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 .