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:
Go to Claim Settings. See Claim Settings for how to access to Claim Settings.
On Claim Types tab, add all claim types that you need to support. See Configure Claim Types
On Cause Types tab, add all cause types that you need to support. See Configure Cause Types
On Cause Elements tab, add all claim elements that you need to support. SeeConfigure Claim Element
On Mapping tab, do mapping for Product Cover - Claim Type - Cause Type.
Save the mapping, and you can use it when creating a claim transaction.