Insurance claims landing pages and workspaces
Summarize
Summary of Insurance Claims Landing Pages and Workspaces
The Insurance claims application provides users with landing pages and workspaces tailored to different roles involved in the claims process. These features allow users to efficiently manage and track their claims-related tasks and information.
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Key Features
- Landing Pages: Each role in the Insurance claims process has a dedicated landing page, including:
- Claims Processor landing page
- Claims Adjuster landing page
- Claims Manager landing page
- FNOL landing page
- Case Section Tabs: Users can navigate through various section tabs in the claim case, such as:
- Playbook
- Claim Summary
- Details
- Customer Information
- Task SLAs
- Tasks
- Interactions
- Emails
- Document Verifications
- Claim Summary: Provides detailed information about the claim's status, participants, coverages, and financials.
- Claim Workspace: A unified interface for adjusters to manage tasks like document verification, coverage evaluation, and settlement approvals.
Key Outcomes
By utilizing the Insurance claims landing pages and workspaces, users can expect to streamline their workflow, enhance collaboration among team members, and gain comprehensive insights into each claim’s status and requirements, ultimately leading to more efficient claims processing. Each role's specific landing page enhances focus on relevant tasks and information, improving productivity and customer service.
In the Insurance claims application, you can view summaries of your claims work in the landing page. You can also work on your claim tasks from the claim workspace.
Landing pages
- Claims Processor landing page
- Claims Adjuster landing page
- Claims Manager landing page
- FNOL landing page (as part of Financial Services Operations Core)
Each Insurance claims role can have a different landing page.
| Role | Landing page elements |
|---|---|
| First notice of loss (FNOL) representative |
|
| Claims processor |
|
| Claims adjuster |
|
| Claims manager |
|
Case section tabs
| Section tab | Description |
|---|---|
| Playbook | Displays the responses to the FNOL intake playbook. |
| Claim summary | Displays a summary of the claim. See Reviewing claims in the claim summary. |
| Details | Contains the details on the claim case record, such as the case number, consumer or account, insurance policy, case status, or case work notes. |
| Customer information | Contains the workspace cards that show the customer record details, policy overview, claim overview, insurance policy details, case history, or recent phone and chat interactions. |
| Task SLAs | Displays the associated task service level agreements (SLAs). |
| Tasks | Lists the adjuster tasks for this claim. |
| Interactions | Lists the interactions with the claimant. |
| Emails | Lists the emails for this claim. |
| Document verifications | Lists the document verification tasks for this claim. |
Reviewing claims in the claim summary
| Container | Description |
|---|---|
| Claim details | Displays the details about the claim number, policy holder, policy snapshots, priority, stage, report date, and incident date. |
| Claim SLAs | Displays the service level agreements (SLAs) for this claim and the remaining business time left of the SLA. |
| Adjuster tasks | Lists the adjuster tasks that are associated with the claim, including the status and the assigned adjuster. |
| Incident details | Displays the incident details for the claim. |
| Claim participants | Lists the claim participants. |
| Claim status | Displays the status progress of the claim. |
| Coverages and financials | Displays the coverages, reserves, and payment information for this claim. |
| Notes and activities | Displays the work activity and work notes against this claim. |
Working on adjuster tasks in the claim workspace
Use the claim workspace to get a unified view of all the actions that you can perform as an adjuster on an Insurance claims claim. From the claim workspace, you can work on a claim to verify documents, evaluate claim coverages, determine claim payout details, and approve a settlement for a claim.
| Container | Description |
|---|---|
| Claim details | Reviews the details about the claim number, policy holder, policy snapshots, priority, stage, report date, and incident date. |
| Incident details | Reviews the details about the incident records. |
| Claim participants | Views the claim participants and their roles. |
| Adjuster assignment details | Updates the assignment group and who the case is assigned to. |
| Tasks | Views, creates, and works on the adjuster tasks for the current claim case. |
| Coverages and financials | Works on the claim coverages, reserves, and payments. |