Insurance Claims Process Case Study | BPM | Visio Practical | Business Analyst Case | Vijay S Shukla

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Business Analysis Case Study for Insurance Claims Process

Claims Assessment and Processing – BPMN Model Preparation
A Junior claims officer processes and assess a particular claim (notification of a given loss received at the insurance company) assigned to him. Based on the data supplied by the insured or his representative he decides whether this claim will be processed or rejected.
In case of a rejection the policy holder is informed via email and the case file for the claim is closed by the Junior claims officer.
In case the claim is taken up for processing the Junior claims…

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