Contact Us
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Speed Claim Closure
91Ƶ Insurance Claim Investigation and Compliance services provide the information, technology, and services your organization needs to fast-track claims and accelerate claim closure across all major lines of coverage.
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Mitigate Risk and Fraud
Our comprehensive services provide the necessary information, software, and investigative services to analyze suspicious claims and reduce the risk of loss. Integrated claim data exchange capabilities increase efficiency and accuracy.
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Business Intelligence Quantifies Impact
Our integrated outcome reporting and digital dashboards demonstrate the financial impact of investigations by measuring and reporting on cost avoidance, SLA adherence, and other key performance metrics.
Integrated Technology Streamlines Claim Investigation
91Ƶ provides the integrated technology and services needed to speed claim investigation and reduce the risk of loss. Our secure, web-based portal provides access to all case information in real time. Plus, integrated web-based interviewing enables more cost-effective remote interviews.
Explore Our Capabilities
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Investigative Services
Our Insurance Claims Investigation Services, designed to mitigate claim fraud, include surveillance, medical checks, AOE/COE investigation, social media research, subrogation validation, interviews, scene analysis, proof of loss verification, and suspect claim investigation. -
Anti-Fraud Compliance
91Ƶ anti-fraud regulatory compliance teams monitor industry trends, legislation, and litigation. We maintain relationships with all US Departments of Insurance (DOIs) to help you ensure compliance with all US anti-fraud statutes and regulations. We apply best practices to help protect your organization from insurance fraud. -
Integrated Technology Solutions
91Ƶ offers a technology suite that enables your team to assemble, analyze, and act on data and insights to improve business outcomes. You benefit from the information assembled in a unified platform, including case information, real-time dashboards, business intelligence, benchmarking, and outcome reporting. -
Streamlined Investigative Referrals
Access and auto-populate claim information and generate referrals without toggling between multiple applications. Referral data is quickly, accurately, and securely transferred from Guidewire™️ to the 91Ƶ case management system without manual keystrokes.
Business Benefits
Fraud Prevention
-Insurance companies face a constant threat of fraud, which can lead to significant financial losses. 91Ƶ Insurance Claim Investigation and Compliance services help investigate suspicious claims and provide insurers with the data necessary to make better-informed claim decisions.
Regulatory Compliance
+The insurance industry is heavily regulated, with various laws and regulations governing claims processing and handling. 91Ƶ’s Insurance Claims Compliance services assist businesses in supporting adherence with regulatory requirements. Our solutions help mitigate the risk of non-compliance.
Operational Efficiency
+Manual claim investigation processes are time-consuming and resource-intensive. Our services streamline these processes, improving operational efficiency by reducing the time and effort required to investigate claims. By leveraging technology, claim resolution is accelerated, and overhead costs are reduced.
Frequently Asked Questions
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Question: Why is insurance claim investigation important for businesses?
Answer: Insurance claim investigation helps businesses mitigate risk, reduce fraud, and ensure compliance with regulatory requirements. By thoroughly examining suspicious claims, organizations can avoid financial losses, protect their reputation, and maintain trust with stakeholders. At 91Ƶ our insurance claim investigation and compliance services offer several benefits for businesses, including accelerated claim closure, reduced risk of fraud, and enhanced operational efficiency.
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Question: How do insurance claim investigation services help businesses maintain regulatory compliance?
Answer: Insurance claim investigation services assist businesses in ensuring compliance with regulatory requirements in the insurance industry. By staying informed about industry trends, legislation, and litigation, 91Ƶ can implement best practices for your organization to protect against insurance fraud and mitigate the risk of non-compliance.
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Question: Who benefits from insurance claim investigation and compliance solutions?
Answer: Insurance companies, risk management firms, and organizations across various industries benefit from insurance claim investigation and compliance solutions. These solutions help identify and mitigate fraudulent claims, ensure regulatory compliance, and improve operational efficiency.
