Claims Avoidance

Claims avoidance refers to strategies used by insurers to identify and prevent fraudulent or exaggerated claims, or claims that are not eligible for coverage. It involves reviewing and scrutinizing claims carefully to ensure they comply with policy terms and are legitimate. The goal is to detect false, inflated, or unnecessary claims early, thereby reducing unnecessary payouts and managing costs. Claims avoidance helps maintain the integrity of the insurance system, ensuring that resources are allocated fairly and accurately to valid claims.