Difference between revisions of "Claims"
(4 intermediate revisions by 2 users not shown) | |||
Line 1: | Line 1: | ||
− | [[Category: | + | [[Category:Training Guides]] |
<table class="infobox" cellspacing="5" style="background-color: #FFFFFF; width:27em; text-align:left; border-spacing: 2px; line-height:1.5em;"> | <table class="infobox" cellspacing="5" style="background-color: #FFFFFF; width:27em; text-align:left; border-spacing: 2px; line-height:1.5em;"> | ||
<tr> | <tr> | ||
− | <td>[[File: | + | <td>[[File:Ic_description_black_24dp.png|link=Newton User Guide#Policy]] Newton User Guide: [[Newton User Guide#Policy|Policy]]</td> |
</tr> | </tr> | ||
+ | <tr> | ||
+ | <td>[[File:Ic_info_black_24dp.png]] Required Software Version: [[:Category:Release Notes|Spring 2017]]</td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td>[[File: Ic_settings_backup_restore_black_24dp.png]] Legacy Instructions Available: [http://wiki.agencysystems.com/mediawiki/index.php?title=Claims&oldid=5020 Click Here]</td> | ||
+ | </tr> | ||
+ | |||
<tr style="background-color: #bdbdbd; text-align: center; font-weight:bold;"> | <tr style="background-color: #bdbdbd; text-align: center; font-weight:bold;"> | ||
<td>Related Pages</td> | <td>Related Pages</td> | ||
Line 10: | Line 17: | ||
<td> | <td> | ||
<ul> | <ul> | ||
− | <li>[[Client Tab | + | <li>[[Client Tab: Client Dashboard]]</li> |
− | + | <li>[[Policy Dashboard]]</li> | |
− | |||
− | <li>[[ | ||
</ul> | </ul> | ||
</td> | </td> | ||
Line 23: | Line 28: | ||
<td> | <td> | ||
<ul> | <ul> | ||
− | <li>[[:Category: | + | <li>[[:Category:Training Guides|Training Guides]]</li> |
</ul> | </ul> | ||
</td> | </td> | ||
</tr> | </tr> | ||
</table> | </table> | ||
− | Entering claims information | + | Entering claims information provides easy tracking of claim activity, payments that have been made to the client, and [[:Category:Claims Reports|claims reports]]. |
− | == | + | |
− | + | == Before you begin == | |
− | + | Access to view and create claims requires the current operator to have [[Security System|Security System: AR -> Claims Transaction -> View and Entry]] access. | |
+ | |||
+ | [[File:Ic_info_black_24dp.png]] See: [[Security System]] for more information. | ||
− | == Create a | + | == Create a new claim == |
− | + | #[[Client_Keyword_Search#Find_a_Client|Load a Client]] on a [[Client Tab|client tab]]. | |
− | + | #On the [[Client Tab: Client Dashboard|Client Dashboard tab]] select the (+) next to '''Policies'''. ''(To expand the band by default, see: [[Preferences]])'' | |
− | + | #'''Left-Click''' the desired policy number to open the [[Policy Dashboard]]. ''(Optionally, '''Right-Click''' and select '''Claim''' to skip ahead.)'' | |
− | #'''Left-Click '''the desired policy number to open [[Policy | + | #Select '''Create Item''' -> '''Claim''' within the top toolbar. |
− | #Select | ||
− | |||
#Enter the claim details and select '''Save'''. | #Enter the claim details and select '''Save'''. | ||
− | #To create an [[ | + | #To create an [[Forms|ACORD Loss Notice]], select '''Forms''' and select the correct loss notice. Enter the details, then print or use [[Batch Send]] to [[Email|email the form]]. |
#Select '''Exit'''. | #Select '''Exit'''. | ||
− | A claim is not required to create an ACORD Loss Notice. Any | + | A claim is not required to create an ACORD Loss Notice. Any [[Forms|form]] can be created from the main [[Policy Dashboard]] interface. |
− | + | The [[Policy Dashboard]] can also be loaded using the [[Policy Keyword Search]]. | |
− | |||
− | ==== | + | == View open claims == |
+ | Claims are listed on both the [[Client Tab#Client Tab: Dashboard|Client Dashboard]], and the [[Policy Dashboard]]. | ||
− | #[[ | + | ==== View open claims for one client ==== |
− | #Select the (+) next to '''Claims''' to view all open claims for all policies. | + | #[[Client_Keyword_Search#Find_a_Client|Load a Client]] on a [[Client Tab|client tab]]. |
+ | #Select the (+) next to '''Claims''' to view all open claims for all policies on the client. | ||
