Creating Claims

Overview

Customers may submit claims to submit overpayments, compensation for damaged goods, or promotional accruals. Other situations involve customers taking illegal deductions, or paying more than what they owe your organization. You can create different types of claims based on the nature of claims that must be settled.

When a claim is created, all the information necessary to process the claim is recorded. This information includes the claim type, reason for the claim, customer information, contact information, broker and sales representative details, the amount, and currency type.

The Mass Create functionality enables you to create multiple claims and debit claims on one screen. You can import claims based on data from legacy or third party systems by using Import Interface. You can also create claims and debit claims from any system by using a Public API. Claims can be imported from a legacy system either through claims import or through the claims API.

Understanding Claim Components

To create claims, you must understand the different claim types, classes, reasons, claim lines, and customer-reason code mapping.

Claim Classes

Claim, Debit claim, Deduction, and Overpayment are the four different claim classes that are available in Oracle Trade Management. The settlement methods and processing is different for each claim class.

Claims and Debit Claims are created in Oracle Trade Management. Deductions and Overpayments are created from Oracle Receivables. Oracle Receivables users can create deductions or overpayments when they find mismatches between the applied transaction amount and the receipt amount from the Receipt Application window.

If the payment is directly applied to a transaction and a short pay is recognized, then a deduction can be created based on the transaction, or a claim investigation can be created for the customer.

If Oracle Receivables users identify that a customer has overpaid, then a claim investigation can be created for the customer on receipt and is distinguished as an overpayment claim class in Oracle Trade Management. All the transaction and receipt information from Oracle Receivables is carried over to Oracle Trade Management as source information for claim research.

See Settling Claims, Deductions and Overpayments for procedures related to settling claims, debit claims, deductions, and overpayments.

Note: Throughout this document, the term "Claim" is used generically to encompass claims, debit claims, deductions, and overpayments.

Apart from regular claims, deductions, and overpayments, claims are also created automatically in Oracle Trade Management as a result of the integration between Oracle Trade Management and Oracle Partner Management.

Whenever any requests related to Special Pricing, Soft Funds, and Referrals are created and approved in Oracle Partner Management, offers and claims are automatically created in Oracle Trade Management.

These claims are settled by the claim users. For information on settling claims related to Special Pricing, Soft Funds, and Referrals, see the Indirect Sales Management chapter. See the Oracle Partner Management Vendor User Guide for more information on Special Pricing, Soft Funds, and Referrals.

Claim Types and Reasons

Customers submit claims for various reasons such as to claim compensation from your organization for losses caused due to shipping problems, invoice errors, promotional payments, or quality issues.

Sometimes the reason for the claim may not be identified so thus is unknown. You can use internal claim types and reasons to identify the reason for which the claims have been raised and classify these claims.

Claim types and reasons also enable you to close the loop on claims processing and settlement, and to analyze claim problems. Depending on the claim type or reason, the process of claim research and resolution may be different. You can have any number of internal claim types and reasons. Your Claims Administrator can set up claim types and reasons based on your business needs.

Claim types and reasons together enable you to classify claims, and identify problem areas that need improvement. For example, you may have a large number of claims with the type--shipping and the reason--damaged goods. With this knowledge, you can improve your shipping methods and reduce the number of shipping claims arising due to damaged goods.

Claim Types

Claim types serve the following specific purposes:

Claim Reasons

Claim Reasons serve the following specific purposes:

For information on creating claim types and reasons, and application integration, see the Oracle Channel Revenue Management Implementation Guide.

Claim Actions

As an option, you can select an action when creating a claim. Each action typically has a series of associated tasks. These tasks enable you to research and settle claims. For more information on tasks, see the Common Components chapter.

For example, a shipping claim may have an action called Shipping Claim Tasks. The series of tasks might include:

  1. Review invoices for shipped products and amounts.

  2. Contact shipping department for verification.

  3. Obtain proof of delivery.

The Administrator sets up actions based on the business needs of your organization. For more information on actions, see the Oracle Channel Revenue Management Implementation Guide.

Third Party Accruals and Pricing Simulations

Manufacturers often deal with their customers directly or indirectly or both through distributors. If this is the case with your organization, you may want to offer promotions to customers both directly and through distributors who also sell to the same customers.

Oracle Trade Management can take indirect purchase data for direct customers, run a pricing simulation, and determine what promotions the customer is entitled to.

For example, an organization sells directly to Customer X. The organization also sells its products to a distributor who resells to Customer X as well as to other customers that you do not deal with directly. The distributor periodically sends in sales data to help you calculate accruals for all of the customers.

