Process a commercial claim
A processor can initiate a claim, review a claim to verify it and after an adjuster’s evaluation, complete fulfillment tasks and close a claim.
Before you begin
Role required: sn_ins_claim_cml.auto_processor
Update and close the tasks of the claim case.
Procedure
Navigate to All > Financial Services Operations > Workspace.
Open the claim case and task one of the following ways.
| Option | Steps |
|---|---|
| From the landing page | Select an active case from the My pending tasks or My open claims list. |
| From the case playbook |
|
| From a commercial auto claim case |
|
| From the Commercial auto claim tasks list |
|
You may need to select **Accept** to accept assignment of the task to you, enabling you to work on the task.
Finish the work that is required to complete the tasks in your claims system.
The work you may need to complete could include steps in any of the following stages.
- Completing first notice of loss stage tasks to initiate the claim, such as providing incident details, adding claim participants, and collecting documents.
- Evaluating the validity of the claim reported by the customer.
- Completing and closing the claim.
- In the Work notes field, enter any comments that are related to your findings.
Manually posted comments and system-generated work notes add to the Activity stream for the claim case.
Close the task from the playbook activity or the task form.
| Claim task | Action |
|---|---|
| To submit incident details | In the case playbook, select Mark complete. |
| To validate a claim | A claim validation task is created when a business rule determines a duplicate claim due to the same insurance policy and loss date.To validate a claim: In the task form, select Approve to validate the claim or Reject to deny and close the claim. |
| To add claim property, participant, or coverage information | In the case playbook, select Save. |
| To initiate a claim | In the case playbook, select Submit. |
| To close a claim | In the case playbook, select Close to close the claim. |