Approve a reserve or payment amount

  • Release version: Yokohama
  • Updated January 30, 2025
  • 1 minute to read

    • Approve an assigned claim reserve or a payment amount that is higher than an adjuster's approval authority for Individual Life Claims cases.

    Before you begin

    Role required: sn_ins_claim_indl.manager

    About this task

    If an assigned reserve or created payment amount by an adjuster is higher than their approval authority, the claims manager receives a request to approve the amount.

    Procedure

    1. Navigate to All > Financial Services Operations > Workspace.
    2. Select the lists icon (Lists icon.).
    3. On the Lists tab, under Individual death claims approvals, select the item that you need to approve.
      OptionDescription
      List name Description
      My approvals - Reserves Presents a list of approval tasks for reserve requests.
      My approvals - Payments Presents a list of approval tasks for payment requests.
    4. In the list, select the task that you want to work on.
    5. Submit your decision from the Claim reserve or Claim payment task form.
      Approval taskAction
      To approve an amount Approve the reserve or payment amount by selecting Approve.
      To reject an amount
      1. In the Comments field, enter the comments with your recommendation.
      2. Select Reject.
      Your manually posted comments and system-generated work notes are added to the activity stream for the task and claim case.

    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 the reserve or payment amount approval or rejection are added to the activity stream. These automated entries support auditing and tracking.