For this example, assume that the data consists of the following:

Customer Relationship Sales Amount
X Direct and Indirect $100,000
Y Indirect $80,000
Z Indirect $70,000

Based on the information provided from the distributor including the data, customer and product information, order number and date, quantity, price, shipment date, invoice number and date, and so on, Oracle Trade Management simulates the price and promotion that Customer X would have received had they dealt directly with you for a particular order.

If the pricing simulation indicates the customer would have received a better price or promotion dealing directly with you (say a $10K difference for this example), Oracle Trade Management automatically creates an accrual for this customer. The $10K is tracked in the customer budget, and can be paid later to the customer by a claim or deduction.

The data for Customers Y and Z will be saved and stored separately, so that you can offer promotions to these indirect customers in the future.

Customer Reason

Customer reasons are the codes by which customers identify the claims that they submit. These customer reason codes may be different from the internal reason codes that your organization uses. The Administrator in your organization can create mappings for customer reason codes and the internal reason codes that are used by your organization. If these codes are mapped, then whenever a customer submits a claim, the customer's original reason is captured and automatically converted to the internal reason code. This simplifies the claim research process.

In the following Customer Reason Code Mapping diagram, Customer Reasons codes Shipment Errors and Invoice Errors are mapped to an Internal Reason named Processing Errors. Damaged Goods customer reason is mapped to an Internal Reason named Quality issues.

Customer Reason Code Mapping

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For example, a retailer--Bigmart maintains more than 3,500 reason codes for deduction against its manufacturers. One of the manufacturers--Toy House maintains only 30 internal reason codes to analyze deduction patterns and route them to different departments for investigation.

Bigmart remits payments to Toy House. On those remittances Bigmart indicates on multiple lines their deductions and their reasons for deducting. The reason codes used by Bigmart are converted to internal reason codes. The amount that is deducted is adjusted and converted into deductions in Oracle Trade Management.

The processing of claims depends upon the manner in which the customers remit payments. Customers can make payments either through:

During claim creation, you can enter one of the following:

Processing Methods

When processing claims for settlement, payment methods depend on the origin of the claim, the claimant, and relationship between the claimant and the payee. In addition, processing is influenced by the following choices that you make.

Buying Groups and Related Customer Accounts

Buying groups are formed when organizations group themselves to leverage their buying power.

For example, you create a promotion for a buying group. When buying group members place orders, accruals for each member are tracked individually, even though the buying group entity may be handling all the invoices and claims for the group. During claim settlement, you can view the buying group member accruals and decide whether to issue payment to the buying group, or directly to one of its members.

Related Customer accounts are set up with relationships. Common relationships include bill-to and ship-to.

For example, the headquarters of an organization may be set up as the bill-to account and location for multiple retail stores. Each retail store can be set up as a ship-to account and location. In addition, the headquarters office may be handling all the claims for retail stores, but these retail stores may receive their payment directly.

Enabling AutoLockbox

AutoLockbox (or Lockbox) is a service that commercial banks offer corporate customers to enable them to outsource their accounts receivable payment processing. An AutoLockbox operation can process millions of transactions a month.

AutoLockbox eliminates manual data entry by automatically processing receipts that are sent directly to your bank. The Oracle Receivables user can specify how this information must be transmitted and Oracle Receivables ensures that the data is valid before creating QuickCash receipt batches.

The customer who has remitted the receipt can be automatically identified, and the AutoCash rules may be optionally used to determine how to apply the receipts to your customer's outstanding debit items. See the Oracle Receivables User Guide for more information on AutoLockbox.

During AutoLockbox and Post QuickCash processing, Oracle Receivables can automatically prepare eligible remittance lines for claim creation in Oracle Trade Management. AutoLockbox can initiate claim creation for eligible remittances. Deductions and overpayments can be created from the PostBatch process when customers' remittances come from the Oracle Receivables Lockbox. All the relevant customer information including customer reason and reference number is passed to Oracle Trade Management. These claims can be settled through Oracle Trade Management. See Settling Claims, Deductions, and Overpayments for information on how to settle claims.

Enabling Multi-Org Processing

In Oracle Trade Management claim users can work on multiple operating units. Claim users can switch from one operating unit to another if they have access to multiple operating units. Details of the default operating unit are derived from the MOAC profile option, MO: Default Operating Unit. Users who have access to multiple operating units can select the operating unit to access the respective views, claims, and mass settlement groups.

If you implemented org striping for claims, the impact is described in the following table.

