RISe Claims System Cedant Manual
Contents
1. 0 000 5 Total 20 000 15 000 3 C0001 _ Info Loss Submission for incident TESTS nas Deen Submited 10 ARPC Step 2 Finish ee ee Incident Display Incident Summary Sites Name Catastrophe Code Address Loss Estimate 4 N L Estimat uki poco ye eee ee ee 1 a l j l 2 tags Insured Add Postcode St Line Se Bu Limit of Liability Estimated L J Submit to ARPC gt I U l O Ss I btotal 000 18 000 Io Tota 20 000 15 Edt Loss Estmate Viendra ADDS Cinimc Cirerarn Canant NAjaniio ARPC Claims S ystem Cedant Iv lanual Version 1 0 Claims System Cedant Manual Submit Estimated Losses 7 2 Edit Loss Estimate A loss submission is editable at any time until the incident is declared or deemed to be non terrorist related This includes loss submissions that have been submitted to ARPC Reinsureds should submit their currently known loss estimates as early as possible and then edit them if further information comes to light Loss estimates can be edited by clicking on the Edit Loss Estimate button on the Incident Display screen This will open the Enter Loss Estimate screen with all previously submitted details populated in the Loss Estimate Listing lr AlS RISe Reinsurance In x C 4 localhost rise co001 3roe y Insurance Limited Incident Display Incident Summary Sites TESTS 2013 14 Name Catastrophe Code Address PITT STREET 4 54 Pitt St Sydne Loss Estimate Ed2. 0 28 May F 14 Outstanding Assessment Assessment mat Date Cc omments 100 000 Total 3 050 000 1 010 000 so The values that are displayed are the same as those on the Active Claims tab with the addition of the following Column Description Assessment Date The date that the claim was rejected by ARPC Assessment Comments Text entered by ARPC when the claim was rejected ARPC will typically be in contact with ts reinsureds for any rejected claims Claims that have been rejected by ARPC can be edited by the reinsured or withdrawn if it is believed the claim is not valid C r J ARPC Claims System Cedant Manual Version 1 0 Claims System Cedant Manual 15 View Incident Details 6 4 3 Withdrawn Claims This tab will only display when the reinsured has withdrawn a claim see Withdrawing a Claim le AlS RISe Reinsurance In x or cn localhost rise CedantView htmi home vie HOME LOGOUT C0001 Groening insurance Limited Incident Display An incident where dad s ed lagi Summa Sites TESTA e 0 Name Catastrophe Code Adare Declared 2013 14 i 7 NCIDENT SITE 14 14 Childers St Can a 28 May 2014 a 510000 B May 2014 May 2014 A M Withdrawn Claims These are the claims that you have withdrawn You are able to resubmit these claims using the Edit button Insured Claim Address City Postcode State Line Claims Business Limit of Claim Before Outstanding Withdrawal Reference Size E
3. 1 1 Glossary of Terms Acronym Term Term Definition Business Class The insurance classes covered by ARPC These are the same as those for which premium returns are submitted with the addition of Public Liability DTI Declared Terrorist Incident ICA Insurance Council of Australia RISe Reinsurance Information System ARPC s web based system used by its reinsureds to submit premium and aggregate information to ARPC ARPC Claims System Cedant Manual Version 1 0 Introduction 2 Introduction 2 1 Who Should Read this Manual This manual is intended for users of the ARPC Claims System i e employees of ARPC s reinsureds who will be required to use the system in the event of a terrorism related incident It does not deal with the business process for the interaction between ARPC and its reinsureds see Other Resources below for this information This manual describes the functionality available within the system and provides explanations on how to effectively use the system It is the primary help resource available for the system Additional support if required can be sought from ARPC as per the arrangements for the core RlSe application The concepts of this manual assume that the user is familiar with the existing RISe system and with the terms and concepts outlined in the ARPC Reinsurance Agreement 2 2 Other Resources The procedures that are required in the event of an eligible terrorism loss are detailed
