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Claim Type, Cause Type, Claim Element are used for leveling the transaction details.

  • Each Claim Type will be mapped to a Product Cover => a Product Cover is mapped with several Claim Types.

  • Each Cause Type will be mapped to a Claim Type => a Claim Type is mapped with several Cause Types.

  • Claim Element is used to define purposes of a reserve/payment.

Example of Claim Type & Cause Type: product Moped has 3 covers: Traffic, Collision Damage, Vehicle Damage.

Cover

Claim Type

Cause Type

Traffic

Property damage

Other

Personal injury

Other

Other

Other

Collision Damage

Fire

Fire

Explosion

Lightning strike

Other

Glass

Stone strike

Other

Theft

Robbery

Assault

Other

Machine Damage

Mechanical fault

Electronic error

Vehicle Damage

Vehicle Damage

Collision with another vehicle

Collision with other vehicle (not vehicle)

Collision with animals

Parking damage

Intentional damage

Other

Example of Claim Elements:

Category

Claim Element

Person

Child Supplement

Funeral expenses

Death

Spouse Addendum

Future loss of income

Thing

Fine Arts

Replacement

Restore

Glass

Rent Loss

Other

Interruption

Treatment Expenses

Deductible

Compensation

Car rental

How to configure detail levels for a claim transaction

To configure detail levels for a claim transaction, you need to go through these steps:

  1. Go to Claim Settings. See Claim Settings for how to access to Claim Settings.

  2. On Claim Types tab, add all claim types that you need to support.

  3. On Cause Types tab, add all cause types that you need to support.

  4. On Cause Elements tab, add all claim elements that you need to support.

  5. On Mapping tab, do mapping for Product Cover - Claim Type - Cause Type.

  6. Save the mapping, and you can use it when creating a claim transaction.

Configure Claim Types

...

Add new Claim Type

On Claim Types tab, click + Add New Claim Type button, it will show the popup to add a new Claim Type.

...

On this popup, you need to provide:

  • Claim Type Id: unique identity of the claim type

  • Claim Type Name: name of the claim type

After you’re done with required claim type information, you need to click Save to accept creating new claim type. The new claim type will be added and displayed in the Claim Types list.

Edit existing Claim Type

On Claim Type list, click on Edit button of one Claim Type. It will show Update Claim Type popup where you can update the Claim Type Id and Claim Type Name.

...

After you’re done with required claim type information, you need to click Save to accept the changes. The changes will be reflected in the Claim Type list.

Delete existing Claim Type

On Claim Type list, click on Delete button of one claim type. It will show a confirmation.

...

If you’re ok, please click Yes to accept deleting the Claim Type. The Claim Type will disappear from the Claim Type list.

Configure Cause Types

Add new Cause Type

On Cause Types tab, click + Add New Cause Type button, it will show the popup to add a new Cause Type.

...

On this popup, you need to provide:

  • Cause Type Id: unique identity of the cause type

  • Cause Type Name: name of the cause type

After you’re done with required cause type information, you need to click Save to accept creating new cause type. The new cause type will be added and displayed in the Cause Types list.

Edit existing Cause Type

On Cause Type list, click on Edit button of one Cause Type. It will show Update Cause Type popup where you can update the Cause Type Id and Cause Type Name.

...

After you’re done with required cause type information, you need to click Save to accept the changes. The changes will be reflected in the Cause Type list.

Delete existing Cause Type

On Cause Type list, click on Delete button of one cause type. It will show a confirmation.

...

If you’re ok, please click Yes to accept deleting the Cause Type. The Cause Type will disappear from the Claim Type list.

Configure Product Cover-Claim Type-Cause Type Mapping