Difference between revisions of "Claims"
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==CLAIMS ENQUIRY== | ==CLAIMS ENQUIRY== | ||
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* a) To view and search for Raised claims | * a) To view and search for Raised claims | ||
* b) On the General Business menu click on the claims enquiry menu where you can search for the claim using the claim number. | * b) On the General Business menu click on the claims enquiry menu where you can search for the claim using the claim number. | ||
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===Send Acknowledgement letter through Email=== | ===Send Acknowledgement letter through Email=== | ||
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[[File:Picture24.png|600px|thumb|center|Claim Links]] | [[File:Picture24.png|600px|thumb|center|Claim Links]] | ||
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==CLAIMS PROCESSING== | ==CLAIMS PROCESSING== | ||
* Claim Processing includes: | * Claim Processing includes: | ||
| − | === Reserve | + | === Reserve Allocation per peril per item === |
| − | [[File: | + | * Click on Reserve Allocation |
| + | |||
| + | |||
| + | [[File:claim1.png|600px|thumb|center|Claim Reserve]] | ||
| − | |||
[[File:Picture28.png|600px|thumb|center|Claim Reserve]] | [[File:Picture28.png|600px|thumb|center|Claim Reserve]] | ||
| + | |||
* Choose the correspondent type | * Choose the correspondent type | ||
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* Enter the estimate amount | * Enter the estimate amount | ||
| − | [[File: | + | [[File:claim2.png|600px|thumb|center|Claim Reserve]] |
| − | * Save | + | * click Save |
| − | === | + | === Revise estimate=== |
| − | [[File: | + | [[File:claim3.png|600px|thumb|center|Claim Estimate Revision]] |
* Change the amount you wish to revise either downwards or upwards | * Change the amount you wish to revise either downwards or upwards | ||
| − | [[File: | + | [[File:claim4.png|600px|thumb|center|Claim Estimate Revision]] |
| − | === Upload claim Documents=== | + | ===Documents required for claim processing=== |
| + | |||
| + | |||
| + | ====Upload claim Documents==== | ||
| − | [[File: | + | [[File:claim5.png|600px|thumb|center|Claim Documents Upload]] |
| − | * Click on the add button to add the | + | * Click on the add button to add the supporting documents |
| − | [[File: | + | [[File:claim6.png|600px|thumb|center|Claim Documents Upload]] |
* Upload the claim supporting documents and save the form | * Upload the claim supporting documents and save the form | ||
* After successful upload it should appear like the image below | * After successful upload it should appear like the image below | ||
| − | [[File: | + | [[File:claim7.png|600px|thumb|center|Claim Documents Upload]] |
=== Upload Inspection photos === | === Upload Inspection photos === | ||
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* From the dropdown select cash in lieu and fill in the details highlighted | * From the dropdown select cash in lieu and fill in the details highlighted | ||
| − | [[File: | + | [[File:claim8.png|600px|thumb|center|Claim Documents Upload]] |
=== Decline letter === | === Decline letter === | ||
| − | * Select decline letter in the dropdown and fill the details highlighted | + | * Select decline letter in the dropdown and fill in the details highlighted |
[[File:Picture38.png|600px|thumb|center|Claim Documents Upload]] | [[File:Picture38.png|600px|thumb|center|Claim Documents Upload]] | ||
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* Select total loss acceptance from the dropdown and fill in the details highlighted | * Select total loss acceptance from the dropdown and fill in the details highlighted | ||
| − | [[File: | + | [[File:claim9.png|600px|thumb|center|Claim Documents Upload]] |
=== Repair Authority === | === Repair Authority === | ||
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* Select repair authority from the dropdown | * Select repair authority from the dropdown | ||
| − | [[File: | + | [[File:claim10.png|600px|thumb|center|Claim Documents Upload]] |
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:::*Choose bank details if they are not automatically updated | :::*Choose bank details if they are not automatically updated | ||
| − | [[File: | + | [[File:claim11.png|600px|thumb|center|Claimant Bank Details]] |
