The insurance claims module provides full management of the claims reporting and settlement processes. The functional strength of the system is primarily:

• Efficient and reduced claim processing time
• Increased processing capabilities of each claims adjuster
• Improved process control via integrated workflow and imaging
• Improved verification and accuracy over claim settlement.
• Highly customizable claims process management & setup (claim statuses, documents etc.)
• Advanced claims security capabilities (authorization & authentication, population restriction)

The Claims Module comprises the following processing functionality:

• Comprehensive procedures for opening & handling claims online
• First report - PNL (Preliminary Notice of Loss)
• Dynamic questionnaire for damage identification
• Multiple claimants in a single claim
• Multiple damages in one claim
• Point-in-time coverage verification
• Automated referral and notification to 3^rd parties
• Irregularities and fraud detection
• Full integration with CRM, document production, workflow & business intelligence modules
• Full integration with the security module for tight verification of claim processing & payments

 

IDIT™ supports reporting and settlement of simple claims in a fast track flow,
while complex claims are managed in a more elaborate process

Claims Settlement

• Payments to customers and suppliers
• Fast track settlement
• Catastrophe handling
• Ex-gratia compensation
• Third party claims
• Subrogation
• Legal handling
• Recoveries
• Reserves management
• Full integration with CRM module, document production, workflow, business intelligence

Compensation may be provided by repair of damages by a 3^rd party service provider or replacement of the goods by other 3^rd party providers. Payment to the claimant in advance of a repair, or serving as reimbursement for expenses is also supported. In addition the system can be used to pay any occasional service providers for their work or work with a designated pool of providers.
A letter may be sent to the claimant to be signed prior to any payment, stating that the insurer's obligation is fulfilled by the provided benefit.