Overview
3 Scenario’s
- FNOL to Broker – Portal notification and claims setup
- FNOL to Broker to TPA, Bordereaux import and management of Claim by TPA
- FNOL to Broker to MGA, management of Claim on system, lifecycle of Claim from beginning to end, including Reserve, Movement, Payments, Excess, Settlement, Closing and Bordereaux management for all processing stages. Demonstrate Loss Ratio
Key Users
Broker, TPA, Underwriter, Claims Manager/Technician
Key System Features Demonstrated
- FNOL – TPA finding policy details
- Setting up a Claim on the Claim Management
- Adding a Reserve
- Creating a Movement
- Settling a claim
- Closing a Claim
- Loss Ratio – MI in Context (in relation to renewal)
- Claims Bordereaux Import – Movement vs Total
Key Steps
- FNOL (Client to Broker to TPA) or FNOL Broker to Portal – TPA Claims Handler
- TPA – Search for client documentation
- TPA provides BDX
- Claims Handling by MGA – FNOL / Reserve / Movement/ Settlement/ Paying Claims/Closing Claim
- Claims Bordereaux
