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Prepared with the intention to deceive, conceal or distort relevant information that eventually accounts for health care benefits for an individual or a particular group is defined as a fraudulent health insurance claim. Frauds can be committed by anybody –by a policyholder, a healthcare provideror even its employees. Frauds committed by a policyholder could consist of members that are not eligible, concealment of age, concealment of pre-existing diseases, failure to report any vital information, providing false information regarding self or any other family member, failure in disclosing previously settled or rejected claims, frauds in physician’s prescriptions, false documents, false bills, exaggerated claims etc Frauds by Healthcare Provider or its employees include preparation of bogus claims by fake physicians, billing for products or services not rendered, exaggerated claims submission, billing prepared for higher level of services, modifications or alterations made in submission of claims, change in diagnosis of the patient, fake documentation, and fraud committed by the employees of a hospital or any other healthcare product/service provider in order to make a quick buck. Fraudulent and dishonest claims are a major threat to Health Insurance providers in Indian, as they not only cause financial losses, but also sometimes lead to delays in payouts of genuine health claims. Hence, the Health Insurance sector is turning to large outsourced Insurance Claim investigators such as CRP Technologies, over the past decade. CRP Technologies boasts of a national presence, and the ability to investigate claims, collect and evaluate documents, and help the Insurer sift through genuine vs fake claims quickly. Concrete proof as evidence including documentation, statements made by the policyholder and his family members and even neighbors are taken into consideration. According to a recent survey it is estimated that the number of false claims in the industry is approximately 15 per cent of total claims. The report suggests that the healthcare industry in India is losing approximately Rs 600-Rs 800 crores incurred on fraudulent claims annually. In the words of Mr Hitesh Asrani, Director of CRP Technologies, “In order to make health insurance a viable sector, it is essential to eliminate or minimize fake claims.” http://crp-technologies-india-ltd.blogspot.in http://crptechnologiesindialtd.wordpress.com http://crp-technologies-india-ltd.tumblr.com http://crptechnologiesindialtd.blog.com https://www.facebook.com/CRPTechnologiesIndiaLtd https://twitter.com/CRPTechnologies https://plus.google.com/u/0/112556012481533644693 http://www.pinterest.com/CRPTechnologies/ http://www.youtube.com/user/CRPTechnologiesIndia https://vimeo.com/crptechnologiesindialtd http://www.dailymotion.com/neverused5

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  • 1.Service Offerings Talent crunch in a global work environment have made Employee Background Check & Pre-Employment Screening indispensable to building a professionally ethical workforce. The very basis of productivity and growth, an employee is also the upholder of a companys reputation and goodwill. On the other side, an employee (on rolls or contractual) can be a major people risk to a company. Therefore, hiring right and determining the authenticity of information provided by a prospective employee is a necessity for any business. CRP understands the criticality of hiring process in reducing people risk for a company. Through our Employee Background Check & Pre- Employment Screening services we provide companies with comprehensive solutions in the recruiting domain that are customized, cost-effective, and add tangible value to their business chain.

2. CRP Background Screening Trends: Rely on our experience Hyderabad, Delhi & Bangalore are the 3 highest contributors to negative reports during a background check. Forged Documents/Certificates constitute 50% of negative reports while certificates from fake or non-existent institutions constitute 18% of all negative reports within Education Checks. Misrepresented tenure (30%), exaggerated salaries (27%) and wrong reasons for leaving (15%) constitute three highest areas of discrepancies amongst Previous Employment Checks. More than 55% of negative reports on Address Check are those where the candidate simply does not even reside 3. Employee Background Checks Talent crunch in a global work environment have made Employee Background Check & Pre-Employment Screening indispensable to building a professionally ethical workforce. The very basis of productivity and growth, an employee is also the upholder of a companys reputation and goodwill. On the other side, an employee (on rolls or contractual) can be a major people risk to a company. Therefore, hiring right and determining the authenticity of information provided by a prospective employee is a necessity for any business. CRP understands the criticality of hiring process in reducing people risk for a company. Through our Employee Background Check & Pre-Employment Screening services we provide companies with comprehensive solutions in the recruiting domain that are customized, cost-effective, and add tangible value to their business chain. 4. At CRP, we have built an Indian and MNC client list of marquee names across IT & ITES, BFSI, Manufacturing, Retail, Pharmaceuticals and Services. Banking on our seasoned team of professionals, support staff and all-India network of branches, our clients are assured of professional expertise and excellent service delivery. Some key facets make CRP the ideal background screening partner for a host of large corporates. Our two decades of experience, all India network and updated database system have led to strong information integrity offerings to all our clients. 