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Claims Processing

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

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.

 
 
 

CRP Technologies (India) Pvt. Ltd.,

Phone: +91 22 4027 7777
Fax: +91 22 2687 3392
Email: crp@crp.co.in

 
 
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