INCHES Healthcare

Insurance Domain Management, Medical Domain Management, Risk Management.

Circa 2000 – Insurance industry in India was privatized. The same year INCHES was launched with the knowledge and belief that since a large percentage of decisions in insurance are based on medical insights – be it underwriting or claims, overseas partners entering India would need to refine the processes to suit the Indian scenario. It was further realized that most of insurance professionals managing underwriting and claims are either non-medicos or non-practicing doctors.

About Us

INCHES envisioned to fill the technical gap between need and availability of medical expertise in insurance and today we have an extensive team of medicos (generalists, specialists and super specialists), legal and forensic professionals; a robust IT and analytic department and a team to handle motor third party claims.

With increasing frauds, abuse and internal leakages INCHES fulfils the requirement of in-depth scrutiny of the documents and regularizing processes. Every document is scrutinized closely by the medical and legal team to ensure risk management at policy issuance and prevent non-disclosures; claim management at pay out stage; medico-legal opinions and evidence at legal fora; concurrent audit to assist daily monitoring; retrospective audit to understand the gaps, prevent losses and refine the processes to prevent such incidences in future, etc.; all the services given by INCHES helps address the pain points of the insurance companies and helps ease the pressure with regards to the increasing ICR and claim settlement ratio and thus false pay-outs.
Over 27 years, team has managed 1.12 million specific queries (potential risk in underwriting and admissibility in suspect claims); analyzed over 22 lakh claim cases and manually audited over 1,20,000 claims saving millions of INR to our clients. INCHES has also been a part of over 1200 cases at Ombudsman and other legal fora opined the insurance companies with rational inputs.

To add-on, with tech- driven portals and analytical tools, INCHES has made providing opinions to clients fast and hassle free.

Together we strive towards rationality of claim pay-outs and prevention of frauds, abuse, internal leakages and preventable losses.

Our Value Offerings

INCHES USP – virtual clinical expertise helps insurers decipher medical facts and reports to raise the flags for accurate risk calculation and thus risk mitigation.

Our current team composition in Underwriting is such that almost our entire team comprises doctors. This means non-medical underwriters have immediate referral points when it comes to critical medical inputs. We also have a CMO team consisting of MBBS doctors, who are doing ECG/TMT/Echo/USG/CXR/PFT opinion cases for various companies. CMO’s are also skilled in giving complete medical opinion in accordance with reinsurance manuals and company guidelines. Underwriters have access to these set of CMO’s as well. This only means decision making become even more robust.

Beyond this, there are certain medical conditions & findings where specific rating or guideline is not available. CMO’s judgement & assessment becomes very important in these cases. Underwriters can always check with CMO’s for these cases. This CMO & Underwriter collaboration, saves time, moves business forward fulfilling our zero error promise.

We follow a four eyes approach in underwriting. This means even before recommending for issuance or otherwise decisioning, a second underwriter independently evaluates the case. This is of course for randomly sampled cases.

Our core operational performance indicators includes zero error in them of service quality, maintaining turn around time as for our customer expectation & consistent productivity board and internal standards.

We are ISO 27001: 2013 certified; Complying with all security norms; IS governance, Endpoint security, Application security, Network Security, Vulnerability assessment, Physical Security/ HR security, Version controls and Incident Management.