Approve a reserve or payment amount
A claims manager can approve claim reserve and payment amounts.
Antes de Iniciar
Por Que e Quando Desempenhar Esta Tarefa
If an assigned reserve or created payment amount by an adjuster is higher than the approval authority of the adjuster, the claims manager receives a request for reserve or payment amount approval from the adjuster.
Procedimento
Resultado
- If the claims manager approves the reserve or payment amount, the claim reserve task returns to the adjuster to proceed with the claim payment evaluation or settlement.
- If the claims manager rejects the reserve or payment amount, the manager provides another recommendation. A notification of the rejected status triggers to the adjuster.
- System-generated entries for reserve or payment amount approval or rejection add to the Activity stream. These automated entries support auditing and tracking.