Claims Management System

The Claims Management System module provides the ability to process and track activity for all claims reported to the company. An automatic interface to the All Lines Processing System (ALPS) provides coverage verification and statistical codes.

Features include: Online coverage verification Average reserves Automatic Diary Entries Reinsurance processing Vendor payment processing Accurate statistical code generation Underwriting coverage expanded for claim payment Salvage and subrogation processing and monitoring Lawsuit and complaint monitoring NAIC standards to differentiate allocated/unallocated expenses Automatic catastrophe code assignment Automatic SDIP violation support from CMS to ALPS Multiple types for claims (non-verified, verified, report only, login) CLAIM SEARCH CAPABILITIES INCLUDE: Claim number Policy number Policy name including insured Claimant name Payee name Date of Loss CLAIM AUTHORITY FEATURES INCLUDE: Claim payment amount per user Claim loss and expense reserve amounts per user Coverage Limit Automatic deletion of claims user when deleted from Security Table Reinsurance features include automatic real-time calculation for treaty reinsurance and tracking of reinsurance recoveries by participant. CHECK ADN DRAFT FEATURES INCLUDE: 1099 reporting Check and draft authority Record manually prepared drafts Automatic posting to claim Single draft or check for multiple transactions for the same payee