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Subro Identifications

Subro Identifications

Subro Identifications Example

Process Overview

Claims are evaluated for subrogation potential based on several key factors:

  1. Claim Status
  2. Loss Details
  3. Claim Amount
  4. Location Information
  5. Deductible Information
  6. Statute Date

Workflow

  1. Claims enter the system and are automatically queued for subro review if they meet initial criteria
  2. Claims appear in the Subro Identifications dashboard for review
  3. Analysts review each claim and make one of the following decisions:
    • Approve for Subrogation
    • Decline Subrogation
    • Request Additional Information

Review Interface

The review interface provides analysts with comprehensive claim information including:

  • Basic claim details (claim number, status, amount)
  • Loss information (timestamp, location, description)
  • Underwriting details
  • Deductible information
  • Statute limitations

Decision Making

Analysts can:

  • Make a subrogation eligibility decision
  • Provide detailed feedback explaining their decision
  • View the full claim record if additional information is needed

Integration

When a decision is made:

  1. The system updates the claim status
  2. The decision is synchronized with the carrier's system (Guidewire)
  3. The claim moves to the appropriate next stage in the workflow

Tracking

The system maintains:

  • A count of pending subro identifications
  • Complete decision history
  • Feedback and notes for each decision
  • Full audit trail of all actions taken

Status Management

Claims can have the following subro identification statuses:

  • Pending: Awaiting review
  • Completed: Decision has been made and recorded