#:[[File:Clientbasic-claimss-closedclaims.PNG]] | #:[[File:Clientbasic-claimss-closedclaims.PNG]] | ||
− | + | #To view additional details for a claim, '''left-click''' the claim number to open the claims maintenance screen. | |
− | #To view additional details for a claim, '''left-click''' the claim number to open the claims maintenance screen. | + | #To edit or close a claim, see the [[#Edit and close claims|section below]]. |
− | #To edit or close a claim, see the [[#Edit and | + | #To create a new claim, see [[#Create a new claim|the section above]]. |
− | #To create a new claim, see [[#Create a | + | |
+ | The claims band also contains a '''[[#View closed claims|Closed Claims]]''' sub-band. When the band is expanded, all closed claims for the client will be listed. | ||
− | ==== View | + | ==== View open claims for one policy ==== |
− | The list of open claims on a client can be limited to a specific policy through [[ | + | The list of open claims on a client can be limited to a specific policy through the [[Policy Dashboard]]. |
− | #[[ | + | #[[Client_Keyword_Search#Find_a_Client|Load a Client]] on a [[Client Tab|client tab]]. |
− | # | + | #On the [[Client Tab: Client Dashboard|Client Dashboard tab]] select the (+) next to '''Policies'''. |
− | #'''Left-Click''' the desired policy number to open [[Policy | + | #'''Left-Click''' the desired policy number to open the [[Policy Dashboard]]. |
− | #Select the (+) next to '''Claims''' to view all open claims for the selected policy. | + | #Select the (+) next to '''Claims''' to view all open claims for the selected policy. |
#::[[File:Polexp-dashboard-claims.PNG]] | #::[[File:Polexp-dashboard-claims.PNG]] | ||
− | #To view additional details for a claim, '''left-click''' the claim number to open the claims maintenance screen. | + | #To view additional details for a claim, '''left-click''' the claim number to open the claims maintenance screen. |
− | #To edit or close a claim, see the [[#Edit and | + | #To edit or close a claim, see the [[#Edit and close claims|section below]]. |
− | #To create a new claim, select '''Create Claim''' below the '''Claims''' band header. For additional details [[#Create a | + | #To create a new claim, select '''Create Claim''' below the '''Claims''' band header. For additional details [[#Create a new claim|see the section above]]. |
+ | |||
+ | Closed claims assigned to the selected policy can be viewed by expanding the '''[[#View closed claims|Closed Claims]]''' sub-band. | ||
− | == Edit and | + | == Edit and close claims == |
− | + | After a claim is initially saved, additional details can be added such as claims payments, additional loss details and more. (Requires [[Security System|Security System: AR -> Claims Transaction -> View, Entry, and Edit]] access.) | |
− | #[[ | + | #[[Client_Keyword_Search#Find_a_Client|Load a Client]] on a [[Client Tab|client tab]]. |
− | # | + | #On the [[Client Tab: Client Dashboard|Client Dashboard tab]] select the (+) next to '''Policies'''. |
− | #'''Left-Click''' the desired policy number to open [[Policy | + | #'''Left-Click''' the desired policy number to open the [[Policy Dashboard]]. |
− | #Select the (+) next to '''Claims''' to view all open claims for the selected policy. | + | #Select the (+) next to '''Claims''' to view all open claims for the selected policy. |
#'''Left-Click''' the claim number to open the claims maintenance screen. | #'''Left-Click''' the claim number to open the claims maintenance screen. | ||
− | #Enter additional details, including claims payments. To close the claim, set '''Status -> Closed'''. | + | #Enter additional details, including claims payments. To close the claim, set '''Status''' -> '''Closed'''. |
− | #Select '''Save, then '''Exit'''. | + | #Select '''Save''', then '''Exit'''. |
− | == | + | === Add or edit loss types === |
− | '' | + | To create a new loss type, simply type into the '''Loss Info''' -> '''Type''' field. The system will automatically prompt to save the new type. |
