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Database System Concepts
7th Edition
ISBN: 9780078022159
Author: Abraham Silberschatz Professor, Henry F. Korth, S. Sudarshan
Publisher: McGraw-Hill Education
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
Transcribed Image Text:Model the following business
process. Use pools/lanes where
needed.
When a claim is received, a claims
officer first checks if the claimant
is insured. If not, the claimant is
informed that the claim must be
rejected by sending an automatic
notification via an SAP system.
Otherwise, a senior claims officer
evaluates the severity of the claim.
Based on the outcome (simple or
complex claims), the relevant forms
are sent to the claimant, again using
the SAP system. Once the forms
are returned, they are checked for
completeness by the claims officer.
If the forms provide all relevant
details, the claim is registered in the
claims management system, and
the process ends. Otherwise, the
claimant is informed to update the
forms via the SAP system. Upon
reception of the updated forms, they
are checked again by the claims
officer to see if the details have been
provided, and so on.
11:07 AM
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