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Table of Contents

Table of Contents
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Introduction

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  • Global configurations for Claim Module that will be used across your tenant.

Seamless Claim

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Claim Settings

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General Settings

Payment Approval

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Item

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Description

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Comments

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Percentage of payment will be auto approval

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In percentage

Default hourly rate

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Item

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Description

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Comments

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Default hourly rate for TPA fees paid for a month

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In amount

RTV RATE

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Item

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Description

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Comments

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% of the RTV rate which will automatically calculate the RTV Reserve/Payment transaction amount

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In Percentage

MANUAL PAYMENT APPROVAL ASSIGNMENT

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Item

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Description

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Comments

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Enable manual selection of payment approver

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Disabled/Enabled

PENDING PAYMENT APPROVAL REMINDER

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Item

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Description

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Comments

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Reminder Enabled/Disabled

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Enabled/Disabled

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Inactive period

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Days that inactive for an assignment

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Reminder interval period

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Period in between 2 reminder

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Reminder times

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Number of time reminders will be sent

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Dashboard

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Checked/Unchecked

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Reminders will be send on Dashboard Notification

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Email

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Checked/Unchecked

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Sent reminder to assignee’s email

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Email template

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Template used

PENDING PAYMENT APPROVAL NOTIFICATION

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Item

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Description

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Comments

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Reminder Enabled/Disabled

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Enabled/Disabled

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Dashboard

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Checked/Unchecked

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Reminders will be send on Dashboard Notification

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Email

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Checked/Unchecked

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Sent reminder to assignee’s email

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Email template

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Template used

MISSING CLAIM DOCUMENTS NOTIFICATION

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Item

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Description

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Comments

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Reminder Enabled/Disabled

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Enabled/Disabled

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Email

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Checked/Unchecked

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Sent reminder to assignee’s email

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Email template

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Template used

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SMS

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Checked/Unchecked

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Sent reminder to assignee’s phone

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SMS template

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Template used

SUPPORTED PAYMENT METHODS

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Item

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Description

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Comments

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Selected payment methods would be using for claim processing

Available options:

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Cheque

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Bank Transfer

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Cash

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Direct Debit

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This Module Configuration is to configure settings for Claims module.

Prerequisites

Permission required: View module configuration and Update module configuration.

General

See General Claim Settings

Damage/Injury Types

See Claim (Damage/Injury) Types

Cause Types

See Cause Types

Payment Codes

See Payment Codes (Claim Elements)

Mapping

See Claim Transaction Details Levels (Claim Type, Cause Type, Claim Element and Mapping)

Claim Document Checklist

Claim Document Checklist

Limit Groups

See Limit Groups

Recipient Management

See Recipient Management

Closure Reason

See Closure Reasons

Fields & Layouts

Claim Form Layout

Rules