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Pain points

Paying claims as a delegated authority

Inconsistent application of data standards

OMC Paper for transmission

First notification of loss (FNOL) 

  • A man making a claim on his laptop
    Customer makes a claim to the delegated claims administrator
    Pain point not applicable to this step
  • Money being sent from one person to another
    Delegated claims administrator approves the claim and initiates the payment, if within approval limits
    Pain point not applicable to this step

Delegated claims administrator reporting 

  • Man looking at payments on laptop screen
    Delegated claims administrator adds a record of the claim payments made within the month as part of the bordereaux

    Inconsistent data standards can lead to manual mistakes and errors in the bordereau 

  • A man on a computer sending a document
    Delegated claims administrator sends the bordereaux for agreement

    Receiving and processing bordereaux often requires data manipulation to get things into the right format for sharing with managing agents and submitting for processing 

Bordereaux processing 

Agreement 

  • A man at a desk on a computer
    A bordereaux approval transaction is created for agreement
    Pain point not applicable to this step
  • A woman at a desk on a computer with an eye, question mark, and tick icons above her
    Insurer reviews the transaction, will raise any queries, and then agrees it

    Errors in the data can cause an increase in queries and can also delay the agreement 

Bordereaux processing 

Digital processing and replenishment of funds 

  • A woman doing technical checks on three computers
    Technical checks are completed for accounting purposes
    Pain point not applicable to this step
  • Transfer of money between two people on computers
    Fund transaction is created, funds are replenished if required and the monies are moved accordingly

    The monthly bordereaux process is on average a 48-day cycle,
driven primarily by data quality issues in the bordereau 

Reconciliation 

  • Woman looking at laptop screen
    Insurer reconciles incoming accounting transactions

    No consistent standard exists on how to reconcile transactions 

Pain points

View the pain points the new digital solutions are addressing for paying claims as a delegated authority. 

Laptop screen showing tracking and error

Delays in claims processing, payments
and movement of funds

Data sheets

Limited tracking of claims and reporting information

Woman with laptop with a clock in the back

Manual intervention, complicated reconciliation processes and lack
of automation

Solutions

We’re delivering several solutions which are transforming how we’re paying claims as a delegated authority. Learn more about these solutions, including our progress, benefits and where to find out more.   

Digital Processing Platform for claims (ICOS)

A digital claims processing service which can automate processes. 
A woman with a clock behind and money going towards her

Faster Claims Payment (FCP)

A funding and payment solution which provides fast
and direct payment of a claim to a customer. 

Related steps 

Journey overview

A high-level overview of the journey including associated pain points and solutions.  

Detailed steps

A detailed view of the journey, showcasing the technology that’s involved in each step. 
Next Delays in claims processing, payments and movement of funds
Get adoption ready

Blueprint Two will be delivered in two phases. At phase one cutover, all market firms must adopt the new digital services.