Claims

CLAIMS PROCESSING

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

• 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

• f) Claim Processing includes:

i. Reserve allocation per peril per item

Claim Reserve

ii. Estimate Revision

Claim Estimate Revision

iii. Claim Documents upload

Claim Documents Upload

iv. Appoint Claimant

• Click on button labelled Appoint claimant

[[File:|600px|thumb|center|Claim Documents Upload]]

• 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

[[File:|600px|thumb|center|Claim Documents Upload]]

v. Raise Claim Requisition

Click on the button as per the screenshot below

[[File:|600px|thumb|center|Claim Documents Upload]]

Fill in the details detailed in the form

[[File:|600px|thumb|center|Claim Documents Upload]]

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:

[[File:|600px|thumb|center|Claim Documents Upload]]

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

[[File:|600px|thumb|center|Claim Documents Upload]]

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

vi. Close Claim File

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

[[File:|600px|thumb|center|Claim Documents Upload]]

Fill in the detail for the form and hit save

[[File:|600px|thumb|center|Claim Documents Upload]]

vii. Legal Processing

• Legal Summon

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

[[File:|600px|thumb|center|Claim Documents Upload]]

• Fill in the summon details provided

[[File:|600px|thumb|center|Claim Documents Upload]]

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

[[File:|600px|thumb|center|Claim Documents Upload]]

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

• Legal recoveries

• Navigate to the legal button and select recoveries

[[File:|600px|thumb|center|Claim Documents Upload]]

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

[[File:|600px|thumb|center|Claim Documents Upload]]

• Debiting Claim recovery

• Upon registering a recovery
• Navigate to the recovery tab
• Click on the debit button to debit the recovery

viii. Salvage Vehicle

ix. Excess Processing

• Click on the excess processing button;

[[File:|600px|thumb|center|Claim Documents Upload]]

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

[[File:|600px|thumb|center|Claim Documents Upload]]

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

[[File:|600px|thumb|center|Claim Documents Upload]]

• Debit the excess amount

[[File:|600px|thumb|center|Claim Documents Upload]]

x. Liability Admission

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

[[File:|600px|thumb|center|Claim Documents Upload]]

• Fill in the details form for the liability admission

[[File:|600px|thumb|center|Claim Documents Upload]]

xi. Claim Response/ DV

Click on button named claim response/dv as per the below screenshot Select the type of discharge/ letter you want to issue

[[File:|600px|thumb|center|Claim Documents Upload]]

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

[[File:|600px|thumb|center|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

xii. Re-escalate requisition

Click on the escalate button as below

[[File:|600px|thumb|center|Claim Documents Upload]]

Select a user to escalate to

[[File:|600px|thumb|center|Claim Documents Upload]]

xiii. Authorize and approve requisition

Click on the approve button as per the screenshot below;

[[File:|600px|thumb|center|Claim Documents Upload]]

• 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

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

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

Create Tender