5. Risk Services Globalisation, increasing regulatory requirements and the evolving nature of fraudsters has significantly re-defined the nature of risks faced by organizations. It has been further complicated through technology-based developments like online and data security concerns. Consequently, Risk Management has transformed from a reactive process to a function that is integral to pro-active decision making and business strategy. CRP has over the past decade developed experience in risk management across industries. CRPs understands the socio- political and business environment and help clients incorporate risk management in all engagements. Our Risk Management practice enables clients manage risk effectively, from the boardroom to the shop floor. Protecting organisational value through risk mitigation is the central tenant of CRPs risk management approach. Our services not only enable clients to identify, quantify and assess risk, but embed control systems into every aspect of people, process, and technology and knowledge management. 6. CRPs Risk Management professionals not only quantify risk but also help clients enhance the reliability of systems, processes and people throughout the organisation. Our people, backed by high-end technology tools and proprietary knowledge are equipped to deliver innovative risk solutions. Most Indian insurance companies have leveraged on CRPs Operations Risk Service to improve efficiencies through an active risk management program. Our services have enabled insurers to devise and implement risk and compliance programs that manage unforeseen outcomes and mitigate the impact of known risks. CRP has the distinction of having the most comprehensive service suite targeted to add unprecedented value the Indian Insurance Industry. 7. CRP Secure One of the key challenges for the employee screening process in India is the lack of centralized, digitized databases, as well as the lack of any unique single identifier for individuals. This makes it impossible for any business to get an early snapshot of its prospective employees. Without such a view, a Corporate is unable to design an effective Risk Management strategy covering risks related to its employees. The current manual system of phone calls, emails/fax verifications of employment history is causing a significant strain on the already pressured Human Resource Departments. With the high attrition rates and continued rapid growth of employee base, this issue will remain. The current timelines of 3-4 weeks also adds to the risk of employing a bad hire. The solution is to have a pre- employment screening process where details are available online and on-the-spot hiring decisions can be made. 8. As one of the leaders in the employee screening space, we at CRP took it upon ourselves to create a platform which would pave the way for a more efficient future. CRP SECURE is the result of our passion & consistent efforts to build a game changer for the industry. CRP Secure is CRPs centralized secure hosted database, which is accessed by approved users to verify claimed employment and education of individuals of member companies. It is an automated real-time service that provides employment and education verification in the most accurate method possible. It offers secure and convenient access to employment and education details required for background screening purposes. Current Users of CRP SECURE Use is restricted to only authorized personnel of Member Companies and Users (Background Screening companies). The database is available to organizations who have entered into an agreement to contribute and search potential employee data for the purpose of screening applicants. Member companies direct Background Screening companies 9. Managed Branches CRP Managed Branch Services offers clients a low-cost model for enhancing their branch and distribution footprint across India. With our Managed Branch services, clients can simply move into a ready to use office, at minimal capital expenditure, and on a crunched set-up timeframe. There are multiple benefits of using our Managed Branch network : Expand your distribution footstep without getting into an expensive, capital-intensive structure, which locks up cash in the form of deposits, etc. Keep the option open of scaling up to a full-fledged branch at a later stage. Based on business experience in that area / geography / town, you can simply decide to scale up, or even scale down in some cases Low exit barriers. Since there is minimal capital expenditure by your organisation, it would be easy, and simple to close down in an unprofitable location, if required. 10. Convert capital expenditure into operating expenditure. CRP provides the option of not investing any money in capital assets at the time of setting up the branch. We convert the capital expenditure into monthly operating expenditure, through our leased assets program. Allows your business teams to focus on sales and business delivery in new locations, rather than on the administrative / support functions involved in setting up a new branch. The all India CRP network provides the base for us to cater to any locations where your organization requires an office CRPs biggest strength is its national footprint. By national coverage, we mean not just metro cities, or Tier 2 cities, we have the ability to cover almost any location, across all Indian states. We have demonstrated our ability to rapidly set up branches across 10 States , even in towns with populations as small as 10,000 people. Theres never been a better time. A CRP Managed Branches solution will work for you TODAY because it is the smart way for your organization to set up a large-scale branch network. 11. CRP Technologies India Ltd 12. Finish