Fastest Health Insurance cashless claim (30 mins) settlement in India Qorus Innovation in Insurance Awards 2016

Submitted by

Max Bupa

Premium
21/04/2016 Insurance Innovation
Max Bupa acknowledges the fact that claims adjudication is not just a transaction, but a reflection of what we stand for – Fairness and SEVABHAV. This is the best in the industry claims settlement wherein industry average is 2-4 hours.
Innovation details
Country
India
Category
Claims Management
Keyword
Health insurance, Claims management

Innovation presentation

In a country like India where the penetration of health insurance is still limited and the awareness of disclosing predefined ailments at the time of insurance proposal stage is very low, the fact that – “Would I get the claim at the time of claim submission?” is the first question that any Indian asks when choosing the health insurance company. The insurance industry has evolved from the days of reimbursement-based claim settlement by the public insurers to cashless insurers in approved hospitals. One very crucial area is the claim authorization process. A fast and speedy claims delivery will surely bring better experience for customers. We at Max Bupa, not just stand true to this promise we make with our policy holders but also realize that it’s about personal experience that our policy holders go through during any hospitalization. In our relentless journey towards exemplar service and our strong customer listening post, we soon felt that our 4 hours guarantee of cashless approval during our inception needs to be reduced. We questioned every step of the process and every data point entered in our systems to eliminate waste and took a stand to give this cashless approval in 30 minutes flat. The “30 minutes to claim” process when applied in health insurance domain is a unique opportunity for claims system vendors who can offer systems and applications with a high level of flexibility and automation. A committed partner, helping customers’ live healthier and more successful lives, our fair and process driven approach has helped us deliver extraordinary customer service over the past four years.

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