SISnet Claims

SISnet Claims scheme

Insurance software for the comprehensive management of claims and benefits in insurance or mutual insurance companies.

SISnet Claims features

  • Core

    • Engine
    • Task diary BPM
    • Clients CRM
    • Document management
    • Datawarehouse
    • Content management
  • Claims

    • Claim Opening:
      • Opening refusal
      • Agent assignment
      • File assignment
      • Initial reserves
      • Other openings
    • ILCS: Fraud detection and management
    • Claim Processing:
      • Claim diary
      • Claim agenda
      • Processing blocks
      • Correspondence
      • Documentation
      • Rejections
      • Annotations
    • Claim closure
    • Claim reopening
    • Events:
      • Catastrophic
      • Linked claims
  • Third parties

    • Third parties management
    • Third parties portal
    • Order management:
      • Order generation
      • Order acceptance
      • Order resolution
      • Order closure
  • Administration

    • Payment circuit
      • Authorization
      • Confirmation
    • Accounting interfases
    • Reserves, payments and recoveries:
      • Initial reserves
      • Reserve modification
      • Recovery expectations
  • Functionalities regarding Core and Claims

    • Excess of loss reinsurance
    • Provisions
  • Functionalities regarding Core, Third parties and Administration

    • Self-billing
    • Provisions
    • Multiple payments

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