Mapping of Collective Subrogation/Recovery
Use
You can create and perform cross-claim subrogation/recoveryin a collective subrogation/recovery.
Note
A collective subrogation/recovery is not a bundle of different individual subrogation/recovery cases that belong to one another from an economic point of view.
Whereas subrogation/recovery in a claim can only refer to payments of the same claim, collective subrogation/recovery offers many more options:
You can refer to payments in any claims
You can request subrogation/recovery receivables for a payment item from any number of payers.
You can periodize settlements for repetitive subrogation/recovery receivables.
You can uncouple subrogation/recovery receivables from the original claims, as the collective subrogation/recovery operates via a dummy claim.
Prerequisites
See Customizing Settings for Collective Subrogation/Recovery
Process Flow
A collective subrogation/recovery is processed as follows:
Identify cross-claim subrogation/recovery
Create a collective subrogation/recovery with general attributes
Enter the payers and other participants
Assign subclaims
These subclaims contain the payments to which you want to refer in this collective subrogation/recovery.
Create a settlement
Create a subrogation/recovery receivable for the settlement
In this subrogation/recovery receivable, enter the individual receivable items.
You have the following options for entering the items:
You can generate the items automatically from the payment items of the assigned subclaims.
Alternatively you can create the items manually, or in addition to the items generated automatically.
Process the subrogation/recovery receivable further
You can further process the subrogation/recovery receivable in one of the following ways:
Post to the collections and disbursements system
You have the following options:
Post directly to the collections and disbursements system
First of all park in the Claims Management system and post to the collections and disbursements system at a later stage
When you post a subrogation/recovery receivable, you can have the incoming payments in the collections and disbursements system reported back to the Claims Management system in a report.
Reverse
Write off
Example
A health insurance carrier often has to make payments that are assumed ultimately by the pension insurance carrier. This means that there is a constant need for recovery payments.
You can use the collection subrogation/recovery function to map this situation centrally.You assign to the collective subrogation/recovery all those recovery-relevant subclaims in which the health insurance carrier has made payments for the pension insurance carrier. You then create repetitive settlements for the pension insurance carrier as the paying party. You take the payments that have been made in a certain period to create corresponding receivables.
After a large loss incident caused by a group of persons, the insurance carrier makes payments to various insureds and creates the corresponding number of claims.
You now create a collective subrogation/recovery to recover the payments you have already made from the persons responsible for the loss. You assign to this collective subrogation/recovery all relevant subclaims and thus all the payments you have made. You can now review these payments and select freely which costs you wish to recover from whom. You create a settlement with the relevant receivable items for each paying party. You can claim back each original payment item multiple times, in other words you can request the original payment item from all of the paying parties (as the maximum).