. CRP provides outsourcing solutions for the
three major types of Insurance - Health, Life and General.
CRP has a wide national branch network and well-cultivated
relationships with local bodies like hospitals, doctors and law and
order machinery. A team of qualified professionals form a central team
which analyses the legal and medical reports of the claimants to ensure
correctness and detect any fraud or purposeful misrepresentation.
One of the key risk areas Insurance Companies face globally is the
threat of false claims; in case of Life Insurance, the size if often
substantial. CRP's Life Insurance Verification and Process Outsourcing
Solutions Services protect Life Insurers' interests by advising them
about the correctness of each and every claim. The vertical deploys
professional knowledge, screening, IT & analysis and local level
network to provide full-proof claims verification service.
CRP's verification process begins with collecting the necessary
information from the immediate family of the assured. The various
documents collected are: |
- Proposal form
- Age proof
- Death Certificate
- Claim forms
- Case - Sheets
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CRP team then collects the necessary background information about the
assured and the family. Medical history of the assured and the family
is collected with special focus on any untimely deaths in the family.
Certain key issues addressed are
Cause of Death / Accident:
One of the key points the CRP team establishes is the cause of death
or accident; globally, most insurance claim frauds misinterpret the real
cause of death. CRP uses its examination of the documents of the case
and also field visits to ensure that the cause of death is ascertained
in clear terms.
Bonafide Person:
CRP team ascertains that the person against whom the claim has been
exercised is bonafide and genuine; the team examines all records of the
person and also personally meets the immediate relatives of the deceased
to establish genuineness. This establishes the age, health and other
personal details of the assured. The teams' checks whether the claimant
is bonafide.
Legal and Medical:
CRP's team of claims professionals have in depth knowledge about
legal and medical requirements. The team ensures that all required
papers and supporting documents have been submitted along with the
claim. Incomplete reports like absence of doctors' report etc. if
overlooked can cause monetary or time loss to the insurer. All legal and
medical documents submitted are examined for authenticity to avoid any
manipulation or fraud.
The key challenges in Life Insurance Claims are authenticity of the
claim and the claimants. False claims or multiple/fake claimants can
lead to legal battles, time and cost inefficiencies and revenue losses.
CRP's full-proof verification of the claim and claimants through
document examination and physical verification help in eliminating any
frauds or mistakes.
CRP's USP is it's near to two decades' experience in this vertical
and its strong local level network that is supported by a central team
of legal and medical experts. Today, several Indian and few global Life
Insurance players have benefited from CRP's Life Insurance Claims
Verification and Process Outsourcing services. Clients derive cost and
time efficiencies due to outsourcing and revenue benefits due to right
claims settlement with CRP's services.
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