Feature Description
Claim Creation During claim creation, the default operating unit on the claim is derived from the MOAC profile option, MO: Default Operating Unit profile option. A user with access to multiple operating units can change this field. Operating unit details are required for Claim Interface Tables and the Claim Creation API.
Promotional payments view and Claims aging view The promotional payments and the claims aging views display details of claims that belong to the default operating unit. Users who have access to multiple operating units can select the operating unit to access the respective promotional payments view and the claims aging view.
Claim display Claim users can view all claims that they have access to.
Mass settlement Claim users can view all mass settlement groups that they have access to. When creating a mass settlement group, users should select an operating unit. If they do not select an operating unit, then LOVs such as Bill to, Claim Type, or Claim Reason, do not display values.
Personalized search For claim display and mass settlement purposes, the personalized search includes operating unit as a search criteria to enable claim users to sort claims and mass settlement groups by operating unit.
Claim Settlement Methods Settlement documents such as check and credit memo are created in the same operating unit as the claim that is being settled.
Settlement methods are tied to Claim Source setup. You can disable settlement methods for a specific organization.

Note: Org-striping has no impact on claim security or claim access.

In addition, org striping affects the following Claim related concurrent processes include the operating unit field. You can run these processes for all operating units that you can access. You can run concurrent processes with the following options:

Claim Details

The Claim Detail page in Oracle Trade Management displays detailed information about any type of a claim. You can modify this information by making changes to the editable fields and clicking update. You can access the following information from the Claim Detail page:

Function Description
Main The claim detail page displays detail information about any type of a claim. You can modify this information by making changes to the editable fields and clicking update.
Line This page displays information about the lines associated with the claim. You can create a line by entering information in the table below and clicking update. You can associate a line with promotional earnings by clicking Associate Earnings icon on that row.
Related Documents Use to access relevant documents pertaining to this claim.
Team Use to assign access to Team members
Task Use to assign follow-up activities such as resolving problems related to the claim.
Split Displays a list of claims that were split from the current claim. The Line Amount list of values displays all the lines that are available in original claim. The line amount should be greater than the sum of all the lines that are selected for split claim.
Attachments Use this screen to review and edit Attachments. Attachments can be a web address, file attachment or simple text. Click the Description text to review or edit the Attachment details. Click the Attachment text to view or download the Attachment.
Notes Use this screen to write Notes and record information that you would like to communicate to others regarding this claim. You can create any number of notes and edit and modify notes about this claim.
Settlement Displays information/details related to the settlement of a claim. To settle a claim, fill in the required fields and select the Update button. On a manually created claim, if no settlement method is selected, then the settlement method is taken from that specified on the customer’s trade profile. Because a customer can have more than one trade profile, the system looks first for the default settlement method defined for the customer site and account, and then at the party level.
History This page displays all history records of a claim. A recording is triggered by an event happened to the claim. You can specify the events that can trigger a history recording in history rule. To see history detail, click on the hyperlink in the event column
Report Displays a report containing information about this claim. The information includes items such as Operating Unit, Claim Number and Customer Information.

Claim Advanced Search

The Personalize option on the Claim page enables you to search for a claims based on specific criteria. You can choose to filter the search by a particular set of records and select which columns you want to display.

To modify the search criteria select the Modify criteria button.

Claim Lines and Associated Earnings

Claim lines serve the purposes of recording the details of a claim. Claim lines contain transaction details such as the product details, price, unit of measurement, and so on. Claim lines are used for associating offers or campaigns with a specific claim. For example, if a claim or deduction is promotion-related, it may be tied to multiple offers resulting in multiple Claim lines.

When you associate one or more offers to a claim, it means that you are settling the claim to pay the accruals that are created from these offers. From the claim lines page, you can access the Associate Earnings Summary. Here, if you created the claim manually, then you can see all global offers and all offers available for the claim’s operating unit that are applicable to the customer or buying group on the claim and its related accounts, including any outstanding (unpaid) promotional accruals. You can search for accruals by offer, customer, order, invoice and products, and so on.

The Earnings Association diagram below Offer 1 and Offer 2 are associated to Claim A.

Earnings Association

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The Associate Earnings page includes all outstanding (unpaid) promotional offer accruals that are related to a specific customer and claim. For a customer budget, it displays the total utilized and remaining unutilized amounts as of date, in both transactional and functional currencies. However, actual association of earnings happens in either the transaction or the functional currency based on the claim currency. The system calculates the current association amount, existing association amount and net association amount (the difference between the current and existing association amounts).

By using the search function, you can view all offers that are applicable to each claim for customers and related accounts, and buying groups and buying group members. You can use associated earnings for claim research and settlement.

