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Claim Creation and Processing for Russia (Enhanced) ( RELN/GSINS/MTPL_FSCM_01 )

Claim Creation and Processing for Russia (Enhanced) ( RELN/GSINS/MTPL_FSCM_01 )

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Claim Creation and Processing for Russia (Enhanced)

Use

As of SAP Insurance Localization for Russia 6.0, you can record and process claims for third-party liability insurance that your policyholders file with you when they are involved in road traffic accidents.

To meet legal requirements in Russia, you can process claims based on a new insurance product, RUMOTO, that enables you to record the data that parties involved in road traffic accidents in Russia must provide by law.

As an insurance company, you are required by law to store details of the accident, vehicles, drivers, loss, and witnesses. You can also initiate subrogation and process subsequent payments in the Claims Management (FS-CM).

The new functions for Russia enable you to perform the following tasks:

  • Upload the documents that complement an insurance claim. Russian legislation stipulates that some documents are required for all accidents, whereas others depend on the type and severity of the accident.
    For example, the compensation claim, notification of traffic accident traffic accident report, the administrative violation protocol, and administrative violation decree are always required, regardless of the type of loss. When you process a claim, the system checks if you have uploaded the required documents and if any documents are missing the system initiates a coverage referral.
    You upload the documents in a predefined set using new document types in FS-CM by means of SAP ArchiveLink.
  • Register the above documents by assigning them to the claim that you create in the system
  • Store the data from the traffic accident report
  • If required, trigger subrogation using a set of structured questions specifically for Russia and process the subsequent payment in accordance with payment regulations in Russia
  • Use enhanced policy snapshot functions to verify if a policy covers a particular claim by recording the following aspects of a claim:
  • Whether an unlimited number of drivers is permitted to drive the vehicle in the claim

  • The driver's license number of all drivers who are permitted to drive the vehicle

  • Generate a claim report, which contains details of the parties involved, the extent of the loss, and details of the payout. Insurance companies enter the information they use to make payout decisions, such as an independent surveyor's report, in the report.
    You output the report as a PDF-based form in the required legal format. You access the print output program on the SAP Easy Access screen, by choosing Insurance -> Russia -> Claims Management -> Create Claim Report.
  • Generate segment three of the official document that contains details about third-party liability insurance for vehicle owners. Insurance companies in Russia are required by law to prepare the document when the policyholder or insurance company terminates the policy prematurely, or when the policy expires.
    You output segment three as a PDF-based form in the required legal format. You access the print output program on the SAP Easy Access screen, by choosing Insurance -> Russia -> Claims Management -> Create Segment Three.

Effects on Existing Data

Effects on Data Transfer

Effects on System Administration

Effects on Customizing

To upload scanned copies of the documents that you store in the system, you must set up SAP ArchiveLink as follows:

  • In Customizing for SAP NetWeaver, choose Application Server -> Basis Services -> ArchiveLink.
  • In Customizing for SAP Insurance, choose Claims Management -> Claim Bundle -> Technical Settings -> SAP ArchiveLink Connection -> Edit Links.

You store the driver's license and claim-free discount classes that you require for named drivers in Customizing for SAP Insurance, by choosing Russia ->

Further Information






SUBST_MERGE_LIST - merge external lists to one complete list with #if... logic for R3up   Fill RESBD Structure from EBP Component Structure  
This documentation is copyright by SAP AG.

Length: 5972 Date: 20240329 Time: 162022     sap01-206 ( 89 ms )