The following table shows the significance of the individual processing steps in SAP Claims Management (FS-CM) for the reinsurance system:
Process in FS-CM |
Subprocess in FS-CM |
Relevance for Reinsurance System |
Short Description |
---|---|---|---|
Create claim |
Yes |
This does not become relevant for the reinsurance system until the first financial transaction is made. |
|
Change claim data |
Yes |
FS-CM reports all claim data that is changed to the reinsurance system. FS-CM does not differentiate whether the changed data is relevant for the reinsurance system or not. |
|
Reserving |
|
Yes |
Only reserve balances are relevant, and not the actual reserve transactions. |
Payment |
|
Yes |
Payment transactions do not become relevant for the reinsurance system until the payment is posted. The system assigns payment transactions that are not directly assigned to any subclaim (such as expenses, advance payment) to the first subclaim. |
Subrogation/recovery |
|
Yes |
|
Salvage |
|
Yes |
As with subrogation/recovery, only the cash request (receivable) is relevant. |
External services |
No |
||
Coinsurance/ multiple insurance |
Yes |
FS-CM reports all amounts related to payments, subrogation/recovery, or salvage to the reinsurance system as net amounts, meaning that coinsurance shares have already been deducted. |
|
Double/additional insurance |
No |
||
Potential fraud |
No |
||
Close claim |
Yes |
FS-CM reports this to the reinsurance system along with the last financial transaction. |
|
Reopen claim |
Yes |
FS-CM reports this to the reinsurance system along with the associated financial transaction. |
|
Claim surrender |
Yes |
As with subrogation/recovery, only the cash request (receivable) is relevant. FS-CM reports the status of the claim to the reinsurance system as
|
|
Reverse claim |
Yes |
FS-CM transfers the claim with all financial transactions as reversal records to the reinsurance system. |
|
Formation of accumulations |
No |
||
Changes in the policy snapshot |
Yes |
The reinsurance system needs some attributes of the policy snapshot to be able to find the reinsurance constructs. If these attributes change, FS-CM reports a complete reassignment of the claim with all financial transactions to the reinsurance system. |