A Chinese-born patient at a hospital in New London, Conn., had her medical insurance claim rejected because nurses put down her husband's last name when she was admitted instead of her own.
As shown in Step 2 of Figure 2, user Bob now accesses the insurance application to look up all of his insurance claims.
The adjuster in the JK insurance scenario subscribes to Intelligent notification Services and requests notification when an insurance claim is filed in his or her name.
Insurance adjusters investigate insurance claims and determine the amount of loss or damages covered by insurance policies.
Bob's insurance claim requests are now processed using his correct authorization at the data source.
Review, examine, calculate and authorize insurance claims investigated by insurance adjusters.
In typical case management solutions, a case provides context for making a business decision such as funding a loan or paying an auto insurance claim.
In a business process of insurance say for approving an insurance claim, a user interaction might be required to decide whether the claim is allowed to pay or not.
Statistics travel accident insurance claims data show that as many accidents caused by flight delays and cancellation of a large area, there is no doubt a claim of "disastrous."
Automated business decisions can range from accepting a loan application to paying an auto insurance claim.
Three days later, Lewis filed an insurance claim with USAA Insurance reporting the Jubilee sank accidentally "due to unknown causes."
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