Policy snapshot in claim / default mapping

You can use the Service Mapping Tool (SMT) to load policy and contract data from the policy management system to the policy snapshot and in doing so map the data of the external system to data of SAP Claims Management. SAP provides a sample implementation (default mapping) for the line of home contents insurance.

For more information, see Mapping of Interface to Policy System.

Integration of SAP Archiving Engine

The Archiving Engine offers you many functions for archiving objects, such as parallel archiving and extensive monitoring.

You can use the Archiving Engine to archive the following claim subobjects of SAP Claims Management:

For more information, see Archiving.

Benefits, services, and fees catalogs

This Business Function provides you with the following additional functions for processing benefits, services, and fees catalogs:

Authorization check with repetitive payments

You can perform an authorization check for the entire repetitive payment record. The system then checks whether the user is authorized to create or change a repetitive payment of a certain amount. An authorization check for each individual payment of the repetitive payment is not necessary.

For more information, see Authorization Check with Repetitive Payments.

Claim Summary screen

The new claim summary provides a clear and structured overview of all relevant claim information. In addition to basic data of the claim such as incident type or claim date, the system also displays key figures on payments, reserves, claim handlers, subclaims, log entries, notes, and for other assigned claims.

Call notes

You can call the notes function from any screen in claims processing. You can then create, display, or change a note.

Information on inactive claims

You can use a report to identify inactive claims and to inform the responsible claim handler accordingly. A claim is considered inactive if it has not been processed for a certain number of days.

You can use the Business Rule Framework (BRF) to control how you handle the information that a claim is inactive. For example, using the BRF you can create a task informing the claim handler of this situation.

For more information, see the documentation on report RICL_INACTIVE_CLAIMS_NOT.

Override settings in the policy product

You can override certain settings that have been defined in Customizing for the policy product.

For more information, see Overriding of Settings with Policy Product.

Texts for settlements in collective subrogation/recovery

In collective subrogation/recovery or in an accident event with subrogation/recovery you can enter texts for settlements. To do so, you assign text modules that you can select from different categories to the individual settlements. You can change the sample texts later on in the application if you need to.

Role-based performer: Display of telephone number

The overview of the role-based perform now contains the telephone number of the performer. This applies to the performer categories User and Business Partner.

Clauses with coverage in the policy snapshot

The policy snapshot displays clauses (endorsements) that are assigned to a coverage, along with the assigned coverage.

Inspection location of a damaged object

In P&C claims, the input help for the inspection location also contains the claimant.

Enterprise Services

This Business Function provides you with the following new enterprise services:

With these enterprise services you can use claim-specific search attributes to search for and view claims.

Integration with SAP Business Information Warehouse

This Business Function provides you with the following new extractors: