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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 1 - Example of Claim Type & Cause Type
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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 object (not vehicle) | ||
Collision with animals | ||
Parking damage | ||
Intentional damage | ||
Other |
Example 2 - 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 |
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You need to configure mapping for each product that you want to make a claim claims on.
Select a product.
Select one cover from the list of covers of the selected product.
Add Claim Types from Available Claim Types list to Selected Claim Types list.
Select one Claim Type in Selected Claim Types list, then Add Cause Types for that selected Claim Type from Available Cause Types list to Selected Cause Types list.
Repeat step 4 for another claim type in Selected Claim Types list.
Repeat step 3+4+5 for another cover.
Repeat step 2+3+4+5+6 for another product.
Create mapping for Product “Moped” in Example 1
Add Claim Types & Cause Types for Cover Traffic
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Add Claim Types & Cause Types for Cover Collision Damage
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Add Claim Types & Cause Types for Cover Vehicle Damage and Save mapping
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Use Product Cover-Claim Type-Cause Type Mapping and Claim Elements when creating claim transactions
Please see these topics: