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Insurance Fraud

A news item in a leading newspaper on 29.2.22 must have shocked many readers. Knowing that the fraud really occurs is one thing; but knowing the magnitude is another thing! This Rs 100 crore a day……

Stress management in JFM! – Part 2

Is Underwriting as a stressful job? This question has been doing rounds for quite some time & we thought it’s the right time to take a deep dive into this subject. In Indian Context, the best way……

Stress Management in JFM! – Part 1

Stress is any demand (physical or mental) that is placed on our body. Stress is a state of anxiety produced when events and responsibilities threaten to exceed one’s coping abilities. Both Major……

Demystifying Medical Coding

COVID 19, a global pandemic, will go down in history as one of the deadliest disasters of the modern era. As of December 2021, 280 million people have been victims of this notorious virus, out of……

Another JFM!! So what else is new?

We have survived two years of the COVID 19 pandemic. In the last two years, we all have made drastic changes to our everyday lifestyles and how we go about doing things. As soon as we feel the……

Why External Medical Audit Is Mandatory for Health Insurers?

A survey conducted by Kroll and Internal Audit Foundation, concluded “80% of Internal Auditors face barriers while getting Involved in Fraud Risks Management”; this applies as much to health…….

Case Study #3

In a global context, whenever we talk about Life Insurance Underwriting, inadvertently the focus is on medical underwriting. In some markets, the aspects of group underwriting or High Net worth……

Case Study #2

As, Covid Pandemic has resulted in mass sufferings and pains to the masses; for the insurance sector it has generated massive revenue loss. The losses were compounded by fraud and abuse perpetrated……

Case Study #1

Dengue has been a debatable topic w.r.t. a mosquito bite being considered accident and many policies overseas exclusively cover infections due to mosquito bites under a special clause in PA policies. …