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Insurance
Get to Know the Claim Recovery Workflow

Get to Know the Claim Recovery Workflow

You can configure business processes to support several different recovery paths.

Team members can:

  • Pursue an estimated recovery amount against a target account.

  • Accept a full reimbursement from the target account and finalize the recovery process.

  • Accept a partial reimbursement from the target account and write off the rest if pursuing more isn't cost-effective.

  • Accept a partial reimbursement from the target account and then pursue an additional amount through a standard process or legal action.

The status of each Claim Recovery record reflects the current state of that recovery attempt, such as Accepted Recovery, Accepted with Additional Pursuit, or Recovery Written Off.

Example: A claims agent pursues a $10,000 recovery amount against a third-party at fault for a loss. After a series of recoveries and additional pursuits, the agent accepts $9,000 in reimbursements and writes off the remaining $1,000.

Throughout the recovery effort, Claim Recovery records store each pursued and accepted amount, and the Financial Summary chart on the claim shows pursued and accepted amounts shrinking or growing over time.

Timeline Details

Claim Recovery Record and Financial Summary

Pursue $10,000

Claim Recovery record with pursued amount
Financial Summary with pursued recovery amount

Receive $6,000

Claim Recovery record with accepted amount
Financial Summary with accepted recovery amount

Pursue $4,000 more

Claim Recovery records with accepted amount and an additional pursuit
Financial Summary with accepted and pursued recovery amounts

Receive $2,000

Claim Recovery records with accepted amounts from two pursuits
Financial Summary with accepted recovery amounts from two pursuits

Pursue $2,000 more

Claim Recovery records with accepted amounts and an additional pursuit
Financial Summary with accepted recovery amounts and an additional pursuit

Receive $1,000

Claim Recovery records with accepted amounts from three pursuits
Financial Summary with accepted recovery amounts from three pursuits

Accept $1,000

Write off $1,000

Claim Recovery records with accepted amounts and a write-off
Financial Summary with accepted recovery amounts from three pursuits
 
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