Approval Engine for Reserves and Payments

Insurance claims core includes a claim reserve and payment approval rules engine. It can be found in the decision table Claim reserve and payment approval rules.

This decision table is executed by two subflows:

• Claim reserve approval flow
• Claim payment approval flow

You can review these subflows by navigating to All > Process Automation > Workflow Studio > Subflows.

The inputs to the decision table are:

• Activity: Reserve/Payment
• Product: The insurance product model
• Amount: The amount being less then or greater than a set value

The output of the decision table is the title of the persona that can approve the amount.

Approval engine properties

The reserve and payment approval process is controlled by the properties located at All > Insurance claim operations > Properties. For a detailed description of each property, see Insurance Claims Core roles and properties.