In the evolving insurance landscape, mitigating fraud and ensuring legitimate claim settlements are paramount. Aziza provides end-to-end support for insurance companies to verify the authenticity of claims, profiles, and medical documentation, protecting your business from financial leakages.
Verifying a death claim is a sensitive yet critical process. We conduct thorough field investigations to confirm the identity of the deceased, the cause of death, and the authenticity of the death certificate to prevent early-claim fraud.
We validate the personal and professional credentials of policyholders. This includes verifying age, income, and lifestyle habits disclosed during the policy issuance to ensure the risk assessment was based on accurate data.
We investigate workplace accidents to ensure the injury occurred "in the course of employment." We verify medical reports, employer statements, and witness accounts to validate the compensation amount.
Real-time verification at network hospitals to ensure the treatment plan aligns with the policy coverage and prevents inflated billing.
Post-discharge scrutiny of original bills, pharmacy receipts, and diagnostic reports to confirm the legitimacy of out-of-pocket expenses.
This involve verifying if the medical practitioners or pharmacies listed in the claim are legitimate and if the prescribed treatments were actually administered. This helps in identifying "paper-only" claims or fake medical clinics.
We assist in the physical collection of necessary documents directly from the claimant or hospitals, ensuring that original, untampered evidence is secured for the claims team.
We ensure you hire someone with a clean slate.This check enables the agency to dig deeper into an individual’s history and may also involve fetching details from local law enforcing authorities.
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