4. 20 000 15 000 Total 20 000 15 000 Continue to add as many loss estimates as you require Existing loss estimates can be edited by clicking the Edit button in the Loss Estimate Listing This will populate the loss estimate inputs with the values that you have already entered These values can be updated by clicking on the Save Loss Estimate Changes button which will transfer the updated values back to the Loss Estimate Listing At any point the values in the current estimate input can be cleared by clicking the Clear Values button Existing loss estimates can be removed from the Loss Estimate Listing by clicking the Remove button Please note that this cannot be undone so you will be asked to confirm your action When you have finished entering loss estimates you are able to enter any summary comments about the submission and either Save As Draft or Submit to ARPC Please note that the information entered in this screen is not saved until the user clicks either the Save as Draft or Submit to ARPC buttons If you are entering a lengthy loss estimate please ensure that you save your submission at regular intervals Version 1 0 laims System Cedant Manua Submit Estimated Losses 7 1 1 Save As Draft A loss estimate can be saved at any time as a working draft This is designed to allow reinsureds to progressively complete their estimation as information becomes available When in Draft status the loss submission is not v
5. F I Ss 10 000 Total 100 000 000 40 000 000 50 000 000 gt Entet New Ciam Se Reinsureds should submit a claim to ARPC for each property and insured for which they wish to obtain a reinsurance recovery Claims are submitted assessed and paid individually as opposed to the single loss submission that is comprised of a loss estimate line for each combination of property and insured ADDCO Claimc Cvrct fandant NAAn y Fl UldIMS oYSt cedant IVidnud Version 1 0 8 1 Enter New Claim Submit Claims The Submit Claim screen contains a summary of the incident similar to the Incident Summary on the View Incident Details screen AlS RISe Reinsurance Ir x cfr localhost ee nee Submit Claim incident Summary Sites da me Catastrophe Code Address Claim Details The Clear Values button will reset pel Business Class the claim entry fields le Ciaim Reference o el k 0 Sag of Cover for Policy i t 0 The Return to Incident Summary rope Vi mA o button will navigate back to the Display Incident screen if you T o have unsaved values in the claim Line Size y o form then you will be prompted a Y whether you wish to abandon these changes v x gt pe NS Submit Clam to ARPC Clear Value ya L In order to enter a new claim please enter the following information Input Field Description Input Type Validation Name of The name of the insured at this address Text Required Insu
6. amounts will also be listed against the claim for which it is attributable It is possible that multiple payments will be made by ARPC for the one claim over the lifecycle of the incident An example of this would include if a claim was modified by the reinsured after the initial payment or in the event where an incident has a reduction percentage applied which is later revised downwards The values that are displayed in the Payment Listing are as follows Column Description Insured The name of the insured as entered by the reinsured against the claim Claim Reference The claim reference as entered by the reinsured against the claim Payment Date The date that this payment was processed by ARPC Please note that this may not exactly align to bank statement payment dates due to processing time frames Payment Type The reason for this payment for the possible payment types and their explanations see Appendix Possible Payment Types Version 1 0 Claims Paid Amount Reduction Amount Amount Retained Claim Expenditure Amount Payment Amount View Incident Details The amount paid payable to the insured after the relevant salvage tax adjustments and reduction percentage amount have been taken into account The amount by which the claims paid amount for this claim line has been reduced in line with the current Reduction Percentage for this incident The amount of the reinsured s retention that has been attributed to th
7. ec D localhost rise CedantView himithormeview 441 aw Ss Piess edil the clam if you wish to change the cm detalis gt A Display Incident Summary Sites TESTA bed 1 5 Name Catastrophe Code Address sciar Inderwrting Yea 2013 14 Dechurod ci n z PITT STREET 304 86 Pitt St Sydney 2000 NSW 16 May 2074 Re lentior 1 000 000 21 May 2014 Active Claims Enter a new new claim by using the Enter New Claim button Business Limit of Ci m Before Outstanding Approval Class Uad Estimate insured Ciam Reference iiny Reduction Status Address City Postcode State Une Size Clams Expenditure There are currently no claims Enter New Clam ARPC Claims System Cedant Manual Version 1 0 Appendixes 9 Appendixes 9 1 Possible Incident Statuses The following table lists the possible statuses that an incident can be listed as within the Claims System The incident state for each incident status whether it is considered Active or Inactive is also listed Status Description Incident State Undeclared A suspected terrorism related incident has occurred Loss Active Submissions where appropriate should be submitted for an Undeclared incident Declared This incident has been declared as a terrorist incident Claim Active submissions where appropriate should be submitted for a Declared incident Closed This incident is a declared terrorist incident but
