Property Claims Management Process

Inicio del flujo de trabajo/proceso.

Create a new entry in the 'Claims' data model when a new incident is reported.

Update the status of the claim entry to 'Under Investigation' once the initial review is complete.

Retrieve information from the 'Policy' data model using the policy ID provided in the claim.

Calculate the total estimated loss by summing repair estimates and potential property damage values.

Create a task for a specific Loss Adjuster to visit the property for inspection.

Get the latest inspection details and photos from the 'Inspection' data model.

Aggregate all line items from the 'Damage Estimates' data model to find the total cost of repairs.

Calculate the final payout amount by subtracting the policy deductible from the total estimated loss.

Create a task for the Claims Manager to review and approve/deny the claim based on the calculated payout.

Update the 'Claims' data model with the final approved settlement amount and closing date.

Send an email to the policyholder informing them that their claim has been approved and detailing the next steps.

Send an SMS to the policyholder once the funds have been dispatched via bank transfer.

Create an entry in the 'Payments' data model to log the disbursement of funds.

Create a report summarizing all closed claims, total payouts, and average processing time for the month.

Delete or flag a duplicate claim entry if a duplicate is identified during the intake process.

Fin del flujo de trabajo/proceso.