What's new in ClaimCenter for Palisades

ClaimCenter now supports paying claims against coinsured policies.

A claim that is associated with a coinsurance agreement on the policy is eligible for payment according to one of the following methods:

Lead funds claims

The leader insurer is responsible for funding the claim in whole and then recovering monies from followers.

Own claim share

Each insurer is responsible for paying the percentage according to the coinsurance layer agreement.

ClaimCenter now provides the ability to do the following:

• View the coinsurance agreement information on the policy.
• Pay coinsurance claims according to either a lead funds claims method or an own claim share method.
• Integrate with a policy administration system (PAS), such as PolicyCenter, and a billing system, such as BillingCenter, to capture policy information and billing offsets, respectively.
• View coinsurance transactions by selecting the Financials > Coinsurance Summary screen. You can also toggle between Our Share and Total Amounts options in the Financials > Summary screen for all claim financials.

For a short demonstration, watch this video:

ProNavigator is an AI-powered, insurance-specific knowledge platform embedded in ClaimCenter that delivers guidance at the point of decision. Adjusters can ask targeted coverage or process questions and receive immediate, cited answers from approved sources, with content pulled from guidelines, procedures, regulations, and more. ProNavigator surfaces this information directly in context (such as during FNOL). For example, an adjuster can ask which acknowledgment or decision timelines apply for a given jurisdiction and see the state-specific rules and deadlines right in the claim. The result is faster, more defensible decisions; improved compliance; and reduced claim handling time. For more information, see ProNavigator Integration.

For a short demonstration, watch this video:

The following endpoints have been added to Cloud API. If you are doing a core update, you might want to add these endpoints to the appropriate role.yaml files to provide authorization to users and services as needed.

New endpoints

The following endpoints have been added to Cloud API. If you are doing a core update, you might want to add these endpoints to the appropriate role.yaml files to provide authorization to users and services as needed.

Claim API

Added /bulk-invoices endpoints:

• GET /bulk-invoices
• POST /bulk-invoices
• GET /bulk-invoices/{bulkInvoiceId}
• PATCH /bulk-invoices/{bulkInvoiceId}
• DELETE /bulk-invoices/{bulkInvoiceId}

Added /bulk-invoices/{bulkInvoiceId}/bulk-invoice-items endpoints:

• GET /bulk-invoices/{bulkInvoiceId}/bulk-invoice-items
• POST /bulk-invoices/{bulkInvoiceId}/bulk-invoice-items
• GET /bulk-invoices/{bulkInvoiceId}/bulk-invoice-items/{bulkInvoiceItemId}
• PATCH /bulk-invoices/{bulkInvoiceId}/bulk-invoice-items/{bulkInvoiceItemId}
• DELETE /bulk-invoices/{bulkInvoiceId}/bulk-invoice-items/{bulkInvoiceItemId}

Added custom POST endpoints to /bulk-invoices:

• POST /bulk-invoices/{bulkInvoiceId}/validate
• POST /bulk-invoices/{bulkInvoiceId}/submit
• POST /bulk-invoices/{bulkInvoiceId}/request-stop
• POST /bulk-invoices/{bulkInvoiceId}/request-void
• POST /bulk-invoices/{bulkInvoiceId}/retry

Added claims/{claimId}/concurrent-employers endpoints:

• GET /claims/{claimId}/concurrent-employers
• POST /claims/{claimId}/concurrent-employers
• GET /claims/{claimId}/concurrent-employers/{concurrentEmploymentId}
• PATCH /claims/{claimId}/concurrent-employers/{concurrentEmploymentId}
• DELETE /claims/{claimId}/concurrent-employers/{concurrentEmploymentId}