Insurance Claims Investigation Services Insurers & TPA’s implement on-going monitoring of the claims development and submission process and system. However, many organizations look for the expertise to develop and implement effective monitoring procedures. BPK examine audit findings and assist Insurers & TPA’s with developing and implementing proper controls and monitoring procedures to ensure sustainable compliance with Insurance laws and program billing rules.
Services were delivered by the hospital in compliance with the physician’s plan of treatment. In appropriate situations, professional supplies or follow procedures that are in accordance with established healthcare policies, procedures, or professional standards. Many procedures include items that are not specifically documented in a record but are referenced in medical or clinical policies. BPK will review all these policies and documents as a part of Investigation at Hospital and Insured residence which are required to Insurers and TPA ‘s for finalizing the claims adjudication. BPK is one of the Tech based companies having online system in place and with experienced staff provide the best qualitative and provide the best qualitative Investigation services.
A life insurance claim investigation is an examination conducted to verify the validity of a life insurance claim. The investigation process helps to prevent fraudulent claims and ensures that the beneficiaries receive the correct payout according to the policy terms. The investigation process involves gathering information about the deceased person’s death, including medical records, police reports, and other relevant documents. In this process of Investigations BPK interview the Nominee, witnesses, family members, and friends of the deceased person to gather additional information and submit the report for claim adjudication.
The aftermath of any accident BPK plays a huge role in the claims process by investigating accidental claims and during the investigation BPK will interview the driver and passengers, as well as all witnesses and inspect the vehicle and place of accident to assess the damage and determine incident, also interview the Nominee, friends, relatives also have vicinity check about the incident, injury and collect the medical records regarding its severity and duration. BPK have trained experts in accidental claims investigations to provide qualitative services.
We BPK Global Solutions Pvt Ltd are the specialized first of its kind company that offers one stop shop dedicated services, solutions and consulting on all advanced technologies in Insurance & Assurance Claims Investigation and Allied Services.
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