:::*Upon saving the claimant the appointed claimant should appear in the tab for claimant as per the screenshot below | :::*Upon saving the claimant the appointed claimant should appear in the tab for claimant as per the screenshot below | ||
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===Raise Claim Requisition=== | ===Raise Claim Requisition=== | ||
| − | *Click on the button | + | *Click on the raise requisition button |
| − | [[File: | + | [[File:claim12.png|600px|thumb|center|Claim Requisition Button]] |
| − | *Fill in the details | + | *Fill in the details of the form |
| − | [[File: | + | [[File:claim13.png|600px|thumb|center|Claim Requisition Form]] |
| − | + | *Upon successful save the doocument details should appear here: | |
| − | |||
| − | * | ||
[[File:Picture12.png|600px|thumb|center|Claim Requisition Tab]] | [[File:Picture12.png|600px|thumb|center|Claim Requisition Tab]] | ||
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*Select taxable as Yes | *Select taxable as Yes | ||
| − | [[File: | + | [[File:claim14.png|600px|thumb|center|Authorize and Approve Requisition]] |
* Navigate to the claim requisition tab and click on docs | * Navigate to the claim requisition tab and click on docs | ||
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[[File:Picture46.png|600px|thumb|center|Authorize and Approve Requisition]] | [[File:Picture46.png|600px|thumb|center|Authorize and Approve Requisition]] | ||
| − | |||
===view raised requisition=== | ===view raised requisition=== | ||
| − | [[File: | + | [[File:claim15.png|600px|thumb|center|Authorize and Approve Requisition]] |
| − | |||
| − | |||
===Checking of Requisition=== | ===Checking of Requisition=== | ||
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* Click on the check requisition button to check the requisition | * Click on the check requisition button to check the requisition | ||
| − | [[File: | + | [[File:claim16.png|600px|thumb|center|Authorize and Approve Requisition]] |
* Enter the expected payment date and save the form | * Enter the expected payment date and save the form | ||
| − | ===Authorize | + | ===Authorize A requisition=== |
| − | [[File: | + | [[File:claim53.png|600px|thumb|center|Authorize and Approve Requisition]] |
* Click on the authorize requisition tab | * Click on the authorize requisition tab | ||
* Click on the requisition you wish to authorize | * Click on the requisition you wish to authorize | ||
| − | [[File: | + | [[File:claim54.png|600px|thumb|center|Authorize and Approve Requisition]] |
* Click on authorize requisition and save the details of the form | * Click on authorize requisition and save the details of the form | ||
| − | [[File: | + | [[File:claim55.png|600px|thumb|center|Authorize and Approve Requisition]] |
===Close Claim File=== | ===Close Claim File=== | ||
| − | * | + | *First you need to revise any estimates to zero if any then click on the highlighted button |
*Click on the close claim file button as shown below | *Click on the close claim file button as shown below | ||
| − | [[File: | + | [[File:claim41.png|600px|thumb|center|Close Claim Button]] |
| − | *Fill in the detail for the form and | + | *Fill in the detail for the form and save it |
| − | |||
| − | |||
| + | [[File:claim42.png|600px|thumb|center|Close Claim Reason]] | ||
===Re-open claim file=== | ===Re-open claim file=== | ||
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*Click on the highlighted button below | *Click on the highlighted button below | ||
| − | [[File: | + | [[File:claim45.png|600px|thumb|center|Close Claim Reason]] |
| + | * upon Button click, below modal screen display | ||
| + | * Fill in the details | ||
| + | [[File:claim46.png|600px|thumb|center|Close Claim Reason]] | ||
| − | * | + | *Upon approval the claim file will be automatically re-opened |
| − | + | ===Register Service Provider invoices=== | |
| − | [[File: | + | *Navigate the highlighted menu below |
| − | + | [[File:claim47.png|600px|thumb|center|Close Claim Reason]] | |
| − | * | + | *Click on the add button to book a new invoice and fill the details |
| − | + | [[File:claim48.png|600px|thumb|center|Close Claim Reason]] | |
| − | * | + | [[File:claim49.png|600px|thumb|center|Close Claim Reason]] |
