Claim Permissions

Claim Permissions

To configure the permission on Claim module, you need to go to Roles and Permissions.

Below is the list of permissions on Claim module.

 

PERMISSION

DESCRIPTION

 

PERMISSION

DESCRIPTION

CLAIMS

 

View claims

Allows users to view claim list, claim basic information, claim details, related policy details, related claims, and claim history (not including sensitive information)

 

Create claims

Allows users to create claims and fill in claim details

 

Update claims

Allows user to edit claim basic information, and claim details (not including sensitive information)

 

Close claims

Allows users to close claims manually

 

Reopen claims

Allows users to reopen claims manually

 

Reassign claims

Allows users to reassign a claim which is not created on their own to another user.

 

Delete claims

Allows users to delete claim manually

 

Peer review

Allows users to peer review claims

CLAIM EVENTS

 

View claim events

Allow users to view claim events list and details (including search).

 

Create claim events

Allow users to create new claim events.

 

Manage claim events

Allow users to view, edit, or delete claim events.

CLAIM DOCUMENTS

 

View claim documents

Allows user to view claim documents list and claim documents (not including sensitive information)

 

Manage claim documents

Allows users to view, upload, edit, or delete claim documents (not including sensitive information)

CLAIM NOTES

 

View claim notes

Allows users to view claim notes

 

Manage claim notes

Allows users to view, add, edit or delete claim notes

CLAIM TRANSACTIONS

 

View claim transactions

Allows user to view claim transaction list and claim transaction details

 

Create claim transactions

Allows users to create claim transactions, including Reserve, Payment, and Recovery

 

Approve payments

Allows users to view list of payments pending for approval and approve payments

 

Change "Adjust Reserve" option for a payment

Allows users to change "Adjust Reserve" option for a payment

 

Change "Adjust Recovery" option for a payment

Allows users to change "Adjust Recovery" option for a recovery received

 

Manual Assign Payment Approver

Allow users to assign approvers for pending payments.

 

View claim finance

Allows users to view claim payments with finance information and status

 

Update claim payment transaction status

Allows users to update claim payment transaction status manually

CLAIM ADMINISTRATION

 

Manage Settings

Allows users to manage all claim settings (view/create/edit/delete), including Claim Types, Cause Types, Claim Elements, Documents Checklist, Claim Form Builders, Limit Groups

CLAIM RECIPIENTS

 

Manage recipient list

Allows users to update or delete vendors/claimants/recipients which can be shared across claim module

CLAIM REPORTS

 

View claim reports

Allows users to view claim reports

SENSITIVE CLAIMS

 

View claim sensitive information

Allows users to view claim transaction list and claim transaction details

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