Since last more than a decade, Expert Medicolegal Consultancy
(EMC) is practicing INSURANCE MEDICINE and providing all the much needed
help to the insurance companies as regards the medical aspects of insurance,
both life and general.
We believe that medical science is the basis for providing fair and
accurate pricing, underwriting of applications and claim service.
Our focus is to provide services involving the science of risk selection,
underwriting and claims for life, disability and long term care. We
also provide liaison and speakers to the public, arbitration and advocacy
to the insurers and to other organizations.
We serve as advisors for underwriting and consultants for claims
and disability management. Other roles include pre-insurance health
check ups, TPA audits of the settled claims, Hospital infrastructure
audit, verification of the admissions for cashless on day to day
basis, medical and actuarial research, claim investigations, underwriting
guideline development, and as professional liaison to the insurance
community and regulatory agencies.
Expert Medicolegal Consultancy (EMC) believes that medical science
which is a science involved in births, lives, deaths, accidents,
disabilities (congenital or otherwise), suicides, homicides, is
the basis for the practice of insurance medicine. The knowledge
about the Illnesses i.e. Origin –Progression of the Diseases,
their Complications and most relevant in Insurance Perspective-
The Proximate Cause of the Disease. EMC also is well aware of the
ways and means adopted by not only the doctors and hospitals but
also the associated agencies of insurers which eats into the interests
of the chief insurer. We believe that EMC must use medical science
to support the insurance industry in providing fair and accurate
pricing, underwriting and claims service for the insurers.
EMC believes that our services will continue to play a unique and
valuable role by integrating the science of medicine with the business
of insurance. We will continue to support this role to help ensure
that the public receives the optimum value that insurance products
can bring, along with the fair and ethical consideration that each
individual deserves. We harbour strong domain knowledge of the trends,
changes, customs, current practices & mindset which are evident
in the Healthcare and associated sectors.
The “MEDICOLEGAL” term used in our name has been deliberately
used to distinguish ourselves from any other agency claiming to
be providing services to the insurance company, as we also deal
with not only the medical, forensic investigations but also the
legal aspects of insurance. We can assure of it, because we, the
directors of EMC, ourselves are involved in providing services to
this sector by virtue of our post graduate qualifications in Forensic
Medicine, Investigations as well as law and experience of over a
decade and a half in the field of insurance.
EMC directors and coordinators have held critical and influential
positions within most of the major government hospitals in India,
as well as in neighboring countries. EMC insists that all their
coordinators and associates carry out their duties with state of
the art medical, clinical, forensic investigative and medicolegal
knowledge, with awareness of the business and regulatory environment
and with understanding of the ethical standards that they must model
and uphold. |