Insurance Claim

Type: Information Object

Status: Planned
Industry Sector: Insurance
Sensitivity Level: Confidential
Personal Information: Sensitive PII

Description:
A formal request made by a policyholder to an insurer for compensation following a loss or event covered under an insurance policy.

Accessed by Application(s):

• Actuarial Reserving Platform
• Claims Management System
• Insurance Product & Rating Platform
• Reinsurance Administration System
• Subrogation Management Platform

 Yes

Attributes

Order	Name	Description	Type	Cardinality	Example value
1	Claim ID	Unique identifier for the insurance claim	GUID	Mandatory
2	Policy ID	Reference to the insurance policy under which the claim is made	Reference	Mandatory
3	Claimant ID	Reference to the claimant customer record	Reference	Mandatory
4	Loss Adjuster ID	Reference to the loss adjuster assigned to the claim	Reference	Optional
5	Claim Type	Category of the claim	Enumeration	Mandatory	Property Damage
6	Status	Current status of the claim	Enumeration	Mandatory	Open
7	Claimed Amount	Amount claimed by the policyholder	Decimal	Mandatory
8	Settled Amount	Amount agreed for settlement of the claim	Decimal	Optional
9	Claim Date	Date the claim was registered	Date	Mandatory
10	Loss Date	Date on which the insured event or loss occurred	Date	Mandatory
11	Settlement Date	Date on which the claim was settled	Date	Optional
12	Currency	Currency of the claimed amount	Enumeration	Mandatory	EUR
13	Fraud Flag	Indicates whether the claim has been flagged for fraud review	Boolean	Mandatory

 Yes
 
 Planned
 Sensitive PII
 Confidential
 Insurance
 A formal request made by a policyholder to an insurer for compensation following a loss or event covered under an insurance policy.

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