Claims


The Claims module processes all types of claims: Motor, Marine, Fire, Death, Maturities, Surrenders, Waiver, etc…


Claims are tracked from the reported date till the closing of the claim, according to pre-defined company's workflow:


Dynamic Claim Workflow.

Incident Opening.

Claim Assignment.

Follow up Claim Handlers.

Claims Opening.

TPA.

Assessments.

Claim Reserves.

Claim Reopen.

Recovery From Third Party.

Recovery From Insurance Companies.

Claims Payments (Cash, Checks, Fund Transfers).

Premium Payment from Claim.


GLIMS Claims module is designed in a way that all the claims entities such as limits, payments shares, fees, etc. are parameterized in an advanced way allowing the insurance company to handle and adjust, facing any unexpected changes in any claim life cycle, making the payment of the below claim a sample task for the users:

Accidental Death.

Accidental Death & Disbursement.

Waiver of Premiums.

Permanent Total Disability.

Personal Accidents & Replacement Income.

Income Replacement From Accidents or Sicknesses.

Medical Expenses.

Daily Hospitalization.

In Hospital Health Care.

Critical Illness.


This gives the insurance company a strong financial control over its reserves and payments, and thus a significant saving in loss adjustment expenses.


GLIMS Claims module is equipped with a large set of reports, such as:

Loss Ratios.

Opened & Outstanding Claims.

Claims Paid.

Discharge Forms.

Payment Forms.

Outstanding Recoveries.

Claim Recovery.

Claim Actually Paid.

Claims Register.


In addition, GLIMS Claims module is available to agents, and third party companies, allowing them to initiate a claim via a portal, and thus eliminating the time of the claim process, and giving customers a fast service, better quality, and an increased satisfaction.