Case StudiesReduced Health Claim Investigation Cycle Time by 65% for a Prominent General Insurance Company

July 26, 20210

The Challenge

A Prominent General Insurer in India was seeking to implement a Mobile App to enable investigation of claims emanating from Mass / State sponsored Health Insurance schemes. The customer had engaged multiple third party agencies all over the country to carryout investigation. Managing huge volumes of investigations across multiple investigation agencies was a challenge often leading to delays in claim processing.

The Solution

iNube leveraged its flagship RMAD platform called AppsLive which has built in capabilities to create a Mobile App for any on-field activity. An Android Mobile App was custom built to manage Health Claims Investigations. A front-end integration with the claims processing application provided a mechanism to create, assign & track claim Investigation cases.
Investigators digitally capture Claim Details, Hospital Details, Nurse Details, Patient Details
Investigators captured evidence and important artefacts in the form of Images, Audio / Video clips with geo-coordinates
Claim cases assigned to specific investigation agencies that were mapped region-wise
Investigation reports auto-compiled in customized formats

Value Delivered

Successfully conducted investigations in remote areas with no data connectivity (offline data capture)
Improved Data Accuracy and Reliability – real-time digital tamper-proof evidences

Investigations carried out till date using the Health Claims Investigation Mobile App​


Reduction in Health Claims Investigation Cycle Time

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