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Siebel Insurance Guide > Managing Claims >
Managing Recovery Information (End User)
End users use the Claims screen, then the Recoveries view to record and track information regarding subrogation and salvage activities. This task is a step in Process of Managing Claims. Subrogration refers to sections of a property insurance or liability insurance policies that give the insurer the right to take legal action against the third party who is responsible for the loss. For example, a customer's car might be hit by another car and instead of waiting for the other car owner's insurance to pay, the customer files a claim with his insurance company. The insurance company pays for the damage but contacts the other insurance company to get reimbursement for the payment. The process of getting reimbursement from the other insurance company is an example of subrogation. Salvage occurs when the insurer takes ownership of the damaged property after the claim has been settled. An adjuster can assign a claim to a subrogation unit if required. One or more investigators can then use the Recoveries dashboard to manage the subrogation activities and to recovery money from the third party. A claim can be assigned to various investigators, for example, to arbitration or litigation specialists, or to people handling collection and salvage. Table 12 shows the primary fields in the Recovery dashboard.
Table 12. Recovery Dashboard Fields
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Subro Referral |
Indicates whether the claim has been referred to subrogation. |
Referral Source |
Identifies how the case was referred to subrogation:
- System. The case was referred automatically due to the subrogation potential score.
- Manual - adjuster. An adjuster referred the case manually.
- Manual - Reassignment. The case was reassigned.
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Assignment Date |
Displays the time and date on which the subrogation file was opened. |
Closed Date |
Displays the time and date on which the subrogation file was closed. |
Subro Potential |
Displays the combined subrogation potential score. This field is updated by the Evaluate Subrogation Potential button in the Claims List applet. |
Overall Fault % |
Displays the theory of liability value for the claim. This field is set through the Update Theory of Liability task. |
Status |
Select the status of the subrogation case. Values include: Assigned, Accepted, Initial Review, Negotiations, Decision Pending, Closed, and Re-opened. |
Disposition |
Select the final status of the subrogation case after processing. Values include: Partial Recovery, Full Recovery, Collections Handoff, Arbitration Handoff, Litigation Handoff, and Abandoned. |
Table 13 shows the fields in the dashboard that display the key financial information.
Table 13. Recovery Dashboard Key Financials Fields
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Total Claim Payment |
Displays the total of payments made on the claim to date. This field is updated by the Recalculate Payment task. NOTE: The value in this field comes from the Claims, then the Payment view for payments with a type other than Subrogation Expense or SIU Expense.
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Total Expenses |
Displays the total subrogation expenses incurred to date. This field is updated by the Update Expenses task. NOTE: The value in this field comes from the Claims, then the Payment view for payments with a type of Subrogation Expense.
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Recovery Potential |
Displays the recovery potential for the claim. The default value is (Theory of Liability % * Total Claim Payment), that is the theory of liability percentage multiplied by the total claim payment amount. This field is updated by the Update Recovery potential task. |
Table 14 shows the fields in the dashboard used for arbitration or litigation referrals.
Table 14. Recovery Dashboard Arbitration/Litigation Referral Fields
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Arb./Lit. Referral |
Indicates whether the claim is assigned to a litigation or arbitration specialist. |
Assignment Date |
Displays the date and time when the case was assigned to arbitration or litigation for further pursuit. |
Counsel/Arb. Board |
Select the arbitration board or the external counsel handling the case. If the organization is a business unit, it is added to the claims Service Provider list with a role of Subro Arb./Lit. Provider. |
Settlement Amount |
Enter the settlement amount for the subrogation case. |
Status |
Select the status of the arbitration or litigation process. Values include: Assigned, Accepted, Initial Review, Filed Arbitration, Under Litigation - Internal, Under Litigation - External, Decision Pending, Closed, and Re-opened. |
Disposition |
Select the final status of the arbitration or litigation case. Values include: Settled - Full Recovery, Settled - Partial Recovery, Collections Handoff, and Abandoned. |
Table 15 shows the fields in the dashboard that display the final outcome of the recovery processing
Table 15. Recovery Dashboard Outcome Fields
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Recovery Amount |
Enter the total recovery amount on the claim. |
Debt Schedule |
Select the debt schedule for the subrogation recovery. Values include Installments and Single Payment. |
Deductible Return |
Displays the deductible return amount for the subrogation case. This field is updated by the Calculate Deductible Return task. |
Table 16 shows the fields in the dashboard used for collections referrals.
Table 16. Recovery Dashboard Collections Referral Fields
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Collections Referral |
Indicates whether the claim has been assigned to collections. |
Assignment Date |
Displays the date and time when the case was assigned to collection for further pursuit. |
Collection Agency |
Select the collection agency handling the case. If the organizations is a business unit, it is added to the claims Service Provider list with a role of Subrogation Collection Agency. |
Collection Amount |
The collection amount for the subrogation case. |
Collection Status |
Select the status of the collection process. Values include: Assigned, Accepted, Negotiating, Closed, and Re-opened. |
Disposition |
Select the final status of the collection process. Values include: Full Recovery, Partial Recovery, and Abandoned. |
Table 17 shows the fields in the dashboard used for salvage processing.
Table 17. Recovery Dashboard Salvage Potential Fields
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Notify Salvage |
Indicates whether salvage potential has been notified. |
Recovered Date |
Enter the date recovery took place. |
Amount Recovered |
Enter the amount salvaged. |
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