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Health Claim Surveyors
Health Claim Surveyors
V Trace Solutions LLP's logo

Health Claim Surveyors

Madhu Mitha's profile picture
Posted by Madhu Mitha
0 - 5 yrs
₹1L - ₹5L / yr
Mumbai
Skills
Client Servicing
tpa executive
investigation
Surveyor
Investigate suspicious insurance claims, including those that are suspected to have stemmed from fraud, criminal activity, arson, falsified documents, or unnecessary medical procedures. Consult hospital records. Consult with physicians to get expert evaluation. Examine photographs and statements. Listen to or watch audio or video surveillance. Record data and statements in report. Obtain background information on claimants and witnesses using a universal database. Access personal information and identify Social Security numbers, aliases, drivers license numbers, addresses, phone numbers, criminal records, and past claims histories. Search for previous cases of fraud. Visit claimants to obtain oral statements. Inspect facilities and determine if doctors hold proper licenses and certifications. Perform surveillance work to determine if a claimant is performing rigorous activity that would rule out injuries in workers compensation claim. Take photos and document suspicious activity. Report all activity to insurance company for final determination. Testify in court cases when claimant is accused of fraud.
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Shubham Vishwakarma

Full Stack Developer - Averlon
I had an amazing experience. It was a delight getting interviewed via Cutshort. The entire end to end process was amazing. I would like to mention Reshika, she was just amazing wrt guiding me through the process. Thank you team.
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About V Trace Solutions LLP

Founded :
2016
Type :
Services
Size :
20-100
Stage :
Profitable

About

V Trace is a pure play background screening & Due Diligence service company. While background screening is our core competence, we aim to be the world's leading providers of compliance and background screening services. Founded in Pune in January 2016 with branch offices in Mumbai we help public and private sector organizations detect fake documents, employment certificates, practice licenses, passports and work permits, ensuring that the professionals they hire are legitimate and qualified.

V Trace is committed to providing you with solutions developed on the basis of industry best practices and an intrinsic knowledge of the screening environment prevalent in the region. we verify the qualifications and legal status of professionals serving your organization pre-and post-hire, enabling you to make fact-based decisions and take corrective measures where necessary.

With over 45 years' of cumulative experience in the area of intelligence, investigations, background screening & due diligence we have cultivated skills and processes that guarantee the highest levels of information integrity as well as time and cost-efficient results for our clients.
 

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Shubham Vishwakarma's profile image

Shubham Vishwakarma

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