ChecklistGuro Property Claims Management Process
Streamline your property claims lifecycle with our end-to-end Property Claims Management Process. From initial notice of loss to final settlement, optimize adjuster workflows, automate documentation, and ensure seamless communication to reduce cycle times and enhance policyholder satisfaction. Master every stage of the claim journey with precision and transparency.
Start
Start of the Workflow/Process.
1. Initialize Claim Record
Create a new entry in the 'Claims' data model when a new incident is reported.
2. Update Claim Status
Update the status of the claim entry to 'Under Investigation' once the initial review is complete.
3. Fetch Policyholder Details
Retrieve information from the 'Policy' data model using the policy ID provided in the claim.
4. Calculate Estimated Loss
Calculate the total estimated loss by summing repair estimates and potential property damage values.
5. Assign Loss Adjuster
Create a task for a specific Loss Adjuster to visit the property for inspection.
6. Retrieve Inspection Report
Get the latest inspection details and photos from the 'Inspection' data model.
7. Total Damage Summary
Aggregate all line items from the 'Damage Estimates' data model to find the total cost of repairs.
8. Determine Deductible
Calculate the final payout amount by subtracting the policy deductible from the total estimated loss.
9. Review Claim Approval
Create a task for the Claims Manager to review and approve/deny the claim based on the calculated payout.
10. Update Claim Settlement
Update the 'Claims' data model with the final approved settlement amount and closing date.
11. Notify Policyholder of Approval
Send an email to the policyholder informing them that their claim has been approved and detailing the next steps.
12. Send Payment Alert
Send an SMS to the policyholder once the funds have been dispatched via bank transfer.
13. Create Payment Record
Create an entry in the 'Payments' data model to log the disbursement of funds.
14. Generate Monthly Claims Report
Create a report summarizing all closed claims, total payouts, and average processing time for the month.
15. Archive Duplicate Claim
Delete or flag a duplicate claim entry if a duplicate is identified during the intake process.
End
End of the Workflow/Process.
Start of the Workflow/Process.
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.
End of the Workflow/Process.
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