Workflow_Designs_(5).pdf

PDF 89 KB Posted

Attached to
Claims Document Management System (Re-Bid)
Solicitation number
26-P-00037
Issued by
Hillsborough County, Florida

About this file

The document contains workflow design diagrams for a claims management system, depicting four different workflow processes: New Liability Claims Workflow, New Subrogation Claims Workflow, New Mail Workflow, and New Task Workflow. The workflows outline the step-by-step progression of claims and mail processing, from initial receipt through document management, claim setup, supervisor review, and assignment to claims adjusters. Each workflow follows a similar pattern, starting with mail/email/fax receipt, uploading to document management, creating a new claim, and moving documents into the claim file.

The New Liability Claims Workflow has a 10-day supervisor review period, while the New Subrogation Claims Workflow allows for a 90-day supervisor review. The New Task Workflow introduces an additional layer of complexity, showing interactions between Claims Adjuster, Supervisor, Admin, and task assignment processes. The diagrams use a blue color scheme and include start and end points, with each step represented by a rectangular block showing the action to be taken. The workflows are designed to standardize and streamline the claims management process, ensuring consistent handling of different types of claims and administrative tasks.

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Text version

WORKFLOW DESIGNS

New Liability Claims Workflow

New Subrogation Claims Workflow

New Mail Workflow

New Task Workflow

Mail/Email/Fax Upload into Document

Management

New Claim Setup \ Move document into claim file

Assign claim to supervisor for review

Assign to claims adjuster

Start End

Supervisor Review 10 Days

Mail Email Fax

Upload into document

Management

New Claim Setup / Move docuements into claim file

Assign Claim to supervisor for review

Assigned to Claims Adjuster

EndStart

Supervisor Review 90 Days

Mail/Email/Fax Upload into Document

Management Claims Inbox /New Mail

Move document to correct folder

(Assign Metadata) Start End

Claims Adjuster

Tasks

Claims

Adjuster

Supervisor

Admin Tasks

Supervisor

Tasks

Admin

EndAssign Task

File details come from the government source that posted it. Updated .