Viewing loss claims for policies
For policies, you can view loss claims from the Risk Analysis section of all the policy transactions. Typical users are the underwriter and risk management staff who look for loss information from within a single policy. They usually look for this information while assessing whether to grant a renewal.
You can search for claims by loss date. If you select Since, your choices are Any, Last 30 days, Last 90 days, and Last year. If you select From, you can specify a date range to retrieve claims for all policy periods within that range. PolicyCenter sorts the claims by policy period.
The search also retrieves archived claims that fall within the search dates. In ClaimCenter, archived claims have only a limited amount of information about the claim. Therefore, archived claims do not display values for all fields in the claim summary list or Claim Details.
PolicyCenter displays only the policy periods that include a claim loss date. If there was no claim with a loss date during the policy period, that period does not display. The claim system returns only those policies for which the user has view access.
The Total Incurred column displays the cost of each claim. Archived claims do not display a value for this field. The last row in this column displays the total incurred for all claims in the summary list.
In a submission policy transaction, Risk Analysis is part of the wizard steps. The Claim tab allows you to search for claims in the following ways:
- Search By Related Policy allows you to select a policy on the account and retrieve claims on that policy.
- Search By Loss Date allows you to search for claims since a particular date or within a date range.
Click Search to display a list of claims retrieved from the claim system.
Policy period filtering
On the Risk Analysis screen, you can filter the search results by making a selection from the Policy Period drop-down menu. Your choices are:
- All – Display all claims. This choice is the default selection.
- No policy in force – Display claims logged when coverage was not in force.
- Policy periods within the search range – Display claims logged in the selected policy period.
Claims logged on a loss date when coverage was not in force display No policy in force in the PolicyPeriod column.
In the ClaimCenter integration, the ClaimCenter policy period can get out of date. When you make a change to a policy, the policy information for a claim is not usually updated in ClaimCenter. For example, if after filing the claim, a backdated cancellation changes the policy period, the policy period in ClaimCenter is not updated. If the claim is no longer in the policy period, PolicyCenter lists the claim under PolicyPeriod as No policy in force. The Claim Detail tab displays the Policy Period Start and Policy Period End from PolicyCenter.
Claim details
Click a claim summary to view the Claim Details tab. This tab displays claim information retrieved from the claim system such as: