Insurance Claims Core roles and properties

This section outlines the core roles involved in managing insurance claims and highlights their system properties.

Roles installed

The Insurance Claims Core includes access control lists (ACLs) and read-write user roles to restrict access to different tables.

표 1. Roles installed with the Insurance Claims Core application

Role title [name]	Description
Insurance Claims Core admin [sn_ins_claim.admin]	Create, read, write, and delete access to all tables including the core data.
Insurance Claims Core reserve writer [sn_ins_claim.reserve_writer]	Write access to the Claim Reserve table.
Insurance Claims Core reserve reader [sn_ins_claim.reserve_reader]	Read access to the Claim Reserve table.
Insurance Claims Core property writer [sn_ins_claim.property_writer]	Write access to the Claim Incident table.
Insurance Claims Core property reader [sn_ins_claim.property_reader]	Read access to the Claim Incident table.
Insurance Claims Core payment writer [sn_ins_claim.payment_writer]	Write access to the Claim Payment table.
Insurance Claims Core payment reader [sn_ins_claim.payment_reader]	Read access to the Claim Payment table.
Insurance Claims Core participant writer [sn_ins_claim.participant_writer]	Write access to the Participant Role table.
Insurance Claims Core participant reader [sn_ins_claim.participant_reader]	Read access to the Participant Role table.
Insurance Claims Core coverage writer [sn_ins_claim.coverage_writer]	Write access to the Claim Coverage table.
Insurance Claims Core coverage reader [sn_ins_claim.coverage_reader]	Read access to the Claim Coverage table.
Insurance Claims Core claim injury writer [sn_ins_claim.injury_reader]	Write access to the Claim Injury table.
Insurance Claims Core claim injury reader [sn_ins_claim.injury_writer]	Read access to the Claim Injury table.
Insurance Claims Core profile reader [sn_ins_claim.profile_reader]	Read access to the Claim Participant (Profile) table.
Insurance Claims Core profile writer [sn_ins_claim.profile_writer]	Write access to the Claim Participant (Profile) table.
Policy Snapshot reader [sn_ins_claim.policy_snapshot_reader]	Read access to the Policy Snapshot table.
Policy Snapshot writer [sn_ins_claim.policy_snapshot_writer]	Write access to the Policy Snapshot table.

Properties installed

To update the claims system properties, navigate to Insurance claim operations > Properties. The following properties are available:

표 2. Claims system properties

Property	Name	Description
Approval process required for claim reserves?	sn_ins_claim.reserve_approval	Determines if you want an approval process for claim reserve.
Hierarchical approval required for claim reserves?	sn_ins_claim.reserve_approval_is_sequential	When enabled, the manager receives a notification that the adjuster has submitted a claim reserve request for review. Even if the manager doesn’t have the approval authority, the claim reserve approval request will always move a sequential order to all the next level manager for approval. When disabled, the approval request goes directly to a manager who has the approval authority for the amount.
Approval process required for claim payments?	sn_ins_claim.payment_approval	Determines if you want an approval process for claim payment.
Hierarchical approval required for claim payments?	sn_ins_claim.payment_approval_is_sequential	When enabled, the manager receives a notification that the adjuster has submitted a claim payment request for review. Even if the manager doesn’t have the approval authority, the claim payment approval request will always move in a sequential order to all the next level manager for approval. When disabled, the approval request goes directly to a manager who has the approval authority for the amount.