Claims verification and processing is a critical function for insurance companies in terms of customer retention, service quality, operations costs and profitability. Long processing cycles, poor service quality and faulty claims processing can damage business and reputation for insurance companies.

We have experienced professionals all over Tamil Nadu in the insurance industry, specialists in investigating suspect fraudulent claims & claimants.

We provide outsourcing for three major types of Insurance & particular specialist in - Health, Life and General.

HEALTH INSURANCE

Salient Solutions’ health insurance claims processing team consists of people who have experience in various claims issues like nature of health problems, disease management lifecycle and claims scenario resolution.

Claims investigation and processing is mainly dependent on the information provided by the claimant, we ensure that the claimant provides necessary and complete information.

The information collected as below is then processed by the team

  • Proposal form
  • Age proof
  • Claim forms
  • Case – Sheets

  • On the basis of this information our team investigates various facts related to the health of the assured. Analyzing the assureds’ history and records with hospitals, pharmacies and general practitioner or specialists helps in verifying the claim in an objective manner.

    GENERAL INSURANCE

    Salient Solutions offers verification and outsourcing processing solutions to the General Insurance Sector. At present with the ever growing menace perception and mandatory insurance requirements for assets like motor vehicles, travel, mortgage house loan etc, and more assets are being insured.

    Hence it is imperative for General Insurance Companies to ensure that claims verification and processing is accurate, quick and cost effective

    The information collected as below is then processed by the team

  • Proposal form
  • Asset ownership proof
  • First information report / Police diary or event note
  • Claim forms
  • Case – Sheets
  • Cross check the accident details provided by the claimant
  • Accident Spot investigation along with photographs
  • Documents & records for the asset
  • Purpose and Intent
  • Ownership & parties involved
  • Damage Identification
  • Police station enquiry
  • Neighborhood enquiry
  • Determine the cause of claim & reporting the same


  • LIFE INSURANCE

    Salient Solutions has a team of skilled professionals form a central team which analyses the legal and medical reports of the claimants to ensure correctness and detect any fraud or purposeful misrepresentation. Ours Life Insurance Verification and Process Outsourcing Solutions Services protect Life Insurers' interests by advising them about the correctness of each and every claim.

    The various documents collected are:

  • Proposal form
  • Age proof
  • Death Certificate
  • Claim forms
  • Case – Sheets

  • Medical history of the assured and the family is collected with special focus on any untimely deaths in the family.

    We verify the following:

  • Cause of Death/Accident
  • Whether the claimant is Bonafide
  • All legal and medical documents submitted are examined for authenticity to avoid any manipulation or fraud