From evidence to outcomes

Analyse. Validate.Recover.

Fraud analysis, evidence validation and recovery support for insurers and claims administrators.

Two claim integrity professionals reviewing documents and connected case evidence

One accountable workflow

Suspicion is not a case. A case is not a recovery.

Identifying an unusual claim is only the beginning. Evidence, decisions, stakeholder engagement and recovery need one accountable workflow.

Eviqora connects analysis with practical case action while preserving client authority, confidentiality and human judgement.

Two focused service verticals

Review the signals, build the evidence and carry approved cases through to a documented outcome.

Fraud analysis

Turn claim data into review-ready cases

We examine claims and supporting information to identify inconsistencies, unusual patterns and connected activity.

Claim screening

Rules and pattern-led review across claim, bill, document and timeline data.

Linkage analysis

Connections across policyholders, providers, intermediaries and related claims.

Risk prioritisation

Cases ordered by evidence strength, exposure and review readiness.

Case preparation

Findings, evidence, open questions and recommended next actions in one file.

Typical output

A prioritised case file with findings, evidence, open questions and recommended next actions.

Recovery and collection

Pursue validated recoveries with discipline

For client-approved cases, we support documented, respectful engagement with policyholders, providers, intermediaries and other relevant parties.

Case viability and documentation review

Policyholder, provider and counterparty communication

Negotiation and repayment coordination

Payment reconciliation and closure reporting

Typical output: a clear activity trail covering outreach, responses, agreed actions, amounts received and unresolved issues.

Recovery coverage across India

We work through teams and established local partners across major Tier 1 cities. Tier 2 and Tier 3 locations are supported case by case, based on access, urgency and case viability.

Field and legal support

Local field teams and legal professionals can be engaged where an approved recovery strategy requires on-ground action or counsel.

Formal authority coordination

Where relevant, we support liaison with local law enforcement authorities through documented, client-approved and lawful channels.

A human reviewer guiding claim receipts and documents through a structured validation pathway

Technology enablement

A proprietary platform behind every review

The Eviqora platform validates receipts, organises claim documentation and evaluates outcomes in one consistent, traceable workflow.

Receipt validation

Checks completeness, duplicates and consistency across submitted receipts and bills.

Document validation

Structures supporting files and highlights mismatches, missing evidence and timeline issues.

Outcome evaluation

Captures findings, review decisions and final case disposition for analysis and reporting.

Technology accelerates review. People retain judgement.

A clear path from referral to resolution

Each handoff is visible. The client retains final decision authority throughout.

01
Scope
Agree criteria, data access, decision rights and escalation routes.
02
Review
Examine claims, documents, relationships and recovery readiness.
03
Validate
Present findings for client review and authorised decisions.
04
Act
Begin approved investigation support or recovery activity.
05
Report
Share status, evidence, recoveries and closure outcomes.

Controls built around sensitive work

Claims can contain personal, financial and medical information. Every engagement is scoped around necessity, accountability and human judgement.

Minimum necessary access

Data access is limited to the agreed purpose, people and case scope.

Human validation

Indicators are reviewed before any outreach, escalation or case decision.

Traceable activity

Evidence, communications, approvals and outcomes stay documented.

Respectful conduct

Recovery activity follows authorised routes and non-coercive communication.

Brand-safe engagement

Agents are trained in interpersonal communication, de-escalation and brand-aligned conduct to protect trust and support positive NPS outcomes.

Client-ready records

Interactions, commitments and follow-ups are documented, retained within the agreed case record and provided to the client as required.

Support that fits your operating model

Start with one case, a defined claim set or an ongoing workstream.

Case referral

Review or recover selected high-priority cases.

Portfolio review

Screen a defined claim set and prioritise cases for action.

Managed workflow

Provide ongoing support under agreed controls and reporting rhythms.

Special review

Examine a provider, policyholder group or emerging fraud pattern.

Questions before the first case

Clear responsibilities matter when analysis, outreach and recovery meet.

Confidential introduction

Bring us the case. We will help structure the next step.

Share the challenge, current evidence and desired outcome. Do not include personal or sensitive claim information, or case documents, in your first email.

Email hello@eviqora.in