Claims

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 Links

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

Claim Links

• c) Click on the New Claim button to open Claim registration screen. The screen below is opened

Claim Links

• 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.

Claim Links

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.

File:Claims.png

Claim Links

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

Claim Links

Claim Links

• 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

Claim Links

• a)Click on the mail icon

Claim Links

• b)Enter the email address you wish to send

CLAIMS PROCESSING

• Claim Processing includes:

Reserve allocation per peril per item

Claim Reserve

• Click on reserve allocation

Claim Reserve

• Choose the correspondent type
• Choose the liability and liability amount
• Enter the estimate amount

Claim Reserve

• Save

Estimate Revision

Claim Estimate Revision

• Change the amount you wish to revise either downwards or upwards

Claim Estimate Revision

Upload claim Documents

Claim Documents Upload

• Click on the add button to add the suporting documents

Claim Documents Upload

• Upload the claim supporting documents and save the form
• After successful upload it should appear like the image below

Claim Documents Upload

Upload Inspection photos

Claim Documents Upload

• 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 Documents Upload

Claim Response/Discharges

• Click on the highlighted button below

Claim Documents Upload

Acknowledgement letter

• Select an acknowledgement letter from the dropdown and fill the details and save the form

Claim Documents Upload

Cash in lieu

• From the dropdown select cash in lieu and fill in the details highlighted

Claim Documents Upload

Decline letter

• Select decline letter in the dropdown and fill the details highlighted

Claim Documents Upload

Total Loss Acceptance Letter

• Select total loss acceptance from the dropdown and fill in the details highlighted

Claim Documents Upload

Repair Authority

• Select repair authority from the dropdown

Claim Documents Upload

• 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

Claim Documents Upload

Appoint Claimant

• Click on button labelled Appoint claimant

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

Claimant Bank Details

• Upon saving the claimant the appointed claimant should appear in the tab for claimant as per the screenshot below

Claim Documents Upload

Raise Claim Requisition

• Click on the button as per the screenshot below

Claim Requisition Button

• Fill in the details detailed in the form

Claim Requisition Form

• After submitting the form a requisition number will be generated.
• Navigate to the tab claim req as per the below screenshot then click on the doc button to fill the requisition document details:

Claim Requisition Tab

• Fill in the detail for the requisition supporting documents then select a user whom you want to escalate the document to for approval

Claim Requisition Escalate To

• 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

Claim Requisition on User Inbox

• Re-escalate requisition

• Click on the escalate button as below

Re-escalate Requisition

• Select a user to escalate to

Escalate To User

• Authorize and approve requisition

• Click on the approve button as per the screenshot below;

Authorize and Approve Requisition

• 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

Authorize and Approve Requisition

• Navigate to the claim requisition tab and click on docs

Authorize and Approve Requisition

• Click on the eye icon shown below

Authorize and Approve Requisition

• Click on the add button to add the relevant taxes for that supporting document

Authorize and Approve Requisition

• Select The tax type and tax code and save the details as shown below

Authorize and Approve Requisition

• Upon adding a tax , the tax details should appear on the taxes below

Authorize and Approve Requisition

view raised requisition

Authorize and Approve Requisition

Authorize and Approve Requisition

Checking of Requisition

Authorize and Approve Requisition

• Click on the requisition you wish to check under the check requisition tab

Authorize and Approve Requisition

• Click on the check requisition button to check the requisition

Authorize and Approve Requisition

• Enter the expected payment date and save the form

Authorize a requisition

Authorize and Approve Requisition

• Click on the authorize requisition tab
• Click on the requisition you wish to authorize

Authorize and Approve Requisition

• Click on authorize requisition and save the details of the form

Authorize and Approve Requisition

Close Claim File

• Revise first the estimates to zero for the remaining reserves
• Click on the close claim file button as shown below

Close Claim Button

• Fill in the detail for the form and hit save

Close Claim Reason

Re-open claim file

• Click on the highlighted button below

Close Claim Reason

• Escalate the request for approval

Close Claim Reason

• User who has been escalated to will receive a notification in mail and in turn will view the request in the application inbox

• Click on take action then click on the re-open claim file to approve the request

Close Claim Reason

• Approve the request

Close Claim Reason

• Upon approval the claim file will be automatically re-opened

Updating Claims Diary

• Navigate to the claims details tab and click on the highlighted button

Close Claim Reason

• Click yes on the row which the claims processing has processed

Close Claim Reason

• Save the form
• Navigate to the print docs tab
• Click on the print claim diary button to print the claim diary

Close Claim Reason

Legal Processing

• Legal Summon

• Click on legal button
• Select legal summon in the dropdown

Legal Summon Button

• Fill in the summon details provided

Summon Details

• Upon saving the details navigate to the legal summon tab to view the summoning details

Summon Tab

• View summon details
• Update the court stage
• Update judgement details

• Legal recoveries

• Navigate to the legal button and select recoveries

Recoveries Button

• Fill in the details for the recovery in the form and save

Recoveries Form

• 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

Claim Excess Processing Button

• Click on the add salvage button

Claim Excess Processing Button

• Select a non-motor item

Claim Excess Processing Button

• Select the claim number
• Add the detail of the salvage you wish to sell and save

Claim Excess Processing Button

Excess Processing

• Click on the excess processing button;

Claim Excess Processing Button

• Choose the excess type and choose what the excess will be based on as per the screenshot below

Excess Based-On

• Upon successful submission of the form navigate to the excess tab

Excess Tab

• Debit the excess amount

Excess Debit Form

Liability Admission

• Click on the liability button as per the screenshot below;

Liability Admission Button

• Fill in the details form for the liability admission

Liability Admission Form

Salvage a Third-Party Vehicle

• Click on the add salvage button.

Liability Admission Form

• Select the third party in the drop down

Liability Admission Form

• Choose the third party Vehicle in the dropdown

Liability Admission Form

Direct sale

• Select the salvage direct sale button

Liability Admission Form

• Select The identification number
• Choose the category you wish to sell to and save the details

Liability Admission Form

• Generate a debit note for the buyer for Finance to Receipt

Write off a vehicle

• Click on the salvage vehicle button

Liability Admission Form

• Save the form

Liability Admission Form

• A modal will appear for doing a salvage of the vehicle

Liability Admission Form

• Fill in the details in the form here and save
• Upon saving navigate to the salvage enquiry menu to view the salvage vehicle

Liability Admission Form

Claim Response/ DV

Click on button named claim response/dv as per the below screenshot

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

Claim Response/DV Type

• 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

Claim Documents Upload

• 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

Salvage Enquiry

• Click on the mail icon

Salvage Enquiry

• 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

Stolen Vehicle Update

SALVAGE ENQUIRY

• a) Click on the Salvage Enquiry link to access Salvage processing page as shown below.

Salvage Enquiry

Salvage Enquiry

• b) Click on the Create Tender button to create a tender and add vehicles in the created tender as shown below.

Create Tender