• o Insurance fraud investigators don’t just work in the office. When our team is off-site conducting an interview, activity check or site visit, it can be hard for them to collaborate with other investigators or update their case file. We do use mobile-friendly, web-based platform allows field investigators to receive cases as intimation, do proper audit of those cases from anywhere. Investigations won’t wait to share updates, and finding.
• o This technology, including internal CMS (Claim Management Software) will capture data/information and related documents from receiving a case till closure and further analysis.

Training Department will impart knowledge of Anti-Fraud Policy of the organization on a regular basis, as may be required. The Heads of the Dept. at the corporate office shall be receptive to all new joinee to make them tremendous training of inhouse & on -field activities and shall take follow up every month. Management shall ensure that every employee is informed about the same. Else employee shall be subject to disciplinary action, including the termination of their employment, if the employee fails to cooperate in an investigation, or deliberately provides false information during an investigation. Any employee of the Company making a report in good faith, can do so in the knowledge and confidence that the Board of Directors of the company will ensure that the act will not lead to the employee facing any recrimination, punishment or victimization.

To give real service you must add something which cannot be bought or measured with money, and that is sincerity and integrity.” “Two important things are to have a genuine interest in people and to be kind to them

• o Taking a proactive approach to insurance fraud investigations results in lower fraud risk and higher recoveries. Be notified early and take action before risk escalates, while removing subjective decision-making from the process. Automated risk scoring allows VIS, and it’s clients, to model the risk profile and enable scoring based on easy-to-understand questions which helps to create workflow rules, such as notifications and task creations, based on risk scores.

The Nodal Officer in Corporate office shall ensure effective implementation of the anti-fraud policy of the company and shall also be responsible for the following:

• Coordinating with the clients on identified fraud and secure necessary oral/documentary evidence
• Liaise to take innovation against suspicious stake holders and how they are involved to run a nexus
• Creating awareness among employees / intermediaries / policy holders to counter insurance frauds.
• Furnishing various reports on frauds to the Authority as stipulated in this regard; and
• Furnish periodic reports to the client for its review

• Hunting for case information, evidence and documents in multiple locations can slow an investigation down. VIS provides a centralized database for all case information. Teams can upload audio and video files, images, supporting documents, notes and more, with a log of who did what and when. Cases stay on track; data is secure and with strong documentation of the investigative activity.
• The company shall furnish the statistics on various fraudulent cases which come to light and action taken thereon shall be filed with the Authority