Leela
Insurance claims handling
IC-02
Draft

Track communications and settlement clocks

Requirement

Configure the applicable state and claim-specific response and settlement deadlines before using the queue. Assign an owner, flag approaching deadlines and record any permitted extension with its basis.

Trigger

Continuous

For each open claim and incoming claimant communication

Action

Configure the applicable state and claim-specific response and settlement deadlines before using the queue. Assign an owner, flag approaching deadlines and record any permitted extension with its basis.

Evidence
  • Deadline register and communication log

    Controlled record with date, owner, source and review history

Owner

Claims compliance lead

Leela can
Monitor

Leela can watch for the trigger, keep the clock, and flag what is late.

Leela can track evidence, dates and exceptions once the scope and connected data are configured; a person resolves regulatory judgments.

Applies

Tell Leela about your company to see whether this applies.

Status
Setup needed

Tell Leela how you handle it today, or hand it over: see what’s next.

What’s next?