Claims settlement
A loss notification becomes a case with a document checklist, an assessment and a payout calculation under the policy terms. Settlement deadlines are calculated under the country’s law and the working-day calendar, and the payout goes through an approval route under the four-eyes principle.
Plan All plans. Anti-fraud scoring and recovery from the Professional plan.
What is inside
- Loss notification through eight channels, including the European accident report and the client portal
- Nine event types: road accident, fire, theft, natural hazard, medical, travel, death, liability and other
- A case with eleven statuses: items, documents with a checklist, assessment, referrals, denials, payouts
- Coverage, deductible and limit checks, a case reserve
- Assignments to loss adjusters and referrals to a garage for repair or to a clinic for treatment
- Settlement deadlines under the country’s law with the working-day calendar
- Payouts in five ways, including repair, with an approval route, withholding tax and a record of bank rejection
- Real-time correspondence with the client on the case, with attachments
- Recovery and subrogation: claim letter, lawsuit, hearing, judgment, enforcement proceedings, debt collector and the country’s limitation period
- Direct settlement: claims, settlement periods and balances between insurers
Connections
- Vehicle registration database
- Credit bureaus
- Individuals database
Conditions
Direct settlement exchange with the countries’ clearing centers is connected under the insurer’s contract with the operator.
These parts of the module are on the product roadmap. We confirm timing and scope during implementation.
- Exchange with garages, traffic police (GIBDD) and medical facilities
- Document recognition
- Filing a lawsuit from the system
Frequently asked questions
How does the system track settlement deadlines?
The deadline is calculated under the law of the contract’s country and the working-day calendar. Missed deadlines are visible in the control report and in metrics, and for Mongolia the inspection deadline is tracked separately.
Can one employee both approve and execute a payout?
No. The payout goes through an approval route under the four-eyes principle, and each approver has their own amount limit.
Does the client see case progress?
Yes. The client portal shows the case status, the requested documents and real-time correspondence with the claims handler.
Use cases with this feature
Other features
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.