A claim from notification to recovery
A motor hull (KASKO) accident: notification from the portal, assessment, repair at a garage and recovery from the at-fault party.
Situation
A client had a road accident caused by another driver. The insurer needs to open a case quickly, meet the statutory settlement deadline and recover the payout from the at-fault party.
How it works in the system
- 01The client submits a claim notification in the portal and uploads photos and documents
- 02The system opens a case, checks the coverage, deductible and limits and creates a case reserve
- 03The claims handler orders an assessment and issues a repair referral to a garage
- 04The settlement deadline is calculated under the country’s law and the working-day calendar
- 05The payout goes through an approval route under the four-eyes principle, and the client follows the case in the portal and corresponds with the claims handler
- 06The system suggests the case as a recovery candidate, and a lawyer handles the claim letter and the lawsuit within the country’s limitation period
Result
The case is closed within the statutory deadline, the payout is approved by two employees, and the amount is recovered without a separate system for lawyers.
Features in this use case
Claims settlementAll plans. Anti-fraud scoring and recovery from the Professional plan.
Client portalAll plans.
Routes and tasksAll plans. Custom processes in Enterprise.
Shall we show the system on your products?
We will build your product in the builder, take a policy from quote to claim and estimate the implementation cost for your lines of business and countries.