CLAIMS MANAGEMENT

Axon Claims

End-to-End Claims Processing Platform

A comprehensive claims management system that provides end-to-end processing capabilities with document verification, audit trails, and sophisticated workflow management. Designed for efficient handling of claims, requests, and compensation processes across any business domain.

7
Process Stages
100%
Audit Trail
6
RBAC Roles
4
Claim Types

Built for Efficiency & Compliance

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Compliance-Ready

Complete audit trail with document verification for regulatory requirements. Every action permanently logged with timestamps and user identification.

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Intelligent Workflow

7-stage claims process with automatic SLA monitoring and escalation. Configurable stages per company with auto-deadline calculation.

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Organizational RBAC

Role-based access control mapping organizational structure to activities. Six roles from Claims Officer to Director with clear responsibility hierarchy.

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Financial Tracking

Claimed vs approved amounts with automatic threshold alerts. Four approval levels based on claim value from €0 to €100,000+.

7-Stage Claims Lifecycle

Streamlined workflow from registration to closure with built-in validation and compliance checks.

1

Registration

Claim intake and logging with type and requester info

2

Assessment

Initial review and eligibility verification

3

Investigation

Detailed verification and document collection

4

Valuation

Value assessment and amount determination

5

Approval

Management decision and approval recording

6

Payment

Disbursement and payment authorization

7

Closure

Final claim archiving and closure

Configuration & Flexibility

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Configurable Workflows

  • 7 standard stages (customizable)
  • Stage customization per company
  • SLA integration with auto-deadlines
  • Automatic escalation rules
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Claims Classification

  • Types: Service, Product, Financial, Internal
  • Priority: Low, Medium, High, Urgent
  • Auto-calculated priority levels
  • Source channel tracking
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Custom Fields (EAV)

  • 9 field types supported
  • Conditional visibility by claim type
  • Group-restricted field access
  • No coding required
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Document Management

  • Hash verification on upload
  • Version tracking maintained
  • Authenticity verification
  • Expiry date monitoring
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Financial Tracking

  • 4-tier approval hierarchy (€0-€100k+)
  • Claimed vs approved amounts
  • Automatic threshold alerts
  • Payment disbursement tracking
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SLA Management

  • Daily monitoring & auto-detection
  • 4 SLA statuses (Not Set to Breached)
  • At-risk alerts at 75% deadline
  • Automatic escalation workflows

Responsibility Matrix (RBAC)

Role-based access control mapping organizational structure to claims process activities.

Code Role Typical Access
CLO Claims Officer Data Entry (R)
ANA Claims Analyst Assessment (R/C)
MGR Claims Manager Approval (A)
FIN Finance Payment (R)
LEG Legal Consultation (C)
DIR Director Oversight (I)
Hierarchy: R (Responsible) > A (Accountable) > C (Consulted) > I (Informed)

Audit Trail & Reporting

Action Tracking

  • Workflow Stage transitions
  • Document Upload, review, approve
  • Decision Approval/rejection records
  • Payment Disbursement tracking
  • Communication Requester correspondence
  • Adjustment Amount modifications

Reporting Features

  • Claims volume by type/period
  • Average processing time
  • Approval rate analytics
  • Payment disbursement reports
  • SLA compliance metrics
  • Analyst workload analysis

πŸ’‘ Complete Audit Trail

Axon Claims Management maintains a comprehensive audit trail for regulatory compliance. Every action β€” from claim registration to document upload to decision recording β€” is permanently logged with timestamps, user identification, and status changes for full traceability.

Ready to Transform Your Claims Management?

Discover how Axon Claims can streamline your claims processing with complete audit trails and intelligent workflows.