DEFINITION TREE VIEW MAP VIEW CONTENT MANAGEMENT

BUSINESS CAPABILITY MAP - Claims Resolution & Closure Services

---

Description	EN:  Claims Resolution & Closure Services group all specific capabilities related to auditing claims, managing contract reserves, settling treaties, and coordinating recovery efforts in reinsurance agreements. FR:  Services de résolution & clôture des sinistress regroupent toutes les capacités spécifiques liées à l'audit des sinistres, à la gestion des réserves contractuelles, au règlement des traités et à la coordination des efforts de recouvrement dans les accords de réassurance.
Name (FR)	Services de résolution & clôture des sinistres
Packaging Library	Insurance

---

TREE VIEW

•    Claims Resolution & Closure Services

   Claims Resolution & Closure Services group all specific capabilities related to auditing claims, managing contract reserves, settling treaties, and coordinating recovery efforts in reinsurance agreements.

  •    Claims Audit

    Ensure that claims processing adheres to treaty terms (e.g., deductibles, limits, exclusions).

  •    Contract Reserves

    Estimate and establish the reserves required to cover claims, applying the calculation methods and reserving rules defined in the reinsurance treaty, in order to ensure a reliable assessment of future liabilities.

  •    Coordinated Recovery

    Collaborate with reinsurers to pursue recoveries from third-party liable parties and share the recovered costs.

  •    Treaty Settlement

    Pay indemnities to insured parties according to treaty rules (e.g., maximum amounts, payment schedules).

---

MAP VIEW