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  Processes in FS-CM and Relevance for Reinsurance System

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

  • Create reserve

  • Change reserve

  • Create cross-claim reserve

  • Change cross-claim reserv e

Yes

Only reserve balances are relevant, and not the actual reserve transactions.

Payment

  • Enter

  • Change

  • Post

  • Reverse

  • Reassign

  • Advance payment

  • Payment without reference to subclaim

  • Annuity paymen t

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

  • Enter

  • Open receivable

  • Set reserve

  • Record cash receipt

  • Request outstanding receivable or other receivable

  • Close

Yes

  • Receivables are relevant for the reinsurance system, but not the reserves here.

  • Cash receipts are not relevant.

  • Changes to the total receivable amount are relevant .

Salvage

  • Cash request

  • Cash receip t

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 No Claim Made .

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.