Some examples of how you can use associated earnings for claim research and settlement are given below. For each example, you can assume that the following has already occurred:

Example 1: Accruals

A customer submits a deduction for $20,000. You first look at the customer checkbook and see the following:

Offer Earned Paid
Offer 1 $100,000 $40,000
Offer 2 $15,000 $9,000
Offer 3 $8,000 $5,000

Next, you look at the customer's associated earnings information for this claim and see the following.

Offer Amount Available
Offer 1 $100,000 $60,000
Offer 2 $15,000 $9,000
Offer 3 $8,000 $5,000

Let us assume that you have determined that the deduction is related to all three offers, and you have selected credit memo as the settlement method. In the Line Amount field in the Associate Earnings page, you enter the values in the Line Amount column as shown below:

Offer Amount Amount Available Line Amount
Offer 1 $100,000 $40,000 $9,000
Offer 2 $15,000 $9,000 $6,000
Offer 3 $8,000 $3,000 $5,000

When the credit memo is issued, $9,000 is withdrawn from the accruals for Offer 1, $6,000 from Offer 2, and $5,000 from Offer 3. The following GL accounting entries are created:

GL Entry Offer 1 Offer 2 Offer 3
Debit Liabilities $9,000 $6,000 $5,000
Credit Receivables Clearing $9,000 $6,000 $5,000

The customer's budget checkbook is updated automatically to:

Offer Earned Paid
Offer 1 $100,000 $49,000
Offer 2 $15,000 $15,000
Offer 3 $8,000 $8,000

When the next claim for this customer is created, the associated earnings page will show the following details:

Offer Amount Amount available
Offer 1 $100,000 $51,000

Example 2: Buying Group

A Buying Group offers its members a deal whereby each unit of product that they purchase is eligible for a 10% accrual. Member A places an order and accrues $10,000. The $10,000 is tracked in the earned column of the budget for Member A.

The Buying Group handles the invoicing and claim processing for all its members. It submits a claim on behalf of Member A for $10,000. Being the claim owner, you create a claim with at least one claim line, and associate earnings with that claim line.

When you view the Associate Earnings page, you do not at first see the $10,000 in accruals because the Buying Group did not place the order directly. To research this claim further, you use the search function to view all of the accruals for all the buying group members. You can then associate the $10,000 in accruals to the claim and either pay Member A directly or pay the Buying Group, who will disburse the payment to Member A.

Proportionate Association of Earnings by Products

In general, when you associate earnings to an offer on the claim line, the claim amount gets associated to the entire offer on a first-in-first-out basis irrespective of the item or product categorization on the offer. This means that the earliest order line with accrual is cleared first.

However, some organizations may have a policy of clearing their claims periodically, say on a monthly basis, and they may not necessarily clear the oldest liability first. Alternately, because of the many product lines involved in one single offer, when a claim comes in that partially relieves the offer's accruals, they may prefer to proportionately pay the accruals for the offer lines.

For example, the total accrual for an offer is $1,000, out of which $200 has been paid out for previous claims. The outstanding accrual balance of $800 is broken up by products, and when a claim is created for $500, and the user associates the whole $500 to this offer, the system automatically splits the associated earnings by product as follows:

Product A for $500 * (500 / 800) = $312.50

Product B for $500 * (200 / 800) = $125.00

Product C for $500 * (100 / 800) = $62.50

If the offer sources funds from multiple budgets, the accruals are proportionately relieved from the budgets. For example, in the above scenario, if the offer sources funds from two different budgets--Budget A and Budget B, then due to product eligibility validation, each budget may track the accruals for some of the products or all. Assume that the accruals for Product A, Product B, and Product C are tracked as shown in the following table.

Product Budget A Budget B Total
Product A $300 $200 $500
Product B $200 -NA- $200
Product C -NA- $100 $100

When the claim is created for $500, and the associated earnings are split proportionately by product. The funding budgets are also split proportionately and the associated earnings for the products will be sourced as below:

An option in the System Parameters determines whether the system will prorate the earnings based on product or not.

When the prorate earnings flag is checked, Oracle Trade Management will prorate the earnings across accruals against the offer. It will also perform the following actions:

Claims Status

You can create claims in either New or Open status using the profile option OZF: Default Status When Creating Claims.

Creating a Claim

Customers may submit reimbursement requests for a number of reasons such as to claim compensation for damaged goods, payment for services, and so on. Debit claims can be used to charge back customers who have been overpaid.

To create a claim or a debit claim, log into Oracle Trade Management as Oracle Trade Management User.

Navigation: Claim > Claims > Create.

