claims 12-14-12.ppt - agent insideservices.agentinside.com/ai/tutorials/doc/claims overview.pdf1....

CLAIMS

12-14-12

CLAIMS

INDEXTopic Page

1. Claim Inquiry System 3 - 10

Searching for Claims and Tips 3

Claims Detail Screen 5

E-Mail Links 6

Financial Summary Screen 7

Payment Summary Screen 8

Claimant Summary Screen 9

Company Confidential – Do not distributeClaims 12-14-12

Claim Inquiry Tips 10

2. Claims Closing Notices 11 - 14

Coverage Codes – Auto 13

Coverage Codes – Property 14

3. Producer Claims Listing 15 - 16

4. Kemper Alerts 17-20

Set Up 19

Alerts Defined 20

5. Contact Information 21

□ Search by:

□ Insured’s Last Name

□ Policy Number (with or

without spaces)

□ Claim Kind

□ Status

□ Claim Number

□ Date of Loss range

1. Claim Inquiry - Searching for Claims


□ Date of Loss range

(format = mm/dd/yyyy,

mm-dd-yyyy or

mmddyyy)

□ Producer Code

□ Click on any part of the row

to view claim details

□ Click on Column Headers to

sort

□ VIP and Privacy Claims

display in red text and cannot

be viewed

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□ POLICY NUMBER

□ Enter policy number as RC999999 or RC 999999

□ CLAIM NUMBER

□ System generated claim number format = 786AF999999N789

□ Nine-digit claim number search format (omit bold, blue, underlined characters above) =

786999999

□ Do not use spaces or alpha characters

� Exception: New Auto Claim# format as of 07/22/2010 = C000663NC10 (up to 16

alphanumeric digits)

1. Claim Inquiry - Search Tips


alphanumeric digits)

□ CLAIM KIND AND STATUS

□ Status date is the closed date for closed claims; status date is the open date for open claims

□Multiple claim kinds or statuses can be searched by selecting “All” or by pressing CTRL key on

keyboard while selecting individual claim kinds or status from the drop-down menus

□ DATE OF LOSS FROM AND DATE OF LOSS TO

□ Refers to date of loss

□ Default = 90 days prior to today’s date

□ Use calendar to change dates, or type the date (MM/DD/YYYY, MM-DD-YYYY or MMDDYYYY

formats)

□ CLAIMS CLOSED MORE THAN 3 YEARS AGO NOT ACCESSIBLE VIA “SEARCH”

□ PLACE CURSOR ON QUESTION MARKS FOR MORE INFO

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1. Claim Inquiry - Claim Detail Screen

Default screen

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2

5

6


Default screenAvailable info:

1. Claim Number

2. Claim Rep Information

3. Insured Information

4. Claim Kind

5. Claim Status

6. Date of Loss

7. Brief Description of Loss

8. Total Loss

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7

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Click on the claim rep’s e-mail

address to start an e-mail and

cc : yourself without leaving the

Claims Inquiry application!

If Claim Rep field is blank, there

will be an e-mail address for the

1. Claim Inquiry - E-Mail Links

Joe Smith

315-555-1212

[email protected]

[email protected]


regional claims office

Updated claims representative or

supervisor will display when changed

Required fields indicated by

Please do not include non public

personal information or other

confidential information (call the

assigned claim rep instead)

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1. Claim Inquiry - Financial Summary Screen

• Claim information for

each coverage and type:1. Coverage

2. Type = “Loss” or “Allocated Expense”

3. Total Claim = outstanding reserve +

payments - recoveries

4. Total Paid = total paid to date


4. Total Paid = total paid to date

5. Total Recoveries = total amount(s)

recovered via subrogation, etc.

