Approve a reserve or payment amount

  • Release version: Washingtondc
  • Updated February 1, 2024
  • 1 minute to read

    • A claims manager can approve claim reserve and payment amounts.

    Before you begin

    Role required: sn_ins_claim_cml.manager

    About this task

    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.

    Procedure

    1. Navigate to All > Financial Services Operations > Workspace.
    2. Open the task one of the following ways.
      OptionDescription
      From the landing page Select the task from the My pending tasks list.
      From the Commercial lines claims approvals list
      1. Select the lists icon (lists icon.).
      2. In the Lists tab, under Commercial lines claims approvals, open one of the following:
        • My approvals - Reserves
        • My approvals - Payments
      3. In the list, select the task that you want to work on.
    3. If you want to reject the requested approval amount, in the Comments field, enter comments with your recommendation.
      Manually posted comments and system-generated work notes add to the Activity stream for the task and claim case.
    4. Close the task from the Claim reserve or Claim payment task form.
      Approval taskAction
      To submit an approval Select Approve to approve the reserve or payment amount, or Reject to reject the reserve or payment amount.

    Result

    • 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.