Insurance Claim Processing, Insurance Claims Processing Service India

Insurance Claim Processing

Stream Perfect Global Services (SPGS) offers specialized Insurance Claim Processing, leveraging dedicated infrastructure and domain expertise to handle your data with the utmost professionalism. Our team possesses in-depth knowledge of the insurance laws specific to each country, ensuring that all processes adhere to relevant regulations. We engage closely with clients to discuss process modalities and implementation methodologies tailored to their needs.

Implementation Phase

During the implementation phase, we approach each claim form with great care and responsibility. Comprehensive reports are prepared and submitted to clients to aid in decision-making.

General Process Flow

Our claim processing generally follows these customizable phases:

Phase 1: Document Collection

Insurance documents are gathered in various formats, including scanned copies, faxes, PDFs, spreadsheets, or native formats from claim processing applications.

Phase 2: Image Rectification

Common issues with scanned images are rectified using both automated tools and manual techniques to ensure readiness for processing.

Phase 3: Claim Type Identification

We identify the type of claim form using in-house methods, including barcode scanning.

Phase 4: Data Capture

All relevant data is captured from the claim form, including customer-provided information and barcodes.

Phase 5: Quality Assurance

This critical phase is managed by our dedicated QA team, ensuring all processed data meets our high standards of accuracy.

Phase 6: Delivery Format Preparation

We prepare the final deliverables, ensuring all relevant information is included.

Phase 7: Delivery to Client

The completed deliverables are securely transmitted to clients via electronic media, utilizing secure FTP or preferred file formats.

Types of Claims Processed

SPGS efficiently processes a variety of insurance claim forms, including:

HCFA Processing (HCFA1500)
UB92/Uniform Billing (HCFA1450)
Motor Insurance Claims
Home Insurance (Building and Content)
Commercial Fleet Claims
Commercial Property Claims
Workers’ Compensation
Compulsory Third Party/Bodily Injury
Life Insurance Processing
Mortgage Claim Processing
Insurance Claim Adjuster Services
Insurance Claim Settlement
Long-Term Care Insurance
Disability Insurance
Health Insurance Hospitalization Claims
Dismemberment Claims
Death Claims
Dental Insurance Claims
Critical Illness Claims
Uniform Billing Health Insurance Claim (UB) Forms
Dismemberment Claim Form Processing

Why Choose SPGS for Insurance Claim Processing?

1. Expertise
With over 13 years of experience in Insurance Claim Processing Services, SPGS has established itself as a trusted provider in the industry.

2. Efficiency
Our state-of-the-art technology platforms, combined with our experienced and trained resources, facilitate a proven process flow that enhances efficiency.

3. Accuracy
We ensure that claims are honored for the correct claimant and amounts as per policy terms, preventing duplication and fraud. Our accuracy level ranges from 99.95% to 100%.

4. Quick Turnaround Time
We process claims within 24 to 48 hours, ensuring timely resolutions.

5. Cost-Effectiveness
Our expertise translates into cost savings for your organization, proving that quality services do not have to come at a high price.

6. Data Security
SPGS is ISMS Certified (ISO 27001:2013), having invested in robust technological infrastructure that is meticulously maintained to prevent downtime and safeguard all information and procedures.

By outsourcing your insurance claim processing tasks to SPGS, you gain access to our dedicated professionals around the clock. This significantly reduces the pressure on your workflow and regular operations.