Scenario 2: Claim handling process

When a claim is received, a junior claims officer first checks if the claimant is insured. If not, the SAP system rejects the claim, and the process ends with a negative outcome. Otherwise, a senior claims officer evaluates if the claim is covered by the policy or not. If the claim is not covered by the policy, he rejects the claim, and the process ends with a negative outcome. If the claim is covered by the policy, the SAP system sends the relevant forms to the claimant. The SAP system then receives the forms, and it notifies the junior claims officer. The junior claims officer then checks the forms for completeness. If the forms provide all relevant details, she approves the claim, and the process ends with a positive outcome. Otherwise, she asks the claimant to send the completed forms. As soon as the SAP system receives the forms it notifies the junior claim officer again, who checks it again to see if all details have been provided. This process continues until the forms have been completed and the claim is approved.

Additional information: Please only model the process as it is executed in the insurance company. Do not model the claimant as a pool.

Need to explain this in Bpmn