Approve Claim Payments
Application component: Claims Management
App type: Transactional
Line of business: Operations
Leading industry: Insurance
Solution capability: Claims Processing (ERP)
Description:  With the app Approve Claim Payments the head of a claims department can display the payments that are to be approved by the department. You can use the app to approve (and pay) these payments or to reject these payments. 
An application to allow a claims supervisor to approve or reject payments on a claim
Key features:  Display of all payments to be approved in an overview list Note The displayed payments correspond to the payments for approval in your workflow inbox.  Search for a paymentA search field is provided above the overview list in which you can enter the following criteria to search for a payment.  Display of payment detailsWhen you select a payment, the system displays the payment items with their benefit types and amounts in the detailed view as well as the most important payment data.  Automatic generation of an e-mail to the claim handlerIn the payment details, if you click the claim handler who created the payment, the system generates an e-mail automatically (provided an e-mail address has been entered in the S/4HANA user master record). The system copies the claim number and the payment amount automatically into the subject line of the e-mail.  Display of other claim data for a paymentYou can display other claim data for each payment, such as total incurred, policyholder, claim date, and type of incident. Individual tab pages are provided for this additional claim data as well as for notes and attachments.  Display of notes for claim/subclaim Search for notesOn the Notes tab page, you can start a search for notes. The system searches for the search term in the note long text as well as in the note attributes, such as note title, user who created the note, topic, communication type, and claim/subclaim name. If the system finds a note containing the corresponding search term, it highlights the search term in the note attributes or note long text in color. If you have implemented Enterprise Search and have set the user parameter ICL_PA_ES to X, the system uses Enterprise Search to search the notes. This is an advantage if you have a large number of notes for each claim (more than 500 notes per claim). If you do not use Enterprise Search, the system searches the notes using the ABAP search. If a claim has a large number of notes, this can take longer.   Filter the notesIn the default setting, all the notes for a claim are displayed in the list of notes even though the payment is usually assigned to a subclaim. You can, however, filter the notes display. For example, you can restrict the display to the notes for the subclaim of the payment.  Display and Filter of AttachmentsYou can view all the attachments for the claim (for instance invoices). If necessary, you can filter this display.  Approval/rejection of the payment After you have checked the data you can approve or reject the payment. If you approve the payment and have to enter an approval reason in accordance with the Customizing settings in the S/4HANA back-end system, you have to select this approval reason first. If an error occurs during the approval process, the system displays a corresponding message. To view the detailed error messages, click the info icon that is displayed in the lower-left corner at the same level as the Approve and Reject pushbuttons. If you reject the payment and have to enter a rejection reason in accordance with the Customizing settings in the S/4HANA back-end system, you have to select this rejection reason first. If an error occurs during the rejection process, the system displays a corresponding message. Once it has been approved or rejected the system removes the payment from the overview list.    
Business roles: Insurance Claims Supervisor
Insurance Claims Supervisor : 
Leads a team of Claim Handlers and manages their efficiency, including management of workload, executing payment and reserve approvals and providing support in complex situations.