Manage Claims Management

The Claims Management solution is designed to offer you an easy route for claims processing. The solution is comprised of the following key flows:

  • The First Notification of Loss flow: For collecting information about the policy, the notifier, the people involved, with the option to continue to the Create claim or Cancel notification steps. Creating a First Notification of Loss (FNOL) is mandatory in order for any claim to be processed by the system. All the information that you insert in this step is re-used during the Claims Management solution, in automatic auto-complete and read-only fields;

  • The Claim flow: For creating, documenting and managing claims, with upload options and tools to facilitate the assessment of the claim;

  • The Payment Proposal flow: For creating and scheduling payments. A payment can be configured anytime after the FNOL is initiated;

  • Rejection, Journal & Third Party Details: Pages for adding supplementary information and managing the related documents and third party details, if applicable.

An illustration of the Claims Management process is given below:

 

 

To process a new claim with the Claims Management solution take the following steps:

  1. Open the FintechOS Portal and log in with your credentials.
  2. In the menu, go to the Claim > First Notification of Loss list and click Insert, at the top right of the screen.
  3. Create a First Notification of Loss by filling in the requested information and documents.
  4. Use the Claims page to create the new claim record.
  5. Use the Assessment page to upload the assessment documents and trigger validation. If validated, create a Reserve.
  6. Create a Payment Proposal to send to the client. Register the customer's agreement, request Payment Approval and Schedule the transaction. Mark the claim as paid.

  7. Insert information about the Rejection of the claim, manage related Documents and Third Party details, if applicable.

Below are the steps for the Claims Management solution:

Below are the statuses for the Claims Management solution: