Does it adjudicate claims?
No. Claim decisions rest with the insurer. The module tracks assistance and follow-up on the distributor side.
Claims & Grievance Tracking
Insurance Claims & Grievance Tracking
Claims and grievance tracking helps a distributor coordinate claim assistance and customer complaints: case logging, document checklists, insurer follow-ups, turnaround targets and escalations. The insurer, not the distributor, decides claims.
Important: Confirm feature availability, service commitments, legal text and contact details before relying on or publishing this information. Product capability is not a claim of regulatory approval or insurer partnership.
Overview
Claims & Grievance Tracking
Intimation, checklists, documents, status history, escalation, SLA tracking and communication logs.
Frequently asked questions
Claims & Grievance Tracking: common questions
Can it support regulatory grievance records?
It supports maintaining structured records. Regulatory requirements should be mapped with your compliance team.
Can customers raise cases themselves?
Yes, through the customer portal where it is in scope.
Can we record the insurer's claim number?
Yes, along with the insurer contact and dates of each update.
Can we define an escalation matrix?
Yes. Escalation levels and timelines are configurable by case type.
Can we track insurer-wise turnaround?
Yes, based on the dates recorded against each case.
Contact the Relevant Department
Choose whether you are a new or existing customer, select the product module and department, and share the details needed to route your request. Do not enter passwords, payment card data, or sensitive policyholder health information.
Department
- Sales & Product Demo
- Pricing & Commercial
- Implementation & Migration
- Technical Support
- Integrations & Partnerships
- Billing & Accounts
- Customer Success
- General Enquiries