Table of Contents

Introduction

In Seamless, you can configure the rule engine to perform claim calculations automatically based on the user inputs and policy data input. Then you can trigger to create a claim transaction automatically.

Currently, Seamless supports auto calculation and transaction creation for Reserve.

Prerequisites

1. Feature “Auto Claim Calculation“ is enabled.

2. Claim calculation is defined using Seamless rule engine. See Auto Claim Calculation and Transaction Creation | Configure rule engine for auto reserve calculation

3. Configure Claim Settings > Rules > Claim Calculation with the rule engine configured in the previous point.

Configure rule engine for auto claim calculation

The steps:

1. Define calculation in a rule engine file.

2. Go to WORKFLOWS menu > Rule Engine Setup > create a new Rule Engine.

3. Upload the rule engine file defined in step 1 and activate it.

Define rule engine file

Example: Calculate the total reserve for a claim

Input:

1. Total Claimed Amount: user input.

2. Cover Deductible Amount (per claim event): value from the policy.

Output: Reserve amount = Total Claimed Amount - Cover Deductible Amount

Example rule engine file: <TBD>

Perform claim calculation and transaction creation

After all the configurations were done:

1. Find the CALCULATION tab next to CLAIM tab.

2. In Transaction Details section, specify the transaction details. Type, Currency, Cover, Damage/Injury Type, Cause Type are required information.

3. In Calculation section, provide the input value.

4. Click Calculate button to perform the calculation and see the calculated amount.

5. Click Confirm & Create Reserve to create a reserve transaction for the calculated amount.

For example:

Open