| + | *Upon successful registration you will be redirected to another page where you will proceed to upload the invoice documents | ||
| + | [[File:claim50.png|600px|thumb|center|Close Claim Reason]] | ||
| − | [[File: | + | ===Addition of Third_Party Claimants Enquiry=== |
| + | *Select the highlighted menu | ||
| + | *Click on the add button to register a claimant/third party claimant details | ||
| + | [[File:claim51.png|600px|thumb|center|Close Claim Reason]] | ||
| − | * | + | ===Claim Reports=== |
| − | + | *Click on the Reports->claim reports menu | |
| − | [[File: | + | [[File:claim52.png|600px|thumb|center|Close Claim Reason]] |
| − | |||
| − | |||
===Updating Claims Diary=== | ===Updating Claims Diary=== | ||
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:::*Select legal summon in the dropdown | :::*Select legal summon in the dropdown | ||
| − | [[File: | + | [[File:claim19.png|600px|thumb|center|Legal Summon Button]] |
| − | :::*Fill in the | + | :::*Fill in the details on the for below |
| − | [[File: | + | [[File:claim20.png|600px|thumb|center|Summon Details]] |
| − | :::* | + | :::*Navigate to the legal tab to view the form details |
| − | + | [[File:claim21.png|600px|thumb|center|Summon Tab]] | |
| − | [[File: | ||
:::*View summon details | :::*View summon details | ||
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:::*Update judgement details | :::*Update judgement details | ||
| − | + | === Legal recoveries === | |
| − | :::* | + | :::*Fill the datails on the form and save it |
| − | [[File: | + | [[File:claim22.png|600px|thumb|center|Recoveries Button]] |
| − | :::* | + | :::*View thedatails on the Recovery Tab where a user can generate a debit note for recovery |
| − | [[File: | + | [[File:claim23.png|600px|thumb|center|Recoveries Form]] |
*Debiting Claim recovery | *Debiting Claim recovery | ||
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*Navigate to salvage enquiry menu | *Navigate to salvage enquiry menu | ||
| − | [[File: | + | [[File:claim34.png|600px|thumb|center|Claim Excess Processing Button]] |
*Click on the add salvage button | *Click on the add salvage button | ||
| − | [[File: | + | [[File:claim35.png|600px|thumb|center|Claim Excess Processing Button]] |
*Select a non-motor item | *Select a non-motor item | ||
| − | [[File: | + | [[File:claim36.png|600px|thumb|center|Claim Excess Processing Button]] |
*Select the claim number | *Select the claim number | ||
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| − | [[File: | + | [[File:claim37.png|600px|thumb|center|Claim Excess Processing Button]] |
===Excess Processing=== | ===Excess Processing=== | ||
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*Click on the excess processing button; | *Click on the excess processing button; | ||
| − | [[File: | + | [[File:claim24.png|600px|thumb|center|Claim Excess Processing Button]] |
| + | *Capture the exce you wish from the dropdown and click on save | ||
| − | + | [[File:claim25.png|600px|thumb|center|Excess Based-On]] | |
| − | + | *Navigate to the excess tab where you will have a view of the excesses raised for that policy | |
| − | |||
| − | |||
| − | * | + | * Additionally, when debit button is click, it generate a debit note |
| − | [[File: | + | [[File:claim26.png|600px|thumb|center|Excess Tab]] |
===Liability Admission=== | ===Liability Admission=== | ||
| − | *Click on the liability button | + | *Click on the liability Admission button |
| + | [[File:claim27.png|600px|thumb|center|Liability Admission Button]] | ||
| − | + | *upon the click on the liability admission button, fill in the form and save | |
| − | + | [[File:claim28.png|600px|thumb|center|Liability Admission Form]] | |
| − | [[File: | + | ===Third-Party Vehicle=== |
| + | *Navigate to the third-party claims menu. | ||
| + | *Click on the add button to add a third-party vehicle | ||
| + | [[File:claim29.png|600px|thumb|center|Liability Admission Form]] | ||
| − | ===Salvage a | + | ===Salvage a Third_Party Vehicle=== |
*Click on the add salvage button. | *Click on the add salvage button. | ||
| − | [[File: | + | [[File:claim38.png|600px|thumb|center|Liability Admission Form]] |
*Select the third party in the drop down | *Select the third party in the drop down | ||
| − | [[File: | + | [[File:claim39.png|600px|thumb|center|Liability Admission Form]] |
*Choose the third party Vehicle in the dropdown | *Choose the third party Vehicle in the dropdown | ||
