Exploring Individual Life Claims
Learn how your first-notice-of-loss (FNOL) representatives, adjusters, and managers can use Individual Life Claims to create and manage individual life insurance claims.
With the Individual Life Claims application, you can manage the initiation, processing, and resolving of individual life insurance policy claims for your customers. With this application, you can coordinate with others to manage the claims tasks across the parent and child claims. You can also collect and validate the required claim documentation, investigate the claim, and settle the claim.
Key features
- A claims data model that can cater to any life claim case
- A clear and intuitive process for claim intake specialists, claim specialists, and claim managers
- Support for working on multiple policies that are supported from a single claim case
- Dedicated playbooks and workspaces that are built for various claim personas
- A baseline workflow where you can view the claims from FNOL to the claim closure for individual life claims
Individual Life Claims personas
The following table shows which personas in your organization can use the Individual Life Claims application.
| Persona | Description |
|---|---|
| Administrator | Claims administrator who is responsible for configuring the application. |
| FNOL representative | Front-office representative who creates a claim case on behalf of a customer and uploads the relevant documents. |
| Claims adjuster | Person who collects and verifies the documents and loss of life assessment details, and then settles a claim. |
| Claims manager | Manager who approves the reserves and payment requests and can view an overview of all claims, including the Performance Analytics dashboards and reports. |