− | |||
− | + | To edit an existing loss type: | |
− | #Select the | + | #Select the '''[>>]''' icon to the right of the '''Type''' drop-down. |
− | + | #Left-click to highlight the desired loss type. | |
− | # | + | #Select the first '''Edit''' icon within the top toolbar. |
+ | #Enter the new loss type description and select the '''Save''' icon within the top toolbar. | ||
− | + | Claims loss types cannot be deleted once they are added, since the types have been used on previous claims. | |
− | |||
− | #[[ | + | == View closed claims == |
− | #Select the (+) next to ''' | + | Closed claims are not deleted from the system and always available below the open claims lists. |
− | #'''Left-Click''' the desired policy number to open [[Policy | + | |
+ | ==== View closed claims for one client ==== | ||
+ | #[[Client_Keyword_Search#Find_a_Client|Load a Client]] on a [[Client Tab|client tab]]. | ||
+ | #Select the (+) next to '''Claims''' to view all open claims for all policies on the client. | ||
+ | #Select the (+) next to '''Closed Claims''' to list all closed claims for the client. | ||
+ | #To view additional details for a claim, '''left-click''' the claim number to open the claims maintenance screen. | ||
+ | |||
+ | ==== View closed claims for one policy ==== | ||
+ | The list of closed claims on a client can be limited to a specific policy through the [[Policy Dashboard]]. | ||
+ | |||
+ | #[[Client_Keyword_Search#Find_a_Client|Load a Client]] on a [[Client Tab|client tab]]. | ||
+ | #On the [[Client Tab: Client Dashboard|Client Dashboard tab]] select the (+) next to '''Policies'''. | ||
+ | #'''Left-Click''' the desired policy number to open the [[Policy Dashboard]]. | ||
#Select the (+) next to '''Claims''' to view all open claims for the selected policy. | #Select the (+) next to '''Claims''' to view all open claims for the selected policy. | ||
− | #Select the (+) next to ''' | + | #Select the (+) next to '''Closed Claims''' to list all closed claims for the selected policy. |
− | #To view additional details for a claim, '''left-click''' the claim number to open the claims maintenance screen. | + | #To view additional details for a claim, '''left-click''' the claim number to open the claims maintenance screen. |
+ | |||
+ | == Delete a claim == | ||
+ | When a claim is closed, [[#Edit and close claims|the claim should be edited and the status changed]]. Deleting a claim requires requires [[Security System|Security System: AR -> Claims Transaction -> Global]] access. | ||
− | + | [[File:Ic warning black 24dp.png]] You cannot recover a deleted claim. | |
− | |||
− | #[[ | + | #[[Client_Keyword_Search#Find_a_Client|Load a Client]] on a [[Client Tab|client tab]]. |
− | # | + | #On the [[Client Tab: Client Dashboard|Client Dashboard tab]] select the (+) next to '''Policies'''. |
− | #'''Left-Click''' the desired policy number to open [[Policy | + | #'''Left-Click''' the desired policy number to open the [[Policy Dashboard]]. |
− | #Select the (+) next to '''Claims''' to view all open claims for the selected policy. | + | #Select the (+) next to '''Claims''' to view all open claims for the selected policy. |
#'''Left-Click''' the claim number to open the claims maintenance screen. | #'''Left-Click''' the claim number to open the claims maintenance screen. | ||
#Select '''Delete''' then '''Yes''' when prompted. | #Select '''Delete''' then '''Yes''' when prompted. | ||
#Select '''Exit'''. | #Select '''Exit'''. |
Latest revision as of 18:19, 30 August 2018
Newton User Guide: Policy |
Required Software Version: Spring 2017 |
Legacy Instructions Available: Click Here |
Related Pages |
Related Categories |
Entering claims information provides easy tracking of claim activity, payments that have been made to the client, and claims reports.
Contents
Before you begin
Access to view and create claims requires the current operator to have Security System: AR -> Claims Transaction -> View and Entry access.
