PROPERTY CLAIMS MANAGEMENT PROCESS

Created by ChecklistGuro (https://checklistguro.com)

[ ] Initialize Claim Record: Create a new entry in the 'Claims' data model when a new incident is reported.
[ ] Update Claim Status: Update the status of the claim entry to 'Under Investigation' once the initial review is complete.
[ ] Fetch Policyholder Details: Retrieve information from the 'Policy' data model using the policy ID provided in the claim.
[ ] Calculate Estimated Loss: Calculate the total estimated loss by summing repair estimates and potential property damage values.
[ ] Assign Loss Adjuster: Create a task for a specific Loss Adjuster to visit the property for inspection.
[ ] Retrieve Inspection Report: Get the latest inspection details and photos from the 'Inspection' data model.
[ ] Total Damage Summary: Aggregate all line items from the 'Damage Estimates' data model to find the total cost of repairs.
[ ] Determine Deductible: Calculate the final payout amount by subtracting the policy deductible from the total estimated loss.
[ ] Review Claim Approval: Create a task for the Claims Manager to review and approve/deny the claim based on the calculated payout.
[ ] Update Claim Settlement: Update the 'Claims' data model with the final approved settlement amount and closing date.
[ ] Notify Policyholder of Approval: Send an email to the policyholder informing them that their claim has been approved and detailing the next steps.
[ ] Send Payment Alert: Send an SMS to the policyholder once the funds have been dispatched via bank transfer.
[ ] Create Payment Record: Create an entry in the 'Payments' data model to log the disbursement of funds.
[ ] Generate Monthly Claims Report: Create a report summarizing all closed claims, total payouts, and average processing time for the month.
[ ] Archive Duplicate Claim: Delete or flag a duplicate claim entry if a duplicate is identified during the intake process.

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