Health Insurance Claim Specialists

Stop Letting Insurance Companies Dictate Your Outcome.

ClaimNinja audits, files, escalates, and pushes medical insurance claims to closure with technical precision.

Get Claim Help Partner With ClaimNinja

We Control the Entire Claim Lifecycle.

Insurance claims fail not because of policy coverage but because of execution gaps. ClaimNinja eliminates those gaps through structured audit and escalation control.

Before Admission

Policy coverage validation
Sub-limit and exclusion analysis
Co-pay and deductible clarity

During Hospitalization

Pre-authorization drafting
Query response management
Billing-document alignment

Final Discharge

Final bill reconciliation
Approval acceleration
Discharge clearance coordination

Reimbursement & Appeals

Filing reconstruction
Rejection gap analysis
Structured escalation

If recovery is possible, we pursue it.

Most Claims Fail Due to Technical Errors.

Incorrect diagnosis coding
Missing discharge documentation
Billing inconsistencies
Waiting period oversight
Pre-authorization mismatch
Policy clause misinterpretation

We audit against these risks before submission.

When Delays Happen, We Escalate.

1 Level 1 – TPA Claims Desk

2 Level 2 – Insurance Relationship Manager

3 Level 3 – Senior Claims Authority

4 Level 4 – Grievance Officer

5 Level 5 – Ombudsman Preparation Support

We do not wait. We escalate.

Built for Structured Claim Execution Across India

Pan-India servicing model Centralized audit desk Dedicated case handling structure Structured insurer coordination Success-fee alignment ensures performance

Who We Work With

All major insurance companies
All TPAs
Network and non-network hospitals
Fleet operators across India

If your claim is stuck within the insurance ecosystem, we intervene.

Disciplined Execution Benchmarks

Structured pre-authorization timeline

Same-day query drafting

Where documentation is complete.

Defined escalation trigger windows

Transparent status updates

Serving Policyholders Across India

ClaimNinja operates pan-India through centralized audit operations and structured insurer coordination.

Frequently Asked Questions

Can you help if my claim is already rejected?

Yes. We conduct a technical review, identify documentation or clause gaps, and structure a re-submission with escalation support.

Do you guarantee claim approval?

No. We do not guarantee outcomes. We ensure structured filing, compliance, and disciplined escalation.

Do you charge upfront fees?

No. We operate on a success-fee model. We earn when recovery happens.

Can you help after hospital discharge?

Yes. We support reimbursement claims, partial settlements, and rejected cases.

Do you work across India?

Yes. ClaimNinja operates pan-India through centralized audit and insurer coordination systems.