See: Security System for more information.
Create a new claim
- Load a Client on a client tab.
- On the Client Dashboard tab select the (+) next to Policies. (To expand the band by default, see: Preferences)
- Left-Click the desired policy number to open the Policy Dashboard. (Optionally, Right-Click and select Claim to skip ahead.)
- Select Create Item -> Claim within the top toolbar.
- Enter the claim details and select Save.
- To create an ACORD Loss Notice, select Forms and select the correct loss notice. Enter the details, then print or use Batch Send to email the form.
- Select Exit.
A claim is not required to create an ACORD Loss Notice. Any form can be created from the main Policy Dashboard interface.
The Policy Dashboard can also be loaded using the Policy Keyword Search.
View open claims
Claims are listed on both the Client Dashboard, and the Policy Dashboard.
View open claims for one client
- Load a Client on a client tab.
- Select the (+) next to Claims to view all open claims for all policies on the client.
- To view additional details for a claim, left-click the claim number to open the claims maintenance screen.
- To edit or close a claim, see the section below.
- To create a new claim, see the section above.
The claims band also contains a Closed Claims sub-band. When the band is expanded, all closed claims for the client will be listed.
View open claims for one policy
The list of open claims on a client can be limited to a specific policy through the Policy Dashboard.
- Load a Client on a client tab.
- On the Client Dashboard tab select the (+) next to Policies.
- Left-Click the desired policy number to open the Policy Dashboard.
- Select the (+) next to Claims to view all open claims for the selected policy.
- To view additional details for a claim, left-click the claim number to open the claims maintenance screen.
- To edit or close a claim, see the section below.
- To create a new claim, select Create Claim below the Claims band header. For additional details see the section above.
Closed claims assigned to the selected policy can be viewed by expanding the Closed Claims sub-band.
Edit and close claims
After a claim is initially saved, additional details can be added such as claims payments, additional loss details and more. (Requires Security System: AR -> Claims Transaction -> View, Entry, and Edit access.)
- Load a Client on a client tab.
- On the Client Dashboard tab select the (+) next to Policies.
- Left-Click the desired policy number to open the Policy Dashboard.
- Select the (+) next to Claims to view all open claims for the selected policy.
- Left-Click the claim number to open the claims maintenance screen.
- Enter additional details, including claims payments. To close the claim, set Status -> Closed.
- Select Save, then Exit.
Add or edit loss types
To create a new loss type, simply type into the Loss Info -> Type field. The system will automatically prompt to save the new type.
To edit an existing loss type:
- Select the [>>] icon to the right of the Type drop-down.
- Left-click to highlight the desired loss type.
- Select the first Edit icon within the top toolbar.
- Enter the new loss type description and select the Save icon within the top toolbar.
Claims loss types cannot be deleted once they are added, since the types have been used on previous claims.
View closed claims
Closed claims are not deleted from the system and always available below the open claims lists.
View closed claims for one client
- Load a Client on a client tab.
- Select the (+) next to Claims to view all open claims for all policies on the client.
- Select the (+) next to Closed Claims to list all closed claims for the client.
- To view additional details for a claim, left-click the claim number to open the claims maintenance screen.
View closed claims for one policy
The list of closed claims on a client can be limited to a specific policy through the Policy Dashboard.
- Load a Client on a client tab.
- On the Client Dashboard tab select the (+) next to Policies.
- Left-Click the desired policy number to open the Policy Dashboard.
- Select the (+) next to Claims to view all open claims for the selected policy.
- Select the (+) next to Closed Claims to list all closed claims for the selected policy.
- To view additional details for a claim, left-click the claim number to open the claims maintenance screen.
Delete a claim
When a claim is closed, the claim should be edited and the status changed. Deleting a claim requires requires Security System: AR -> Claims Transaction -> Global access.
You cannot recover a deleted claim.
- Load a Client on a client tab.
- On the Client Dashboard tab select the (+) next to Policies.
- Left-Click the desired policy number to open the Policy Dashboard.
- Select the (+) next to Claims to view all open claims for the selected policy.
- Left-Click the claim number to open the claims maintenance screen.
- Select Delete then Yes when prompted.
- Select Exit.