BPK Global Solutions is a dynamic organization partnering with a diverse portfolio of insurance companies and businesses of varying scales across the industry. The company is well-equipped to manage complex assignments and deliver customised, high-quality Insurance Claims Investigation services. Through its expertise and structured approach, BPK ensures reliable outcomes that support client's risk assessment, fraud detection, and informed decision-making.
Our team of seasoned professionals combines field intelligence with technology-driven reporting to deliver actionable insights. Every investigation is handled with the highest standards of integrity, confidentiality, and compliance — ensuring that insurers receive accurate, defensible findings within agreed turnaround times.
Health Insurance
Many procedures notified by the hospital in compliance with the physician's plan of treatment or appropriate situations, professional supplies or follow procedures that are in accordance with established healthcare policies, procedures or professional standards. Many procedures include those that are not specifically documented in a record but are referenced in medical or clinical policies.
BPK can refer to all types of claims at different points in time that are subject to the policies and procedures as a part of Investigation or Insured-Led Insurance which are required by Insurers and will only be finalizing the claims adjudication. BPK is one of the first-based companies having active systems in place and with well-experienced staff provides the best qualitative and provides the best qualitative methods to provide qualitative services.
- Cashless & reimbursement claim verification
- Hospital record scrutiny & bill validation
- Field investigation with geotagged evidence
- Fraud detection & suspicious claim flagging
- Real-time status updates via CluNix platform
Life Insurance
A life insurance claim investigation is an examination conducted to verify the validity of a life insurance claim. The investigation process helps to prevent fraudulent claims and ensures that the beneficiary receives the correct payout according to the policy terms. The investigation process involves gathering information about the deceased, includes medical records, witness reports and other relevant documents.
In the process of investigation, BPK reviews the financials, references, field visits, relevant details of the deceased person to gather additional information to prepare a comprehensive report and submit the report for claim adjudication.
- Death claim investigation & verification
- Nominee identity & relationship verification
- Medical history review and hospital record check
- Witness statements and field visits
- Comprehensive investigation report within SLA
Personal Accident Insurance
The aftermath of any accident often plays a huge role in the claims process by investigating accidental claims and driving the investigation. BPK will encounter the minor and questionable as well as the severe and impact the vehicle and place of accident to prove the damage and determine accident. We determine the personal and regional elements of the accident and impact the vehicle and place of accident to prove the damage.
BPK carefully verifies the circumstances regarding the accident and standard. BPK team formed reports of accidental claims investigations to provide qualitative services.
- Accidental death & disability claim verification
- Scene of accident investigation & documentation
- Medical report analysis and injury verification
- Witness interviews and police report review
- Timely and defensible investigation reports
BPK WORKS FOR
Insurers
Partnering with leading insurance companies across India to deliver accurate and timely claim investigation services.
Government Healthcare Agencies
Supporting government health programs with audit and verification services that maintain scheme integrity.
Healthcare Service Providers (TPAs)
Assisting Third Party Administrators with field investigation and documentation to streamline claim processing.
Ready to strengthen your
claims process?
Connect with our team to discuss your investigation requirements and discover how BPK can add value to your operations.