| − | [[File: | + | [[File:claim40.png|600px|thumb|center|Liability Admission Form]] |
| − | ===Direct | + | ===Direct Sale=== |
*Select the salvage direct sale button | *Select the salvage direct sale button | ||
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*Click on the salvage vehicle button | *Click on the salvage vehicle button | ||
| − | [[File: | + | [[File:claim30.png|600px|thumb|center|Liability Admission Form]] |
*Save the form | *Save the form | ||
| − | [[File: | + | [[File:claim31.png|600px|thumb|center|Liability Admission Form]] |
*A modal will appear for doing a salvage of the vehicle | *A modal will appear for doing a salvage of the vehicle | ||
| − | [[File: | + | [[File:claim32.png|600px|thumb|center|Liability Admission Form]] |
*Fill in the details in the form here and save | *Fill in the details in the form here and save | ||
*Upon saving navigate to the salvage enquiry menu to view the salvage vehicle | *Upon saving navigate to the salvage enquiry menu to view the salvage vehicle | ||
| − | [[File: | + | [[File:claim33.png|600px|thumb|center|Liability Admission Form]] |
| + | |||
| + | ===Claim Response / DV=== | ||
| − | |||
Click on button named claim response/dv as per the below screenshot | Click on button named claim response/dv as per the below screenshot | ||
[[File:Picture23.png|600px|thumb|center|Claim Response/DV]] | [[File:Picture23.png|600px|thumb|center|Claim Response/DV]] | ||
| − | * | + | *Navigate to the claim responses/DV tab |
| − | * | + | |
| + | *All the letters and discharges issues in the system will appear here where a user can print the discharges and send them to clients | ||
*Select the type of discharge/ letter you want to issue | *Select the type of discharge/ letter you want to issue | ||
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*Choose the person you want to escalate the dv to and click submit | *Choose the person you want to escalate the dv to and click submit | ||
| + | |||
*User shall get a notification in their mail to inform them on taking the necessary action for approving the Discharge voucher/ letters | *User shall get a notification in their mail to inform them on taking the necessary action for approving the Discharge voucher/ letters | ||
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*From the screenshot above : | *From the screenshot above : | ||
| − | 1 | + | |
| − | 2 | + | 1 Button for approving the DV/letter |
| − | 3 | + | |
| + | 2 Re-escalation for the dv/letter | ||
| + | |||
| + | 3 Printing of the letter | ||
=== Send Acknowledgement letter through Email=== | === Send Acknowledgement letter through Email=== | ||
Latest revision as of 12:56, 11 November 2024
Contents
- 1 CLAIMS PROCESS
- 2 CLAIM REGISTRATION
- 3 CLAIMS ENQUIRY
- 4 CLAIMS PROCESSING
- 4.1 Reserve Allocation per peril per item
- 4.2 Revise estimate
- 4.3 Documents required for claim processing
- 4.4 Upload Inspection photos
- 4.5 Claim Response/Discharges
- 4.6 Acknowledgement letter
- 4.7 Cash in lieu
- 4.8 Decline letter
- 4.9 Total Loss Acceptance Letter
- 4.10 Repair Authority
- 4.11 First Recovery loss letter
- 4.12 Appoint Claimant
- 4.13 Raise Claim Requisition
- 4.14 Add Requisitions Taxes
- 4.15 view raised requisition
- 4.16 Checking of Requisition
- 4.17 Authorize A requisition
- 4.18 Close Claim File
- 4.19 Re-open claim file
- 4.20 Register Service Provider invoices
- 4.21 Addition of Third_Party Claimants Enquiry
- 4.22 Claim Reports
- 4.23 Updating Claims Diary
- 4.24 Legal Processing
- 4.25 Legal recoveries
- 4.26 Salvage non-motor items not in a schedule
- 4.27 Excess Processing
- 4.28 Liability Admission
- 4.29 Third-Party Vehicle
- 4.30 Salvage a Third_Party Vehicle
- 4.31 Direct Sale
- 4.32 Write off a vehicle
- 4.33 Claim Response / DV
- 4.34 Send Acknowledgement letter through Email
- 5 STOLEN VEHICLES
- 6 SALVAGE ENQUIRY
CLAIMS PROCESS
Claims sub system caters for the registration and settlement of claims with the production of statistics as one of the important end results. It provides for setting of estimates, payments of claims, recording of recoveries (through excesses etc.), stolen vehicles registration, Salvage processing and automatic recoveries from treaties. The claims subsystem thus links Underwriting, reinsurance and accounts subsystems.
