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SAP Claims Management Overview

Course Details
Code: FS330-v011
Tuition (USD): $1,340.00 • Virtual (2 days)
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Skills Gained

  • This course will prepare you to:
       -Get an overview about the functions and functionality of Claims Management in SAP
       -Explain the basic configuration of Claims Management

Who Can Benefit

  • Application Consultant
  • Business Process Architect
  • Business Process Owner/Team Lead/ Power User
  • Enterprise Architect
  • Industry Specialist
  • Program/Project Manager
  • Solution Architect
  • User

Prerequisites

  • Essential:
       -Basic IT knowledge
       -Knowledge about navigation in SAP systems
  • Recommended:
       - none

Course Details

Course Content

  • SAP Insurance and SAP Claims Management, Introduction
       -Describe the Position of SAP Claims Management in SAP for Insurance
       -Explain the claims lifecycle
       -Explain the six major steps in a lifecycle of a claim
       -Explain the access modes
  • FS-CM, Master Data
       -Explain the meaning of a claim also in the context of product and policy
       -Explain the meaning of a claim bundle
       -Explain the basic principles about the SAP business partners and how they are used in SAP Claims Management
  • Access Modes
       -Explore the access modes
       -Explain the capabilities of the claim search
  • Claim Notification
       -Explain Claim Notification
       -Explain the functionality of the duplicate check
       -Explain the meaning of the policy snapshot
       -Describe how and what data is captured during notification
       -Explain how coverage is verified and the meaning of coverage referrals
       -Explain the task overview
       -Explain how performers and tasks are assigned
  • Claim Handling
       -Use the Expert Mode
       -Explain participants and their use in a claim
       -Explain the meaning of damaged objects and injured persons in claim handling
       -Explain the Subclaim and all assigned objects
       -Create claim items and add documents to them
       -Explaining the procurement process
       -Assign external service providers
       -Explain the main negotiation functions
       -Create a negotiation in expert mode
       -Explain the main litigation functions
       -Create a litigation in expert mode
       -Handle Reserves
       -Define the different types of reserves
       -Set reserves manually
       -Explain the main functions of the Benefit Calculator
  • Claim Fulfilment
       -Explain and run the compensation calculation
       -Explain payments
       -Create payments
       -Explain further payment features
       -Explain payment authorizations and the interface to FS-CD
       - Explain the external bill review process
  • Claim Recovery
       -Explain refund
       -Create a subrogation case
       -Explain the salvage process
       -Track incoming payments
       -Explain the concept of multiple insurance
  • Claims Management Supporting Features
       -Handle incoming documents
       -Explain the different ways to create outbound correspondence
       -Explain the use of notes and memo pad
       -Explain Business Rules Framework plus (BRFplus)
       -Explain the activity management and its integration to BRFplus and to the workflow management
       -Explore the flexibility of the user interface configuration
       -Explain the principles of the SAP authorization concept
       -Name and explain the delivered reports
       -Explain the integration to a Business Data Warehouse

Course based on software release

  • SAP ERP Central Component 6.06 SP05
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