Claim Investigation
(การสืบสวนคดีเคลม)
Definition
Claim Investigation (การสืบสวนคดีเคลม) Hard Skill
The process of examining and verifying insurance claims or other types of claims to determine their validity and ensure proper resolution.
Expertise Level
Level 1
Basic
1. Understands the basic claim investigation process.
2. Can collect and document relevant claim information.
3. Follows standard procedures for initial claim review.
Level 2
Intermediate
1. Can conduct detailed investigations to verify claims.
2. Analyzes evidence and identifies discrepancies or fraudulent activities.
3. Coordinates with relevant parties such as claimants and experts.
Level 3
Advanced
1. Leads complex claim investigations and resolves disputes.
2. Utilizes advanced investigative techniques and tools.
3. Provides expert recommendations and prepares detailed investigative reports.