8. payment for a claim by ARPC to the reinsured Claim payments will show as positive amounts The claim has been withdrawn by the reinsured and the payment must be refunded to ARPC Claim refunds will show as negative amounts The details of a paid claim have been changed in a way that requires a top up or refund payment Claim adjustments may be positive or negative amounts The incident s reduction percentage has changed which has resulted in an additional payment to the reinsured Reduction Adjustment payments will be positive amounts as an incident s reduction percentage may only decrease The reinsured s retention for an underwriting year has been adjusted after payments have been made and an additional payment or refund payment is required Retention Adjustment payments are not expected as part of mainstream claims processing but if they do occur they may be positive or negative The maximum industry retention has been reached or adjusted for this incident Industry Retention Adjustments will generally be a positive amount however could result in a negative amount i e refund if a reinsured who has had claims paid is determined not have suffered any loss for this incident A reinsured s retention payment amounts have been transferred from one incident to another within the same underwriting year This is an internal payment type that may be required in a scenario where at least one incident within an underwriting year has excee
9. 0 000 rr STREET 304 54 Pat St Sydney 2000 NSW red On 01 May 2014 1 000 000 br any potential terrorism related incident in which you may be involved D until an incident is deciared t the module should be used for paid claim subressions and any outstanding loss estimates Valindrawn not submitted to ARP 21 May 2014 17 01 Ny ARPC Claims System Cedant Manual Version 1 0 8 Submit Claims LCIdliTls IYSLEITT A Submit Claims Once an incident has been deemed as a Declared Terrorist Incident then the Terrorism Insurance Act 2003 deems the ARPC to be the reinsurer and reinsureds can submit their terrorism claims for reinsurance recovery A claim can be submitted by navigating the Incident Display screen for the relevant incident and clicking on the Enter New Claim button on the Active Claims tab which will open the Submit Claim screen E AlS RISe Reinsurance In x E Qe localhost rise Cedant co001 incident Display Incident Summary Sites EST4 5 Name Catastrophe Code Address E PITT STREET 304 N Active Claims am by using the Enter Ne Claim butt A a 1 l Insured Claim Address City Postcode State Line Claims Business Limit of Claim Before Outstanding Approval l i l Reterence Size Expenditure Class Liability Reduction Estimate Status I oa I ri Company TES 4 33 Canbe a 2 A 7 210 000 Fire Edit Withdraw r p one Ainslie ISR BI im t v Enter New Claim i a I l Subtotal 100 000 000 40 000 000 50 000 000 l
10. 14 ii l r a eo g e Claims ness imit o Clai re S i Z Ne l l cu 26 May 2014 Fu l l 1 000 000 a agi me Eee e LaDy Reduction estimate ls l l l l L 28 May 2014 Retent Jsed 50 F gt I i Subtotal 23 000 000 11 000 000 0 The following fields depending on the status of the incident will be displayed in the Incident Summary panel Summary Item Description Code The code for this incident Status The current status of the incident typically Undeclared or Declared Occurred On The date the incident occurred Declared On The date that the incident was declared to be a terrorist incident will not be present for non declared incidents Reduction For a declared incident the current reduction percentage will be listed Reduction percentages may change only to be revised downward throughout incident processing Version 1 0 View Incident Details Underwriting Year The ARPC underwriting year relevant to this incident Retention The full retention amount for the reinsured for the underwriting year Retention Used The amount that the reinsured has currently retained 6 2 Sites The Sites panel lists the physical locations affected by the incident For example if there were two explosions at different locations that were determined to be part of the same incident then two sites would be listed AlS RISe Reinsurance In x A localhost HOME l Sites aon Name Catastrophe Code Addr
