Insurance Claims Verification To Secure Against False Claims
Hedge.com.bd provides verification services to protect your company by checking the legitimacy of insurance claims.
Hedge.com.bd uses comprehensive inquiry and utilizes extensive knowledge of our service providers to determine the validity of insurance claims
Hedge.com.bd is a certified source for all business sizes to provide the most accurate and authentic screening services meant to protect your company against false claims.
We focus on safeguarding your business interests by implementing modern, comprehensive analytical research and compliance tools to ensure your organization is secure.
Our service providers are part of an extensive network of experienced researchers, producing accurate results with streamlined methods, ensuring your business growth
During insurance screening, the claimant will be interviewed and asked to provide any and all known relevant records, list the risks that may be present. Further details may need to be provided, for example, in case of medical insurance the claimant will be asked to undergo medical tests such as blood and urine testing. All these are used to identify risks that could arise leading to complications in insurance claims.
This service determines whether the insurance company can reasonably offer coverage and the types of coverage it can provide If the results of the screening show the risks present for the insuring company are too costly, limits may be introduced on a contractual basis to limit the damage, or coverage may be denied al-together. Certain Medical conditions or medications may not be covered for certain patients for example.
If the results for the screening feel inaccurate, biased or unfair due to any reason, the claimant may choose to contest the report. Our service providers could help them through the process, correcting what is wrong, asking for additional documentation or clarifying the situation, and doing the screening with the provided information.
Our service providers are experts on insurance matters and will conduct thorough investigations of claims suspected to be fraudulent or dubious for any reason. Hedge.com.bd has an extensive network of service providers capable of tracking down information and checking the validity of a myriad of circumstances that may be used to make claims. Some of our services include:
Health Insurance claims verification are designed to mitigate the costs for claimant’s medical care. A claimant might come into situations where they have to make a claim that goes against their policy, due to planned/unplanned hospitalizations.
There are two ways such a claim may be raise:
In case of reimbursement claims, the claimant might make fraudulent claims where the hospitalization record is faked or the amount shown is inflated. Our service providers can investigate and recognize these false claims.
Property Damage and Theft Claims
A claimant may seek to claim insurance in case of insured properties being damaged by causes covered in their policy. Theft or burglary may also be covered by policies. The claimant may make false claims in these regards, causing the damage themselves, or staging break-ins, falsifying evidence of theft, etc, in order to claim the insurance.
Our expert investigators interview the claimant and check these claims, for example, the actual cause of the fire, police reports of the theft or burglary, etc., for any inconsistencies in their stories, and therefore be able to determine the legitimacy of the claim.
Our Expertise On Information Analyzing
For our investigators to work, it may become necessary to ask for a variety of information from the claimant. The following information are commonly asked for from the claimant:
Our Insurance Investigators Experts In Taking Effective Interviews
Our investigators employ a variety of methods to ensure the validity of claims being made. While these actions vary depending on the type of claim, they generally begin by collecting all relevant documents and photos and reviewing them. Interviews are then conducted of the victim and possible witnesses. Other possible courses of actions include:
At Hedge.com.bd, we ensure that our well trained service providers, experienced with a variety of insurance claims across various firms and industries provide the most thorough, streamlined service possible.
The time period required to conduct each investigation for insurance claims verification varies greatly, depending on the type of insurance claim, the availability of information relevant to the claim, and the complexity of the case. Generally it may take from a couple of days to a week.
Hedge.com.bd hires investigators of varying skill sets required to cover a multitude of insurance types. Some of the insurance claims verification types our service covers:
Yes, in case of a report that seems biased or inaccurate, it is possible to contest the insurance claims verification, in which case additional documents may be asked for, and the investigators responsible for the case may be changed to get a fresh perspective.
Most insurance claims verification agencies will inquire about any claims or accidents you’ve had in the previous five years, but claims made before that time will have no bearing on your premiums. That means they’ll only look back three years for car insurance claims, and any made before then won’t be taken into account when calculating your premiums.
Our service providers are there to investigate insurance claims thoroughly, presenting you with a thorough report so you may make the final decision based on facts, without costing you time.