CLAIM REGISTRATION
1.Motor Claim
- a) Click on the Client link to access clients listing. Search and select client details
- b) On the Policy listing page select a policy for which to register a claim. This opens the policy detail page as shown below
- c) Click on the New Claim button to open Claim registration screen. The screen below is opened
- d) Confirm the policy number in the Policy No field and select an endorsement that will be used for the claim registration.
- e) Input the loss details and press the Save button to submit. On successful submission, a Claim number is automatically generated and redirects to claim processing page for further actions.
CLAIMS ENQUIRY
- a) To view and search for Raised claims
- b) On the General Business menu click on the claims enquiry menu where you can search for the claim using the claim number.
Raise an acknowledgement letter
- a) Upon successful save, User will first be required to issue an acknowledgement letter
- b) A modal will appear where the user will be tasked to select an acknowledgement letter
- 4)select the discharge/letter type as acknowledgement letter in the dropdown, input a reference then go ahead and type in the acknowledgement letter and save it
Send Acknowledgement letter through Email
- a)Click on the mail icon
- b)Enter the email address you wish to send
CLAIMS PROCESSING
- Claim Processing includes:
Reserve Allocation per peril per item
- Click on Reserve Allocation
- Choose the correspondent type
- Choose the liability and liability amount
- Enter the estimate amount
- click Save
Revise estimate
- Change the amount you wish to revise either downwards or upwards
Documents required for claim processing
Upload claim Documents
- Click on the add button to add the supporting documents
- Upload the claim supporting documents and save the form
- After successful upload it should appear like the image below
Upload Inspection photos
- Move to the inspection photos tab
- Click the add button and upload the photos
- Upon successful upload they should appear in the table as shown
Claim Response/Discharges
- Click on the highlighted button below
Acknowledgement letter
- Select an acknowledgement letter from the dropdown and fill the details and save the form
Cash in lieu
- From the dropdown select cash in lieu and fill in the details highlighted
Decline letter
- Select decline letter in the dropdown and fill in the details highlighted
Total Loss Acceptance Letter
- Select total loss acceptance from the dropdown and fill in the details highlighted
Repair Authority
- Select repair authority from the dropdown
- If the repair is for TP click on repair for third party then select the third party registration no linked to this claim
First Recovery loss letter
- Select the recovery letter from the dropdown
- Chose the insurer/broker
- Type the letter
Appoint Claimant
- Click on button labelled Appoint claimant
- Select the correspondent type from the drop down
- Choose the claimant name you want to appoint
- Select the corresponding liability with the liability item
- Choose bank details if they are not automatically updated
- Upon saving the claimant the appointed claimant should appear in the tab for claimant as per the screenshot below
Raise Claim Requisition
- Click on the raise requisition button
- Fill in the details of the form
*Upon successful save the doocument details should appear here:
- Fill in the detail for the requisition supporting documents then select a user whom you want to escalate the document to for approval
- Upon submitting the form an email will be sent to the user. Notification will appear in the user’s inbox as well where they’ll need to take action on it
- Re-escalate requisition
- Click on the escalate button as below
- Select a user to escalate to
- Authorize and approve requisition
- Click on the approve button as per the screenshot below;
- Enter the payment expected date
- Select the payment mode
- Choose the debit and credit accounts
- Add some comment in the text area
- Click on the auth & approve button
Add Requisitions Taxes
- Select taxable as Yes
- Navigate to the claim requisition tab and click on docs
- Click on the eye icon shown below
- Click on the add button to add the relevant taxes for that supporting document
- Select The tax type and tax code and save the details as shown below
- Upon adding a tax , the tax details should appear on the taxes below
view raised requisition
Checking of Requisition
- Click on the requisition you wish to check under the check requisition tab