11. Declared Incident is Terrorism closed Incident declared within system Claims are Claims are assessed submitted Claim Claim edited or approved withdrawn Payment made to Reinsured ARPC Claims System Cedant Manual Version 1 0 Logging In 4 Logging In The ARPC Claims System is accessed through the core RISe application that is used for premium and aggregate submissions A valid login to RlSe is required in order to access the Claims System The Claims System will be accessible when there is a potential claims scenario All nominated contacts of ARPC reinsureds will be notified by email when an incident is currently under investigation for links to terrorism Reinsureds should submit eligible loss estimations ARPC will also notify reinsureds if the incident has been declared as a terrorist incident DTI ARPC are now empowered to pay eligible reinsurance claims If the incident is declared as not being a terrorism incident then all ARPC reinsureds will be notified accordingly To access the Claims System you can choose the Incidents and Claims menu option within RlSe which will open a new window and automatically sign you in to the Claims System 4 Australian Government 16 RiSe Reinsurance x F Australian Reinsurance Pool Corporation ca localhost RiSe Home AS Download Templates L Premium Return uraicnd Templates od the latest te e 2 ncidents Incidents and mms Aggregate Retu
12. de Display incidents that are Active only Inactive only or all incidents Inactive incidents are read only and will not permit either claim or loss estimate submission A listing of possible incidents statuses and their respective states is listed in the Appendix Possible Incident Statuses Incidents that occur between these dates inclusive N B These dates can be open ended e g only a start date will match all incidents that occurred on or after this date This button will reset the filter inputs to their original values View Incident Details 6 View Incident Details The Incident Display screen shows the complete details of an incident from the reinsured s perspective All actions within the system e g a claim submission are performed within the context of an incident and are therefore only accessible from the Incident Display screen This screen contains a number of tabs that display the details of the loss estimates and claims that the reinsured has submitted to ARPC as well as the payments made by ARPC to the reinsured 6 1 Incident Summary The Incident Summary panel provides an overview of the current state of the incident AlS RISe Reinsurance In x GC f localhost incident Display a Incident Summary Sites jer TEST 0 Name Catastrophe Code Address 4 i 4 UA dapat nee es A ep te eC i Incident Summary l l MER l TEST3 Reduction 0 l y Status Declared de gea 2013
13. ded the maximum industry retention amount Retention Transfer amounts may be positive or negative a positive transfer amount to one incident will be exactly offset by a negative transfer from another incident Version 1 0
14. er either of these events Loss Estimate Loss Estimates should be submitted to ARPC for any potential terrorism related incident in which you may be involved The Loss Estimate module can only be used up until an incident is declared Following the Declaration of a Terrorist Incident the Claims module should be used for paid claim submissions and any outstanding loss estimates No Submission Create Loss Estimate Once an initial loss estimate has been submitted the details will be displayed within this panel r AlS RISe Reinsurance In x Cfi localhost rise Cedant Incident Display a Incident Summa e Y Sa HES ON y say i s sy The header of this display shows x the status of the Loss Submission TIS Status the last updated date and a E e a E any notes entered by the we OPE ca E reinsured Y silanes aita Insured Address City The Loss Estimate Display also TEST COMPANY 15 Childers St Canberra 2601 includes a listing of each of the A estimates submitted by the o reinsured An explanation of the Edit Loss Estimate Withdraw Loss Estimate fields displayed in this listing can be found in the Enter Loss Estimate section of this Loss estimates are editable by clicking on the Edit Loss Estimate button A loss estimate is only 4 I I document i AS editable up until an incident has either been declared as a terrorist incident or until it is deemed to be non terrorism related Ver
