Insurance Claims Standard Invocable Actions | Insurance Developer Guide

Calculate Adjustments Action
Calculate the adjusted amount for a loss item and generate data for insurance policy limit tracking and claim coverage payment adjustment records.

Cancel Claim Coverage Payment Detail Action
Cancel payment for a claim coverage payment detail record.

Create Claim Action
Create a claim.

Create Claim Coverage Payment Detail Action
Create a claim coverage payment detail record.

Create Policy Limits Action
Create insurance policy limit records for policy coverage and root attributes.

Delete Claim Coverage Payment Detail Action
Remove unpaid claim coverage payment details by updating the status of the claim coverage payment detail record to Deleted.

Edit Claim Coverage Payment Detail Action
Modify a claim coverage payment detail record.

Get Claim Action
Get the details of a claim.

Get Insurance Policy Current Standings Action
Get the current standings of the insurance policy.

Open Claim Coverage Action
Open a claim coverage.

Pay Ex Gratia Claim Coverage Payment Detail Action
Process ex gratia payments for the claim coverage payment detail record when the adjusted amount is greater than the policy limit amount or count or both.

Pay Claim Coverage Payment Detail Action
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 to Paid.

Recalculate Adjustments Action
Recalculate the adjusted amount for a claim loss item to the maximum amount that’s allowed by the insurance policy.

Update Claim Action
Update a claim.

Update Claim Coverage Action
Update a claim coverage.

Verify Policy Coverage Action
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.