- Click on the check requisition button to check the requisition
- Enter the expected payment date and save the form
Authorize A requisition
- Click on the authorize requisition tab
- Click on the requisition you wish to authorize
- Click on authorize requisition and save the details of the form
Close Claim File
- First you need to revise any estimates to zero if any then click on the highlighted button
- Click on the close claim file button as shown below
- Fill in the detail for the form and save it
Re-open claim file
- Click on the highlighted button below
- upon Button click, below modal screen display
- Fill in the details
- Upon approval the claim file will be automatically re-opened
Register Service Provider invoices
- Navigate the highlighted menu below
- Click on the add button to book a new invoice and fill the details
- Upon successful registration you will be redirected to another page where you will proceed to upload the invoice documents
Addition of Third_Party Claimants Enquiry
- Select the highlighted menu
- Click on the add button to register a claimant/third party claimant details
Claim Reports
- Click on the Reports->claim reports menu
Updating Claims Diary
- Navigate to the claims details tab and click on the highlighted button
- Click yes on the row which the claims processing has processed
- Save the form
- Navigate to the print docs tab
- Click on the print claim diary button to print the claim diary
Legal Processing
- Legal Summon
- Click on legal button
- Select legal summon in the dropdown
- Fill in the details on the for below
- Navigate to the legal tab to view the form details
- View summon details
- Update the court stage
- Update judgement details
Legal recoveries
- Fill the datails on the form and save it
- View thedatails on the Recovery Tab where a user can generate a debit note for recovery
- Debiting Claim recovery
- Upon registering a recovery
- Navigate to the recovery tab
- Click on the debit button to debit the recovery
Salvage non-motor items not in a schedule
- Navigate to salvage enquiry menu
- Click on the add salvage button
- Select a non-motor item
- Select the claim number
- Add the detail of the salvage you wish to sell and save
Excess Processing
- Click on the excess processing button;
- Capture the exce you wish from the dropdown and click on save
- Navigate to the excess tab where you will have a view of the excesses raised for that policy
- Additionally, when debit button is click, it generate a debit note
Liability Admission
- Click on the liability Admission button
- upon the click on the liability admission button, fill in the form and save
Third-Party Vehicle
- Navigate to the third-party claims menu.
- Click on the add button to add a third-party vehicle
Salvage a Third_Party Vehicle
- Click on the add salvage button.
- Select the third party in the drop down
- Choose the third party Vehicle in the dropdown
Direct Sale
- Select the salvage direct sale button
- Select The identification number
- Choose the category you wish to sell to and save the details
- Generate a debit note for the buyer for Finance to Receipt
Write off a vehicle
- Click on the salvage vehicle button
- Save the form
- A modal will appear for doing a salvage of the vehicle
- Fill in the details in the form here and save
- Upon saving navigate to the salvage enquiry menu to view the salvage vehicle
Claim Response / DV
Click on button named claim response/dv as per the below screenshot
- Navigate to the claim responses/DV tab
- All the letters and discharges issues in the system will appear here where a user can print the discharges and send them to clients
- Select the type of discharge/ letter you want to issue
- Choose the person you want to escalate the dv to and click submit
- User shall get a notification in their mail to inform them on taking the necessary action for approving the Discharge voucher/ letters
- From the screenshot above :
1 Button for approving the DV/letter
2 Re-escalation for the dv/letter
3 Printing of the letter
Send Acknowledgement letter through Email
- Click on the mail icon
- Enter the email address you wish to send
STOLEN VEHICLES
Claims Registered where vehicles have been marked as Stolen are updated in this page. After a vehicle has been recovered, recovery details are updated in this section
SALVAGE ENQUIRY
- a) Click on the Salvage Enquiry link to access Salvage processing page as shown below.
- b) Click on the Create Tender button to create a tender and add vehicles in the created tender as shown below.