Notes:

Creating Multiple Claims

The Mass Create function enables you to create multiple claims and debit claims on one screen. All the basic information for claims can be captured quickly so that they can be routed to the proper owners in a timely fashion. This functionality enables you to handle the massive volume of claims data that your company has to deal with, and enables you to expedite the claims process.

To mass create claims and debit claims, log into Oracle Trade Management as Oracle Trade Management User.

Navigation: Claim > Claims > Mass Create.

Notes:

If an error occurs, the row with the problem is highlighted. All the other claims that you entered in the table are created.

Creating Claim Lines

Claim Lines enable you to associate the claim amount to chargeback, debit memo, credit memo, offer, order, invoice, or third party accruals. For example, you can select the type as order to settle a claim that is associated with a particular order. A claim can have multiple claim lines.

To create claim lines, log into Oracle Trade Management as Oracle Trade Management User.

As a prerequisite, a claim should exist.

Navigation: Claim > Claims > Claim Name > Lines.

Notes:

Entering Claim Line Details

Claim line details are used to associate promotional activities and documentation to the specified claim.

To enter claim line details, log into Oracle Trade Management as Oracle Trade Management User.

As a prerequisite, a claim with completed claim lines should exist.

Navigation: Claim > Claims > Claim Number > Lines. Locate the line you want to add details for, and click the icon in the Detail column.

Notes:

Associating Earnings With Claim Lines

Use Associate Earnings to associate a claim line with earnings accrued in the checkbook. Associating earnings is mandatory for promotional claim types. On the Associate Earnings page, you can view available earnings for a customer in both transactional and functional currencies.

To associate earnings with claim lines, you should first search for promotional accrual information, and then associate earnings.

Log into Oracle Trade Management as Oracle Trade Management User.

As a prerequisite, a claim with completed claim lines should exist.

Navigation: Claim > Claims > Claim Name > Lines.

Notes: Searching for promotional accrual information

Notes: Associating earnings

Note: You can only associate earnings to a claim if it has no existing associations.

After you save your work and return to the Lines Summary page, you will notice that the Associate Earnings icon has changed to a check mark.

Creating Deductions or Overpayments

When customers pay less than the invoice amount, you create a deduction for the unpaid, outstanding amount complete with references, reasons for the shortpayment, and details of the related transaction. You may then decide to write off this amount, adjust it against some other payment, or claim it.

Similarly, customers can pay more than the invoice amount. In such cases, you create an overpayment for the difference and then close them using an appropriate settlement method.

Creating an Overpayment

When customers make overpayments, Oracle Receivables creates overpayment claims in Oracle Trade Management.

To create an overpayment, log into Oracle Receivables as Oracle Receivables User.

Note: As part of the cash application process, the Oracle Receivables user may need to perform additional data entry tasks. These steps present only one way to enter an overpayment. See the Oracle Receivables User Guide for information on the different ways of entering overpayments.

Navigation: Receipts > Receipts.

Notes:

After you save your work, an overpayment number appears in the Reference Number field.

Creating a Deduction

Transaction related deductions can be traced back to a transaction (invoice, chargeback, or debit memo). Non-transaction related deductions cannot be traced back to a transaction.

Transaction related and non-transaction related deductions are created in Oracle Receivables. All the information such as the receipt number, receipt date, receipt amount, customer information and transaction information is captured from Oracle Receivables and passed to Oracle Trade Management.

To create either a transaction-related or a non-transaction related deduction, log into Oracle Receivables as Oracle Receivables User.

As a prerequisite, a deduction that can be traced back to a specific transaction should exist.

Note: The Oracle Receivables user may need to perform additional data entry tasks. These notes present only a single way of creating non-transaction related deductions. See the Oracle Receivables User Guide for information on the different ways of entering non-transaction deductions.

Log into Oracle Receivables as Oracle Receivables User.

Navigation: Receipts > Receipts.

Notes:

After you save the deduction, a deduction number appears in the Reference Number field. At this point, the deduction is created.

If it is a transaction-related deduction, it may have a dispute on it. To verify the dispute, navigate to Transactions > Transactions > [transaction name] > More > Disputed Amount.

Viewing the Source

Source displays the Oracle Receivables receipt and transaction information that originally created a deduction or overpayment. Source enables you to refer back to the documents in Oracle Receivables.

To view the source of a deduction or an overpayment, log into Oracle Trade Management as Oracle Trade Management User.

As a prerequisite, a deduction or overpayment should exist.

Navigation: Claim > Claims > Claim Name > Source.

Notes:

The following information is displayed:

If the deduction is transaction-related, then the following fields appear in addition to the above fields:

In the Receipt Application region, click the hyperlink of the event to view more details about the subsequent receipt application.