+91 83310 71077
mailus@verifisure.com
Hyderabad-Telanagana.

We Provide professional Investigation Insurance Services

Life Insurance

Health Insurance

Home Insurance

Vehicle Insurance

Business Insurance

Property Insurance

Health Insurance Investigation

Cashless Claims
  • On-site patient verification during hospitalization
  • Identity & accommodation verification
  • Report submission within 24 hours
Reimbursement Claims
  • Complete hospital records collection
  • Cross-checking paid bills & treatment
  • Field verification with doctors & hospital staff
  • Detection of inflated bills & fraud indicators
  • PED checks & line-of-treatment validation
  • Medical Officer scrutiny with final conclusions
Health Insurance Investigation

Motor Accident Claims – MACT

01
Document Collection

Crime and vehicle documents collected from Police Stations and Courts.

02
Field Interviews

Interviews with insured owner, driver, petitioners and witnesses.

03
Verification

Age, income, dependents, injury and hospitalization validation.

04
Assessment

Job nature, employment loss period, disability and present condition.

05
Legal Review

Legal Officer scrutiny with clear recommendations.

Specialized Claims Investigation

Personal Accident

Verify genuineness of accident, proximate cause of death, disability percentage and loss of employment.

Workmen Compensation

Determine cause during course of employment, site visits, employer & colleague interviews and police verification.

Cattle Insurance

No Tag – No Claim verification, ear tag validation, shed hygiene check and multiple insurance detection.

Fire & Theft

Incident reconstruction, CCTV and police record checks, insured negligence assessment and Fire Station verification.

Comprehensive Investigation System

People Interviewed
  • Patient & relatives
  • Doctors & pharmacists
  • Police & witnesses
  • Employer & colleagues
  • Neighbours & others
Places Visited
  • Hospital & residence
  • Accident spot & workplace
  • Police Station
  • Pharmacy & labs
  • Other relevant locations
Documents Collected
  • Medical & ICP records
  • FIR, MLC, postmortem
  • ID & legal certificates
  • Income & bank records

Fraud Detection Indicators

Health Claims
  • Unusual acute admission patterns
  • Diagnosis vs treatment mismatch
  • Documentation inconsistencies
  • Abnormally high billing
  • No geo-correlation between facilities
Legal / PA Claims
  • Age or employment misstatement
  • Fake disability certificates
  • Inflated or fake hospital bills
  • Inconsistent proximate cause
  • Concealed multiple policies