Regulatory Compliance articles

Regulatory ComplianceClaim Defensibility India: 3 Elements Behind Rs 30,000 Cr Repudiations

Rs 30,000 crore in health claims rejected yearly. The 3 elements of claim defensibility in India make underwriting decisions hold up before IRDAI audits.

2025-04-25

Regulatory ComplianceEvidence-Backed Underwriting in India: 19% Claim Rejection Spike in FY24

Evidence-backed underwriting improves fraud detection by over 30%. The shift from opinion-based to document-sourced decisions changes everything for NSTP cases.

2025-04-25

Regulatory ComplianceHealth Insurance Audit Readiness India: 2.57 Lakh Grievances in FY25

Health insurance audit readiness in India requires continuous evidence trails. With 2.57 lakh grievances in FY25, every NSTP decision must be audit-ready at issuance.

2025-04-25

Regulatory ComplianceIRDAI Audit Trail for NSTP: Rs 30,000 Cr Claims Rejected in FY25

54% of ombudsman complaints relate to health insurance. Most NSTP decisions lack a defensible IRDAI audit trail. Build one with 62 automated checks.

2025-04-25

Regulatory ComplianceUnderwriting Explainability in India: 62 Checks That Trace to Source

Underwriting explainability requires every AI flag to trace to a specific document line. 61% of insurers have governance policies but lack verifiable evidence trails.

2025-04-25

Regulatory ComplianceUnderwriting Transparency India: 41% Grievance Spike Ends Black-Box NSTP

44% of insurers say governance gaps caused AI failures. Underwriting transparency in India demands every flag, source, and line be visible to auditors.

2025-04-25

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