Approve a reserve or payment amount
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
Navigate to All > Financial Services Operations > Workspace.
Select the lists icon (
Image omitted: inline-data-vis-96px-list.png
lists icon\).
lists icon\).
- On the Lists tab, under Individual death claims approvals, select the item that you need to approve.
| 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. |
In the list, select the task that you want to work on.
Submit your decision from the Claim reserve or Claim payment task form.
| Approval task | Action |
|---|---|
| To approve an amount | Approve the reserve or payment amount by selecting Approve. |
| To reject an amount |
|
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.