15. ess i y I m l hildar m PAN Ar l i INCIDENT SITE 142 14 Childers St Canberra 2600 ACT i s l I 09 Name Catastrophe Code Address E E E E E a a a a a a E S e a a R a S a a a a S a a E E E E E E rr Active Claims Ente new new claim by using the Enter New Claim butt Insured Claim Address City Postcode State Line Claims Business Limit of Claim Before Outstanding Approva Reference Size Expenditure Class Liability Reduction Estimate Status Engles ENG1234 14 Canberra 2601 ACT tahsts Jers Edit Withdraw Liability Subtotal 23 000 000 11 000 000 0 The sites are for ARPC reporting purposes and are not required during the data entry process for either loss estimates or claim submission Item Description Name The ARPC generated short name for this incident site Catastrophe Code The ICA reference code associated with this location Address The street address of the incident site Version 1 0 6 3 Loss Estimate Display ns System Cedant Manua View Incident Details The Loss Estimate tab displays a summary of all loss estimates that you have submitted to ARPC for the current incident An initial loss estimate can be submitted by clicking on the Create Loss Estimate button Loss estimates can only be submitted until an incident has been declared as a terrorism related incident or deemed to be non terrorist related The submitted loss estimates will always be visible within the system but will become read only aft
16. ettlement amount based on the applicable reduction percentage s if any The value of any salvages recoveries or payments Numeric received for this claim as described in Section 6b and Section 7 of the Reinsurance Agreement The amount of tax related decreasing adjustment Numeric applied by the reinsured on the amount paid to the insured in the settlement of this claim N B This field will typically be O for most reinsureds The current estimation of the remaining incurred Numeric loss The Payable Before Reduction and Outstanding Estimate together may not be greater than the Limit of Liability Please note that once an incident has been declared it is no longer possible to update Loss Estimate values within the Claims System Please use this field to keep ARPC informed of the outstanding loss amounts This is the calculated amount for this claim after Read Only taking into account the salvage and decreasing adjustment amounts This value is calculated according to the following formula Payable Before Reduction Salvage Decreasing Adjustment Required Greater than or equal to O Required Greater than or equal to O Required Greater than or equal to O Required Greater than or equal to O Required Greater than or equal to O Less than or equal to the Limit of Liability When you have finished the input for this claim click the Submit Claim to ARPC button The system will t
17. has been Inactive closed for processing This is administrative in nature only and if you need to submit or modify claim information please contact ARPC in order to re open the incident Non Terrorist This incident has been deemed to be non terrorism related Inactive Loss Submissions may have already been submitted but no further processing is possible on a Non Terrorist incident Cancelled This incident was created in error and has been cancelled No Inactive processing is possible on a Cancelled incident 9 2 Possible Loss Estimate Statuses The following table lists the possible statuses that a Loss Estimate Submission can be listed as within the Claims System Payment Type Description No Submission No estimate has yet been submitted Draft not submitted to This estimate is saved as a draft only It is not visible to ARPC ARPC Submitted to ARPC This estimate has been submitted and can be seen by ARPC Withdrawn The estimate that had previously been submitted has been withdrawn The reinsured no longer has any estimated loss for this incident Version 1 0 Appendixes 9 3 Possible Payment Types The following table lists the possible reasons for payment that will be listed against a payment within the Claims System Payment Type Claim Payment Claim Refund Claim Adjustment Reduction Adjustment Retention Adjustment Industry Retention Adjustment Retention Transfer Description Reason The initial
