Para- Legal Services for Insurance Companies
As per IRDA guidelines, all the Insurance companies has Fraud Risk Management Framework including Risk Management Committee and Fraud Management Committee in place.
For fraud risk identification, mitigation and monitoring, we propose to complement this framework with proven experience and capabilities to enhance integrity of claims and reduce leakage through specialized intelligence and investigation.
We offer our services in high exposure, high value, reputationally sensitive matters.
Core Service Areas
1. Insurance Fraud & claims intelligence/investigation
- Deep-dive investigation of suspicious claims
- Post-claim audits: providing a second look at settled claims
- Hospital billing manipulation detection
- Collusive nexus identification and network analysis
- Repeat-claimant profiling: investigation into complaint patterns
2. Anti-fraud & internal vigilance investigation/enquiries and advisory
3. Sensitive/ discreet internal enquiries
4. Regulatory interface & law enforcement liaison
5. Reputation management of the company and employees
