Misrepresentation Check
Every early claim checked against the signed application, each undisclosed fact cited to its record.
Why it matters
When a life policy has a claim inside the contestable period, or a motor policy shows a hidden garaging address, examiners chase records for weeks to compare them with the application.
How the solution handles it
Agents read the signed application, gather medical, prescription and loss records, compare every answer with what the records show and track the contestable window. They draft a cited brief; the claims examiner decides, with counsel, whether any answer was material.
How an early claim moves
Five agents read the application, gather records, check every answer, track the contestable window and draft the brief; a claims examiner decides and signs.
What it reads, and what it hands back.
What goes in
- Signed application and interview answers
- Attending physician statements and medical records
- Prescription and lab history
- Motor vehicle and prior-loss reports
- KYC and address records
What comes out
- Cited misrepresentation brief
- Answer-by-answer comparison
- Contestable-window clock
- Records request log
Who uses it
The difference, in numbers.
Every figure is labelled: a target the solution is built to, an estimate, a typical published result, or a proven one.
“Target” = design goal, measured in the live solution · Contestability: typical US 2-year clause; India Insurance Act 1938 §45 (3 years, as amended 2015) · agents = the live solution’s configuration
5 specialist agents. One person decides.
More in this division.
Every fraud referral scored and explained in minutes, so investigators open the files that matter first.
Document TamperingEvery invoice, photo and receipt checked for edits and reuse before money moves, each finding marked on the page.
Investigation FileEvery SIU case becomes one cited file — timeline, statements, findings — ready for counsel or the fraud bureau.
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for your team.
We’ll show Misrepresentation Check running on your own documents.