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Process Stages

Stage 1 - Validation
Stage 2 - Confirmation
Stage 3 - Investigation

   
DigiLog Claims Validation
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Stage 2 Confirmation
 
Objective – Identify the Risk

  • Experienced claims technicians/investigators conduct in-depth but risk-focused interview
      
  • Relevance and robustness of the initial risk evaluation is reassessed
     
  • Any Low-Risk claims swiftly returned to fast-track
     
  • Information enabling the repudiation of fraudulent claims is collected
     
  • Potential fraud managed away by encouraging self-withdrawal or self-adjustment
     
  • Remaining High-Risk claims referred to Stage 3 for further investigation and evidence gathering
 
Stage 1 - Validation Stage 2 - Confirmation Stage 3 - Investigation