INCHES Consult/ Advisory
Team INCHES offers critical, intellectual inputs in
DeRisk a new concept
Given the huge upfront investments in an insurance product launch, it is imperative each product consumes intellectual capital before significant outside capital and effort is invested and new products are rolled out only after testing assumptions & validating proxies. We De-risk your products before you implement your expansion strategy, convert assumptions into knowledge of riders & loop-holes that help launch your product with lower risk, decreased assumptions that increase value and provide unprejudiced opinion on how the product will make you succeed or fail quickly - all this with Indian perspective.
Assistance in fine-tuning of Product offerings/ deliverable
Designing documents pertaining to medical process
Review of policy documents
- CI & other riders
Digital sourcing & associated fraud
Pre-filing policy documents to The regulator
Review of policy documents to identify future areas of customer grievance / specific concerns to compliance, legal and claims.
Periodic review of products vis a vis projections at launch and suggest modifications/ other actionable
- Creating/ Evaluating the SOP/ Manual
- Medical matrix
- Establishing end-to-end Claims Manual
- Claims process with levels of escalation
- Decision matrix, as well as
- Amedical adjudication process
We understand the Consumer mindset especially when perpetrating a medical fraud and have used it extensively in establishing our services. It helps improve both the efficiency and effectiveness of your underwriting/ claims decisions.
We empower your team through:
Continuous claims team education
Claims assessment and control
Each claim case undergoes a defined process where the team:
Scrutinizes the claim
Creates a hypothesis
Plans the investigation
Analyses the findings
Makes the final recommendation
Our Services offerings have been structured into
Medical Record Review and Interpretation: Medical records (details furnished at policy issuance, claims and procured during investigations) are reviewed by our Medical team and a summary prepared. Consultation with our physicians/ CEO is also available.
Case Management: We facilitate and direct the investigation of insurance claim or litigation cases. Investigations, work done by outside investigators is reviewed by X-CLAIM team. Large sum cases are handled from intimation stage to analysis, directing/ monitoring investigation to final recommendation and opinion.
Opinions to support repudiation and/ or to justify paying of an early claim.
For details and further info - firstname.lastname@example.org