Insurance claims handling
IC-02Draft
Track communications and settlement clocks
How Leela would run itContinuous · for each open claim and incoming claimant communication
Proposed stepsThe 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.
- Before this work
- Reliable claim events and communication timestamps Reviewed jurisdiction and claim-type rules with an escalation owner
- 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.
How Leela would run it · proposed steps
- LeelaTrack each claim and communication against approved state and claim-specific clocks.Proposed step
- LeelaRemind owners, escalate approaching deadlines and retain the basis for recorded extensions.Proposed step
- Claims compliance leadA claims compliance reviewer approves the applicable clocks and resolves exceptions or extensions.Your team decides
What Leela keepsThe evidence this obligation leaves, as the work happens
Listed from the policy libraryContents
- 01Deadline register and communication logControlled record with date, owner, source and review history
Evidence
Deadline register and communication log
Insurance claims handling §3.2
1
of 1 record
The steps are the library’s proposed workflow for this obligation: a description of the work, not a run. The records are its evidence in the library.