View Reports
Claims Processor
All Info Correct?
Check all documents
Change Status to 'Adjudicating'
Complete 'Approved' claims
Search Created claims
Claims Investigator
No
Customer
Followed all Guidelines?
Change status to 'Investigating
Yes
Send Email to Customer
Process Claim
Change Status to 'Processing'
Change Status to 'Open'
Receive Email
Claims Adjuster
Change Status to 'Denied'
Claims Examiner
ClaimsFlow and Policy Premium Reporting - Activity Swim lane Diagram
Is Claim Fraudulent?
Check 'Approved' Claims
Create Claim
Claims Coordinator
Change Status to 'Approved'
Claim amount within liability?
Business Manager
Change status to 'Sent for Inquiry'
