Insurance Claims Verification
AGON Consult provides a professional one-stop insurance claims verification and investigation service to insurers.
We pride ourselves in our ability to balance effective risk management and investigation with the interests of the insured or brokerage. This implies knowing which claims are legitimate and when and how to say “no” to the insured without losing the client or broker.
What we offer the Insurer:
- Cost ratio of 2:1 (R2 saved for every R1 spent)
- Client-oriented desktop verification of claims incidents
- Full merit investigations
- Quality Assurance Audits of delegated claims handling
- Developing and implementation of corrective measures in the claims settling environment
- Investigating and prosecuting of Insurance company staff for fraud related losses
- Recovery of losses utilising labour, civil and criminal litigation
- Forensic related Policy and Process Development
- We track all claims allocated to us and ensure timely response to our clients
Our proven track record includes the verification and full merit investigation of more than 2000 insurance claims over a two year period with a 200% efficiency cost versus savings ratio for our clients. We saved our clients R2 for every R1 spent on our fees.