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General Claim Settings

General Claim Settings

 

Table of Contents

Introduction

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This page contains general configurations for every aspects related Claim, such as Transactions, Notifications or Reminders.

To access to this page, please see Claim Settings

Payment Approval

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% of payment that will be auto approved: defines the proportion of number of claim payment transactions that get approved automatically, details in part “Random check on auto approval payments” of Auto Payment Approval

Recovery Payment Setting

  1. Allow To Create Recovery Without Prior Payment

  2. Claim Cannot Be Closed With Outstanding Recovery

  3. Recipient To Be Optional For Recovery

Recipient Setting

Default Hourly Rate

Default hourly rate for TPA fees paid this month: defines the default hourly rate for each time recording in Time Tracking tab Time Tracking

RTV Rate

% of the RTV rate which will automatically calculate the RTV Reserve/Payment transaction amount: defines the percentage of RTV Reserve/Payment amount that get calculated automatically.

Manual Payment Approval Assignment

Enable/Disable the manual selection of payment approvers, details in Manual Payment Approval

Pending Payment Approval Reminder

Enable/Disable sending reminder to approver(s) at scheduled time via selected channels in case of pending payments.

  • The schedule is set by: After x day(s) assignment without action, reminder will be sent every y day(s), repeated a maximum of z times.

  • You can select the way the reminders is delivered:

    • Dashboard: Reminders will be displayed on Dashboard Notification. To view them, please click on the Bell icon image-20240729-082926.png

    • Email: Reminders will be sent to Approver's email. Here, you need to select Email template to be used for the email content so that system can generate and send emails. Click on View button to navigate to the template editor.

Pending Payment Approval Notification

Enable/Disable sending Notification to approver(s) on the configured schedule via selected channels in case of new pending payment assignment.

  • You can select the way the notification is delivered:

    • Dashboard: Notification will be displayed on Dashboard Notification. To view it, please click on the Bell icon image-20240729-082926.png

    • Email: Notification will be sent to Approver's email. Here, you need to select Email template to be used for the email content so that system can generate and send emails. Click on View button to navigate to the template editor.

Missing Claim Document Notification

Enable/Disable functionality to manually send Notification to customer to request for missing documents for claim processing.

  • You can select the way the notification is delivered:

    • Email: Notification will be sent to customer’s email. Here, you need to select Email template to be used for the email content so that system can generate and send emails. Click on View button to navigate to the template editor.

    • SMS: Notification will be sent to customer’s SMS. Here, you need to select Email template to be used for the SMS content so that system can generate and send SMSs. Click on View button to navigate to the template editor.

When this function is enabled, in claim Documents tab, button image-20240729-085107.png will be available for user to take action.

Supported Payment Methods

Define the payment methods which can be selected for claim paymen transactions. You can select multiple payment methods.

Available options:

  • Cheque

  • Bank Transfer

  • Cash

  • Direct Debit

  • Giro

Settlement

Enable/Disable functionality to manually send Settlement documents via email to inform customer of the final claim payments and closure.

When this function is enabled, in claim details, button Generate settlement will be available for user to take action.

High Reserve Notification

 

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