CMS - Claims Management System

The Claims Management System (CMS) manages all aspects of claims, including coverage verification, reserving, reinsurance attachment, salvage and subrogation, monitoring litigation and complaints, and catastrophe. Much of CMS is user-table driven. An automatic interface to ALPS provides coverage verification and statistical codes.

The key features of CMS 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

Check and draft features include:

• 1099 reporting
  
• Check and draft authority validation
  
• Record manually prepared drafts
  
• Automatic posting to claim
  
• Single draft or check for multiple transactions for the same payee