6. Outstanding Reserve = total reserve -

amount paid to date

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1. Claim Inquiry - Payment Summary Screen

Available info:1. Issue Date (of check)

Click on any part of a row

to:•Access Claimant Summary tabs


1. Issue Date (of check)

2. Check Number

3. Paid To

4. Amount

5. Status/Status Date

6. Claimant(s)

•Access Claimant Summary tabs

for details on Payments,

Financials, Reserves &

Recoveries for claimant

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1. Claim Inquiry - Claimant Summary Screen

Available info:Click on any part of a row to:

•Access Claimant Summary


Claimant Name(s)•Access Claimant Summary

tabs for details on Payments,

Financials, Reserves &

Recoveries for claimant

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1. Claim Inquiry - Tips

TIPS

• Click “Print Claim” to display a .pdf copy of the claim summary report

• Click “Previous Claim” or “Next Claim” to view previous or next claim in Search Results or to view previous or next claimant if there are multiple claimants


claimants• Click “Return to Search” to view

saved search results or to start a new search (the last claim viewed will be highlighted)

• Time-out feature set at 2 hours • Maximum search results = 250• Claims Inquiry is a search tool and

cannot be used to report claims –insureds should call 888-252-2799 to report claims

QUESTIONS?

Call Systems Support

1-866-675-3345, option #2

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2. Claim Closing Notices

• Search closed claims to view amount(s) paid via Customer Documents

• Search - fields in red are required

1. Policy Number (optional) - enter policy number

2. Claim Number (optional) - not recommended

3. Search Date From** - default = 90 days prior to today’s date; can be changed

4. Producer Code - best search method; default = GAT code (main code)

5. Search Date To** - default = today’s date; can be changed


**NOTE: The Search Date From and Search Date To fields refer to the dates on which the claim was closed

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2. Claim Closing Notices

Company Confidential – Do not distributeClaims 12-14-12 12

2. Claim Closing Notices - Viewing

□ Click on Policy Number to view, print, save or email claim closing notice

CLOSING NOTICE COVERAGE CODES - AUTO

10 AD&D, U.S. Insureds 53 Collision - Customizing Equipment, Van or Pickup

20 Medical Payments 55 Collision - Auto Loan/Lease (Gap) Endorsement

30 BI - Liability 60 No-Fault, Basic

RC234765

RC234892

029-01234

029-01234


30 BI - Liability 60 No-Fault, Basic

31 BI - Uninsured Motorist 61 No-Fault, Excess

32 BI - Underinsured Motorist 65 No-Fault, All Other

33 BI - No-Fault Reimbursement 66 No-Fault, Survivor Benefits, Basic

40 PD - Liability 67 No-Fault, Survivor Benefits, Excess

41 PD - Uninsured Motorist 90 Other Than Collision (OTC)

42 PD - Underinsured Motorist 91 OTC - Customizing Equipment, Van or Pickup

45 PD - Loss of Use 92 Citizens Band Radio

50 Collision 93 Loss of Use Endorsements

51 Parked Car Endorsement 94 Sound Receiving & Transmitting Equipment

52Repair/Replacement Endt.

(Kemper Total)

□ See chart on left for Auto Claim

Coverage Codes

□ See next slide for Property Claim

Coverage Codes

□ Example above:□ 93 = Loss of Use (i.e. Rental

Reimbursement) payout $370.12

□ 90 = Other Than Collision payout

$1689.38

Claim Closing Notices

CLAIM CLOSING NOTICE COVERAGE CODES - PROPERTY

FIRE, LIGHTNING & REMOVAL ALLIED LINES (ID fraud, mold, theft, etc.) INLAND MARINE

A1 Building A3 Building F9 Scheduled furs

B1 Appurtenant private structure B3 Appurtenant private structure G9 Scheduled cameras

C1 Contents on premises C3 Contents on premises H9 Scheduled fine arts

D1 Contents off premises D3 Contents off premises J9 Scheduled jewelry

E1 Additional living expense E3 Additional living expense P9 All other scheduled items

