Explain claims movements before the finance close

Reconcile paid and outstanding claim records, recoveries and actuarial extracts to finance schedules; identify late updates or inconsistent case status. Claims and actuarial owners certify their inputs before finance books the reviewed position.

A notice, complaint, missed commitment or disputed amount opens a case.

People in the process

FFinanceProcess Owner
CClaimsParticipating Team
AActuarialParticipating Team
RReinsuranceParticipating Team

Records it works with

Relevant agreement, policy or governing record
Transaction, performance and payment history
Notices, communications and supporting evidence

The process is a starting point.The standards are yours.

Configure for the insurer, product, distribution model and applicable IRDAI requirements. Claims, underwriting, actuarial and grievance decisions stay with the authorised specialists.

Keep the work connected.

Reinsurance & Finance

Preserve notice and evidence for reinsurer recoveries

Relate a material loss to treaty or facultative cover, attachment, share, notice terms, claim updates and reinsurer correspondence. The reinsurance specialist confirms the ceded position and pursues a documented recovery after the insurer’s claim decision.

CFR

Reinsurance & Finance

Resolve a disputed reinsurer recovery amount

Compare ceded claim calculation, paid loss, deductibles, reinstatement and reinsurer statements. Reinsurance and finance staff explain variance, negotiate the supported amount and record the revised receivable without shifting the policyholder decision to the reinsurer.

FCR

Reinsurance & Finance

Reconcile insurer returns across finance, claims and actuarial

Link the applicable return, reporting period and source schedules to finance, actuarial and claims sign-offs. Compliance resolves classification or version differences before authorised submission, retaining the filed copy and subsequent regulator queries.

FAC

Explore all Insurance processes.

Order for the work. Room for the people.