Claims Department

1. Initial processing team

1.1. Processing, classification and prioritization of e-mail and inboxes

1.1.1. Scan letters, organize them in archives and save them in our system

1.2. clarification of letters viapost/app, service & customer portal

1.2.1. Web/revisions tools

1.2.1.1. to import the documents, which our customers send us via App/Kundenportal

1.2.2. MKT

1.2.2.1. Tools for the classification of the mails.

1.3. Initial processing of incoming invoices

1.3.1. LDS

1.3.1.1. Leistungsdienstsystem

1.3.1.1.1. all datas of the claims department would be imported in this system

1.3.1.1.2. Claims of customers

1.3.2. VET

1.3.2.1. Vorerfassungstool

1.3.2.1.1. Processing/classification of the request for reimbursement

1.4. Forward the checklist to Sarah for reviewing

1.5. Feedbacks and correction

1.5.1. LDS

1.5.2. KDM

1.5.2.1. Correction of the false amount

1.6. Summary

1.6.1. Mistakes

1.6.2. New knowledge

1.6.3. Special feature/exception

2. Claims porcessor team

2.1. Review of benefit cases

2.2. Communication

2.2.1. Answering customer inquiries

2.2.2. Internal communication with other departments in CCAG

2.2.3. External communication with Doctors, hospitals, insurance companies etc.

2.3. Others

2.3.1. Initiation & monitoring of assistance services

2.3.2. Defense against unjustified claims for damages in the liability insurance

2.3.3. Recognizing recourse claims