Qualitative claim auditing

{
  "id": "MLC-T-INS-002775",
  "term": "Qualitative claim auditing",
  "field": "Insurance and risk management",
  "definition": "An assessment of the non-numerical aspects of insurance claims processing, focusing on the quality of service, adherence to procedures, and fairness of decisions. This type of audit evaluates factors such as communication with policyholders, accuracy of documentation, and compliance with regulatory requirements. It often involves reviewing claim files and interviewing staff to identify areas for improvement in claims handling practices.",
  "url": "https://mlchart.com/terminology/insurance/qualitative-claim-auditing/"
}