Claim Events and Notification Matrix

 

This table shows what Journal entry is recorded and/or what notification is sent when specific events occur.
  • Certain events do not result in a Journal entry.

  • Certain events do not result in a notification.

  • When a notification is sent, the text of the notification may differ depending on the notification method.

The text in blue shows example data—it will be substituted with the appropriate values for your own claims. Our example scenario involves two adjusters, Rick Smith and Sarah Hepner at Global Insurance and contracting firm True North Contracting whom they do business with regularly. Below are examples of the kinds of notifications that might be sent regarding an emergency water damage claim for the insured Joe Smith.

Notification
Method

Insurance Company

Event

Sample Journal Entry

Sample Notification Text

Internal notification e-mail notification Pager notification

The claim assignment has been received, and the assignee has acquired ownership of it and begun an estimate.

Claim assignment received and ownership of the claim acquired.

Assignment for claim #N207, Smith, Joe received by True North Contracting and ownership acquired.

ü ü ü ü

The claim with a completed estimate has been uploaded to Symbility.NET by an assignee.

True North Contracting has declined the claim   assignment. Reason: claim assigned to wrong   branch.

Claim #N207 (Smith, Joe) was declined by True North Contracting. Reason: claim assigned to wrong branch.

ü ü ü ü

The claim with a completed estimate has been uploaded to Symbility.NET by an assignee.

Estimate Emergency (True North Contracting) has been marked as complete.

Claim #N207, Smith, Joe with a completed estimate, Emergency (True North Contracting), has been uploaded by Daniel Bredenkamp.

ü ü ü ü

The insured has been contacted. This status is set manually.

The insured has been contacted.

Smith, Joe has been contacted regarding claim #N207.

ü ü ü ü

An inspection of the loss site has been performed. This status is set manually.

An inspection of the loss site has been performed.

An inspection of loss site 123 Fake Street, Belton, MO (#N207, Smith, Joe) has been performed.

ü ü ü ü

The job has been started. This status is set manually.

The job has been started.

Daniel Bredenkamp (True North Contracting) has begun work on the loss for claim #N207, Smith, Joe.

ü ü ü ü

The job has been completed. This status is set manually.

The job is complete.

Daniel Bredenkamp (True North Contracting) has completed the work for claim #N207, Smith, Joe.

ü ü ü ü

The status of claim creator has been transferred to you.

Previous claim creator transferred creator status to Rick Smith .

Creator status of claim #N207, Smith, Joe has been transferred to you by administrator Sarah Hepner (Global Insurance).

ü ü ü ü

You've been added as a participant in a claim.

Rick Smith (Global Insurance) added as a new participant.

You've been added as a participant in (EMERGENCY) claim N207 (Smith, Joe, phone:(519) 123-4567, address:123 Fake Street, Belton, MO).

ü ü ü ü

Your participation in the claim has been removed.

Rick Smith (Global Insurance) participation removed.

Your participation in claim N207, Smith, Joe has been removed.

ü ü ü ü

Ownership of a claim you own has been requested by another user.

Ownership was requested.

Daniel Bredenkamp (True North Contracting) has requested ownership of claim #N207, Smith, Joe. Please release ownership and synchronize with Symbility.NET at your earliest opportunity.

ü ü ü  

Daniel Bredenkamp (True North Contracting) has requested ownership of claim #N207, Smith, Joe.

      ü

A claim that you've requested to be notified of when the current owner has released ownership is now available.

 

Claim #N207, Smith, Joe has been released by Daniel Bredenkamp (True North Contracting) and is available for you to take ownership.

ü ü ü  

Claim #N207, Smith, Joe has been released by Daniel Bredenkamp (True North Contracting).

      ü

Ownership of a claim has been acquired.

Claim ownership acquired.

Ownership of claim #N207, Smith, Joe has been acquired by Daniel Bredenkamp (True North Contracting).

ü ü ü ü

Ownership of a claim has been released.

Claim ownership released.

Ownership of claim #N207, Smith, Joe has been released by Daniel Bredenkamp (True North Contracting).

ü ü ü ü

A claim has been uploaded to Symbility.NET.

Claim uploaded to Symbility.NET.

Claim #N207, Smith, Joe has been uploaded by Daniel Bredenkamp (True North Contracting).

ü ü ü ü

Claim Uploaded Without Attachments

Claim uploaded to Symbility.NET. Photos/voice annotations were not uploaded.

A claim has been uploaded to Symbility.NET. Photos/voice annotations were not uploaded.

       

Claim #N207, Smith, Joe has been uploaded by Daniel Bredenkamp (True North Contracting). Photos/voice annotations were not uploaded.

ü ü ü ü

An administrator revokes your ownership of a claim, making it available to others.

Daniel Bredenkamp's ownership revoked by Sarah Hepner (Global Insurance).

Your ownership of claim #N207, Smith, Joe was revoked by Sarah Hepner (Global Insurance).

ü ü ü ü

A claim participant inputs a journal entry and sends notification of it.

Please do a final inspection before 5pm today...thx

New journal entry by Daniel Bredenkamp for claim #N207, Smith, Joe: Please do a final inspection before 5pm today...thx.

ü ü ü ü

A new contractor or independent adjuster has registered with Symbility.NET.

 

A new firm (Restoration Pros Inc.) has just registered with Symbility.NET and can now accept claim assignments.

ü   ü ü

A new firm (Restoration Pros Inc.) has just registered with Symbility.NET and can now accept claim assignments. You can view their vendor profile at https://symbility.net/Participants/ContractorProfileView.aspx?r=zz70KNfGcByZRTeorbNl252bEMAO1xg2VrgV0Zx4YgG2yX1GVQbfgiwhSDQ2z.

  ü    

A guest user is added to the claim.

Susan Thompson added as a new guest participant.

You have been added as a guest participant in claim N207 (Smith, Joe) by Global Insurance. Just login to www.symbility.net using your previously-provided username and password to view or print this claim on-line.

  ü    

You have been added as a guest participant in claim N207 (Smith, Joe).

ü      
 

A guest user is removed from the claim.

Susan Thompson participation removed.

         
 

Completed or approved estimate is modified.

Estimate Emergency modified.

         
 

Completed estimate is deleted.

Completed estimate Emergency has been deleted.

         
 

Approved estimate is deleted.

Approved estimate Emergency has been deleted.

         
 

A temporary claim is merged in the claim file.

Claim was merged from a temporary claim.

         
 

An estimate from another claim is imported into the claim file.

Estimate Emergency was imported from claim #N207, Smith, Joe.

         

Contractor or Independent Adjuster

Event

Journal Entry

Example

A claim has been assigned to your company.

(Emergency) Claim assigned to True North Contracting.

Global Insurance has assigned you a new (EMERGENCY) Water Damage claim: #N207 (Smith, Joe, phone:(519) 123-4567, address:123 Fake Street, Belton, MO).

ü ü ü ü

The estimate has been approved. This status is set manually.

Estimate Emergency (True North Contracting) has been approved.