CLAIMS MANAGEMENT
End-to-End
CLAIMS MANAGEMENT
Hakeem Med is proud to present our customers with a comprehensive claims management solution that covers the entire claim cycle. As a renowned industry leader, we have leveraged advanced automation techniques to optimize our claims processes. Our use of proven rule engines has a focus on remarkable gains in efficiency, performance, and cost containment.
We are licensed to administer, adjudicate and process medical claims in the country for:
- Medically Insured population
- Self-financing portfolio on behalf of the employer/insurers
- Self-financing government portfolios.
Our focus on Claims Management:
- Processing Claims (Administrative, Medical & Financial)
- Claims Payment and Settlement
- Fraud, Waste, and Abuse (FWA) Detection & Management
- Claims Appeals
- Claims Escalations & Dispute Resolution
- Claims recoveries and reconciliations
- Utilization Review and Management
- Complaint, grievance & communication
- Data Management and Reporting
- Health Risk Management and Wellness Programs (Self-funded portfolios)
- Chronic Disease Management (Self-funded portfolios)
- Claims Regulatory Compliance
- Reinsurance Management
- Strategic Claims Cost Containment Services