Claim Assignment Workflow

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๐Ÿ—๏ธ Property Claim Assignment Workflow

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Platforms Involved:

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  • Carriers
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  • Adjusters Online
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  • My Claim Support
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  • Adjusters
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  • Adjuster Admins
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  • Loss Inspection Pro / Pros
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  • Contractor Claims
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Built with:

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  • โœ… Ultimate Member Core
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  • โœ… Profile Tabs
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  • โœ… Private Messages
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  • โœ… User Notes
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  • โœ… User Roles
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  • โœ… User Locations
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  • โœ… Real-Time Notifications
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  • โœ… Content Restriction
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  • โœ… Form Builder
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๐ŸŸจ Phase 1: Claim Intake & Assignment

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  1. Carrier Submits Claim Assignment Requestn
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    • Form created via UM Form Builder
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    • Role: carrier_user
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    • Submission triggers notification to my_claim_support
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  3. My Claim Support Sends Contact Email/SMSn
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    • Uses Real-Time Notifications + optional SMS integration
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    • Creates account for claim_contact using UM Registration Flow
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  5. My Claim Support Assigns Adjuster Admin or Adjustern
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    • Role: adjuster_admin or adjuster
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    • Assignment logged via User Notes
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    • Claim record created via JetEngine CPT: claim_assignment
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  7. Adjuster Admin Assigns Adjustern
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    • Uses dropdown selector in dashboard tab
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    • Assignment triggers notification to adjuster
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  9. My Claim Support or Adjuster Admin Assigns Loss Inspection Pron
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    • Role: loss_inspection_pro
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    • Assignment logged in claim record
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    • Inspector receives notification and access to inspection order
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๐ŸŸง Phase 2: Field Activity & Communication

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  1. Adjuster Uses Loss Inspection Pro to Conduct Inspectionn
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    • Uploads photos, scope notes via dashboard tab
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    • Location tagged using User Locations Extension
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  3. Adjuster Makes Initial Contact with Claim Contactn
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    • Sends Initial Contact Letter via Private Messages
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    • Logs contact via User Notes
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  5. Adjuster Sets/Confirms Inspection Daten
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    • Updates claim record
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    • Sends confirmation via dashboard
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๐ŸŸฆ Phase 3: Status Updates & Documentation

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  1. Adjuster Submits Status Updatesn
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    • Day 10, 14, and 30 updates via UM Form Tabs
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    • Sends 30-Day Status Letter via Private Messages
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  3. Adjuster Develops Repair Estimaten
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    • Uploads PDF or Xactimate file
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    • Linked to claim record
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    • Visible to adjuster_admin and my_claim_support
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  5. Adjuster Develops Closing Reportn
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    • Includes summary, photos, scope
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    • Submitted via dashboard tab
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๐ŸŸฅ Phase 4: Claim Resolution & Supplements

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  1. Adjuster Admin Completes Assignmentn
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    • Marks claim as โ€œCompleteโ€
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    • Triggers notification to my_claim_support
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  3. Adjuster Admin Closes Claim Assignmentn
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    • Final review
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    • Status updated in claim record
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  5. My Claim Support Reopens Claim for Supplementsn
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    • Role: my_claim_support
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    • Reassigns adjuster or contractor
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  7. Contractor Claims Verifies Supplements & Repairsn
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    • Role: contractor_claims
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    • Uploads verification photos
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    • Logs notes via User Notes
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  9. Adjuster Develops Final Closed Reportn
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    • Includes supplement summary
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    • Submitted to adjuster_admin
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  11. Adjuster Admin Final Completes Assignmentn
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    • Status: โ€œFinal Closedโ€
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    • Notification sent to Carrier
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๐Ÿ” Role-Based Access via Ultimate Member

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RoleDashboard TabsPermissions
carrier_userSubmit ClaimView own claims
my_claim_supportAssign Claims, Reopen ClaimsFull access
adjuster_adminAssign Adjusters, Close ClaimsManage team
adjusterClaim Updates, ReportsField activity
loss_inspection_proView Inspection OrdersUpload results
contractor_claimsVerify RepairsUpload supplements
claim_contactView Status, MessagesLimited access
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