Flow for Insurance Claims

Required.

The action type. Additional valid values only for Insurance Claims include:

• calculateAdjustments—Calculate the adjusted amount for a loss item and generate data for Insurance Policy Limit Tracking and Claim Coverage Payment Adjustment records.
• cancelClaimCvrPaymentDetail—Cancel payment for a claim coverage payment detail record.
• createClaim—Create a claim.
• createClaimCvrPaymentDetail—Create a claim coverage payment detail record.
• createPolicyLimits—Create insurance policy limit records for policy coverage and root attributes.
• deleteClaimCvrPaymentDetail—Remove unpaid claim coverage payment details by updating the status of the claim coverage payment detail record to Deleted.
• getClaim—Get the details of a claim.
• getInsPolicyCurrentStandings—Get the current standings of the insurance policy.
• openClaimCoverage—Open a claim coverage.
• payClaimCvrPaymentDetail—Initiate the payment for a claim coverage payment detail record, track the policy limit consumption for the payout, and update the status of the claim coverage payment detail record status to Paid upon successful completion.
• updateClaim—Update a claim.
• updateClaimCoverage—Update a claim coverage.
• verifyPolicyCoverage—Verify whether a policy coverage is applicable for a specified loss date under an insurance policy, so that only eligible coverages are processed for claims.