For TPAs
Independent claim audits with regulatory rigor.
From single-claim audits to white-glove enterprise integration, BimaHaq's audit framework spots fraud, defends decisions, and reduces litigation exposure.
What we offer
Services tailored for you
On request
Single Claim Audit
Independent audit of any disputed claim file.
- Documentation completeness
- Policy compliance
- Defensibility opinion
On request
Bulk Audit — Starter
Volume audits for mid-size TPAs.
- Monthly batch processing
- Standard report templates
- Quality dashboards
On request
Bulk Audit — Growth
Higher throughput with deeper analysis.
- Anomaly detection
- Senior auditor review
- Quarterly trend report
Custom
Bulk Audit — Enterprise
White-glove integration into your claim workflow.
- API + SFTP intake
- Embedded auditors
- Litigation hand-off
On request
Litigation Risk Audit
Pre-litigation review for files at risk of consumer forum complaints.
- Risk score
- Defence kit drafting
- Witness brief
What we look for
Every audit covers six dimensions
Documentation completeness
Policy compliance
Regulatory compliance
Claim defensibility
Fraud indicators
Process deviations
Ready to move forward?
Talk to a BimaHaq specialist. We will tell you, in plain English, whether your case is worth fighting and what it will take.