Start by registering the claim in the system. This can be done manually or be automated through online reporting by the customer or third parties such as police forces or hospitals. Basic initial information is captured, such as the date and time of the accident, details of the vehicles involved, the names of the people involved and any witnesses.
Once the file is opened, the system can automatically assign the case to an adjuster or team of adjusters based on their availability and expertise. Appraisers receive instant notifications or online access to case details, including documents, images and previously collected information.
- Examination and Evaluation
Loss adjusters examine the file, often visiting the accident site or requesting additional information and documentation. They use digital tools to record the damage and assess its extent, determining liability and establishing the cost of repair or the value of the damage.
The module enables the digital management of all relevant documents, such as expert reports, medical documents, witness statements and correspondence with the parties involved. These documents are stored in an organised manner and can be easily retrieved at any time.
After completing the analysis, the module supports the damage settlement process. It calculates the amount to be paid based on the expert assessments and the insurance policies involved. It automatically generates the necessary documents for payment to the beneficiary, such as cheques or transfers.
Throughout the process, the system allows real-time monitoring of the status of the file. It generates useful reports and statistics to assess the performance and efficiency of the claims management process, helping to identify any areas for improvement.
Once the file has been completed, the module can securely archive all claim data for future reference and to meet any document retention requirements.
