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Business Process Model raw a BPMN model to represent the process below. When a claim is received, a claims officer first checks if the claimant
Business Process Model
raw a BPMN model to represent the process below. When a claim is received, a claims officer first checks if the claimant is insured. If not, the claimant is informed that the claim must be rejected by sending an automatic notification via an SAP system. Otherwise, a senior claims officer evaluates the severity of the claim. Based on the outcome (simple or complex claims), the relevant forms are sent to the claimant to fill out. The claimant should response in a maximum of one week, otherwise a reminder is sent. Once the forms are returned, they are checked for completeness by the claims officer. If the forms provide all relevant details, the claim is registered in the claims management system, and the process ends. Otherwise, the claimant is asked to update the forms and send again. Upon reception of the updated forms, they are checked again by the claims officer. This is repeated again and again until the forms are completed. Later, the claims officer determines the amount that should be paid to the claimant and send the application to the finance department. At the finance department, the amount is paid back to the claimant and the application is achieved. Finally, the process ends by notifying the claimant. raw a BPMN model to represent the process below. When a claim is received, a claims officer first checks if the claimant is insured. If not, the claimant is informed that the claim must be rejected by sending an automatic notification via an SAP system. Otherwise, a senior claims officer evaluates the severity of the claim. Based on the outcome (simple or complex claims), the relevant forms are sent to the claimant to fill out. The claimant should response in a maximum of one week, otherwise a reminder is sent. Once the forms are returned, they are checked for completeness by the claims officer. If the forms provide all relevant details, the claim is registered in the claims management system, and the process ends. Otherwise, the claimant is asked to update the forms and send again. Upon reception of the updated forms, they are checked again by the claims officer. This is repeated again and again until the forms are completed. Later, the claims officer determines the amount that should be paid to the claimant and send the application to the finance department. At the finance department, the amount is paid back to the claimant and the application is achieved. Finally, the process ends by notifying the claimant Step by Step Solution
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