R1 Earnings R3 Earnings Q9 All other

S1 Specific rents coverage S3 Specific rents coverage UMBRELLA (PERSONAL CATASTROPHE

LIABILITY/PCL)

T1 Extra expense T3 Extra expense 36 Bodily injury

Q1 All other Q3 All other 38 Bodily injury auto


Q1 All other Q3 All other 38 Bodily injury auto

EXTENDED COV. (hail, wind etc.) WATERCRAFT 46 Property damage

A2 Building K8 Boats 48 Property damage auto

B2 Appurtenant private structure L8 Equipment & accessories 76 Personal injury

C2 Contents on premises M8 Motor 81 Bodily injury PCL/Auto – UM/UIM

D2 Contents off premises N8 Trailer 82 Bodily injury PCL/Auto – excluding UM/UIM

E2 Additional living expense GENERAL LIABILITY 83 Property damage PCL/Auto – UM/UIM

R2 Earnings 20 Medical Payments 84 Property damage PCL/Auto – excluding UM/UIM

S2 Specific rents coverage 30 Liability - BI 85 Bodily injury PCL/homeowners & personal liability

T2 Extra expense 40 Liability - PD 87 Property damage PCL/homeowners & personal liability

Q2 All other 70 Personal injury 88 Bodily injury PCL/other

89 Property damage PCL/other

3. Producer Claims Listing

� Monthly ReportView status, payout, and adjuster info for

new, open and closed losses

� Search - can use one field or any combination of fields


Producer Code� Best search method

� Default = GAT (main) code

Statement Month/Year (optional)� Enter 12 2011 for December 2011

Search Date From**� Default = 90 days prior to today’s date; can be changed

Search Date To**� Default = today’s date; can be changed

� Click Producer Code to View Desired Statement

**Search Date From and Search Date To fields refer to the dates on which the report was posted to www.agentinside.com

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3. Producer Claims Listing - Viewing

� Displays: � $25,000+ losses

� New Claims

� Open Claims Inventory

� Closed Claims


� Adjuster name and phone number appears for each loss

� See last page of statement for field keys

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What types of Alerts are available?

� New Business

� Renewals

� Cancellations

� Reinstatements

� Mid-term changes

How are Alerts received?

� Through email

� Via a report from within Agent

Inside or both

4. Kemper Alerts


� Mid-term changes

� Non-renewals

� Claims

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To begin using this

new feature; access

Set Preferences via

Agent Inside under

the “Reporting

Tools” link

4. Alert Preferences


Tools” link

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�Starting with the “Alert Method” complete

preferences and click “Save Preferences”

�In order to activate the alert process, you must

define at least one preference

�You may also elect to receive an e-mail alert,

providing you with a summary view of the activity

report

�You may refine results based on the alpha

4. Alerts - set-up


�You may refine results based on the alpha

character of the Insured's last name as well as by

producer code. Multiple codes, a single code or all

codes may be selected

�You may stop/suspend ALL activity including alert

messages (Opt Out) and resume (Opt In) at any time

without redefining previously set alert preferences

�You may change your preferences at any time

TIP: In order to stop e-mail alerts while on vacation

&/or permanently, change preferences under Email

from “yes” to “no”

Results for Package Policies are displayed

separately for each line of business (Home

and Auto). The premium for Package

policies are not combined. Premiums are

displayed separately for both Home and

Auto with a Package Indicator of “yes”

(see Hints and Tips for additional

information)

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CLAIMS

Notification that a claim has been opened or closed

4. Alerts - defined

Company Confidential – Do not distributeClaims 12-14-12 20

5. Contact Information

SYSTEM QUESTIONS?

• Call Agency Help Desk

1-866-675-3345, option #2

CLAIM REPORTING

• Insureds can call 888-252-2799


• Insureds can call 888-252-2799

• 24 hours, 7 days per week to report claims

• Or for direct reporting by insureds

www. kemperpreferred.com

• Select the Claims; then File a Claim

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