The increase in the number of players in the Insurance sector has lead to spiralling growth of the Industry. More people are now aware of Health, Medical, General and Life Insurance plans and are keenly opting for various types of risk cover. As the customer base increases for these players so do the number of Insurance claims being filed with these companies. In a country such as India where there are few verifiable facts about a customer, this creates a large number of fraudulent risk claims. Onicra works closely with the Insurance companies to establish validity of these claims and mitigate risk.
What exactly is Insurance Claims Investigation?
Individuals and business enterprises buy insurance policies to safeguard themselves against monetary losses. In case there is a loss, the insurance policy holders submit claims, or request for payment to seek compensation for their loss.
Insurance investigators thus work for life and general insurance companies, for whom they handle claims contending unfortunate cases of bodily injury, deaths or third party claims. Their main job is to investigate the claims, negotiate settlements, and authorize payments to claimants. It is they who must assess and verify whether the customer’s insurance policy covers the loss and how much of the loss should be paid to the claimant.