Settling insurance claims

Activity overview

Glossary

Basics of using Ramco Enterprise Series web page

Using online help

This page allows you to enter the details of the settlement received against a claim. You can enter the details like the number identifying the receipt through which the payment was received and the amount that was considered for settlement. You can also calculate the total amount received as settlement and the total amount considered for the settlement. The system stores the login ID of the user and the system date along with the settlement details. The details of the receipt are retrieved from the “Sundry Receipts” business component. Help facility is available for retrieving the receipt details.

The “Settle Insurance Claim” page appears.

Settlement No

The number identifying the settlement received from the insurance company (Alphanumeric, 18). This number is generated and displayed by the system, when the “Settle Claim” pushbutton is clicked. The number is displayed with the corresponding prefix and suffix of the numbering type selected in the “Numbering Type” field. The number is incremented from the last number available in the “Document Numbering Class” business component.

Note: This field must not be left blank if “Manual” is selected in the “Numbering Type” field.

Numbering Type

Use the drop-down list box to select the numbering type for the login organization unit and the “Insurance Settlement Voucher” transaction type. The numbering types must have already been defined in the “Create Numbering Class” activity of the “Document Numbering Class” business component and must be in “Active” status. The system displays the numbering type set as default for the transaction in the “Document Numbering Class” business component.

The system displays the following:

Status

The status of the claim. It could be “Active” or “In Progress”.

 
  • Active – indicates a newly created claim.

 
  • In Progress – indicates that the claims has been partially settled and is pending for further settlement.

Claim No

The number identifying the claim.

Policy No

The code identifying the policy.

Renewal No

The code identifying the renewal.

Total Claim Amount

The total amount claimed from the policy.

Unsettled Amount

The claim amount yet to be settled.

Finance Book

The code identifying the finance book in which the postings are made.

Claim Date

The date on which the claim was raised.

Receipt No

The number identifying the sundry receipt (Alphanumeric, 18). This receipt must be in the “Authorized” status in the “Sundry Receipt” business component.

 

Help facility available

The system displays the following in the “Receipt Details” multiline:

Receipt Date

The date on which the receipt was raised.

Receipt Amount

The amount of the receipt.

Amount Considered

The amount considered for the settlement (Decimal). The value entered in this field must be greater than zero.

Note: This field must not be left blank if a value has been entered in the “Receipt No.” field.

The system displays the following in the “Receipt Details” multiline:

Receipt Type

The type of receipt received.

Bank / Cash Code

The code identifying the bank or cash account in which the settlement is to be accounted.

Receipt Mode

The mode of receipt of the settlement.

The system calculates and displays the following:

Total Receipt Amount

The sum total of the amount received.

Total Amount Considered

The sum total of the amount considered for settlement.

Note: The total considered amount must be less than or equal to the unsettled claim amount.

The status of the claim is updated to “Settled” if the “Unsettled Amount” is zero.

The status of the claim is updated to “In Progress” from “Active”.

The system displays the following:

Created By

The login ID of the user who has raised the claim.

Created Date

The date on which the claim was raised.

Last Modified By

The login ID of the user who raised the last claim.

Last Modified Date

The date on which the last claim was settled.

To proceed, carry out the following