18. hen return to the Display Incident screen and this claim will be added to your Active Claims listing with a status of Awaiting Assessment Version 1 0 Claims System Cedant Manual Submit Claims 27 Es RISe Reinsurarxe b x cn localhost t 5 C0001 Submit Claim incident Summary Sites Name Catastrophe Code Acdress Claim Details Add the clam detads for th F t Liabitty fer n te serabas rimaran Poe Corpers tine t Claims Experxiture GST Exe 3 c0001 00 Incident Display incident Summary Sites 4 name Catastrophe Code Address lotes Active Clas t t Insure d Ciam Add t Postcode Stat m Busness Limit tanding Subtotal 100 000 000 40 000 000 50 000 000 10 000 Total 100 000 000 40 000 000 50 000 000 Submit Claim to ARPC ne When the claim has been approved by ARPC the status will change to Approved Please note that no notification is given e g email when a claim has been approved by ARPC The current status can always be seen within the Claims System ARPC Claims System Cedant Manual Version 1 0 8 2 Edit Claim Claims System Cedant Manual 28 Submit Claims Existing claims can be edited at any time by clicking on the Edit button for the claim within the relevant Claim Listing table This will open the Submit Claim screen and populate the claim inputs with the existing values ready for adjustment Changes to claims already approved by ARPC will require re approva
19. here there are multiple incidents displayed in the Incident Listing the incidents can be sorted by clicking on the column headings The full details for an incident can be seen by clicking on the View button associated with the incident which will then show the ncident Display screen Version 1 0 Home Page Incident Listing 5 2 Filter Incidents The incidents displayed in the Incident Listing can be refined by entering criteria in the Filter Incidents inputs Filter Incidents Refine the incident listing using the fields below Incident Code 5 L Incident State Active Only Y Occurred Between to Reset Filter Catastrophe Code o I I AlS RISe Reinsurance In x a Ch localhost ji i HOME LOGOUT 5 C0001 Ae Sa Filter Incidents Refine the incident listing Je Incident Listing Incident Code Catastrophe Code s incident Date Status f Js below I I I I i incidents aiai l l I I I Incident Code Catastrophe Code Incident State Occurred Between Filter values are not case sensitive and will match any part of the value e g a filter value of i in the Incident Code input would match an incident code of TestIncident Filter Element Incident Code Catastrophe Code Incident State Occurred Between Reset Filter Version 1 0 Description Incidents that match the entered incident code Incidents that are linked to the entered catastrophe co
20. is payment line The component of the payment amount that is attributable to the reimbursement of the reinsured s claim expenditure under Section 6b of the Reinsurance Agreement The amount that will be settled to the reinsured for this payment line In the context of this table the payment amount reflects the following formula Claims Paid Amount Amount Retained Claim Expenditure Amount Please note that there may be multiple payment lines for the same claim Reinsureds can download a Comma Separated Value CSV file that contains a record of all payments for the underwriting year This report can be opened in applications such as Microsoft Excel Version 1 0 Submit Estimated Losses 7 Submit Estimated Losses If a potential terrorism related incident has occurred all nominated client contacts will receive notification from ARPC Reinsureds are then obliged under the reinsurance agreement to notify ARPC of their potential liabilities A loss estimate can be created by navigating the Incident Display screen for the relevant incident and clicking on the Create Loss Estimate button which will open the Submit Loss Estimate screen Reinsureds should submit to ARPC an estimate for each property and insured for which they believe they may have suffered a loss 4 Q gt m Loss Estimate CA localhost Creme Loss Estimate incident Summary Sites o ls a AN Step 1 Loss Estimates Loss Esti
21. isible to ARPC and is therefore not taken into account by ARPC q gt Q gt itt Loss Estimate Listing nsured Address City Postcode Siate Une Sue Business Class Lin of Liatubty Estimated Loss Total 20 000 15 000 henua t taerae Reimar A Info Loss Submission for incident TESTS has Deen saved as a draft Step 2 Finish Incident Display incident Summary Sites Name Catastrophe Code Address o y l a Loss Estimate Estima nould insured City Business Cass Limit of Liability Estimated Loss gt A saved loss estimate can be resumed from the Incident Display screen by using the Edit Loss Estimate functionality It is important that completed loss submissions are finalised and submitted to ARPC to inform the overall loss estimation process for the incident Version 1 0 Claims System Cedant Manual gt A B I Submit Estimated Losses L m a 7 1 2 Submit to ARPC Once you have completed entering your loss estimates they should be finalised using the Submit to ARPC button This will then allow ARPC visibility over your loss estimates and allow them to be counted in the overall loss estimation The submitted loss estimate is visible at any time on the Incident Display screen a E sa 16 RiSe Reinsurarce gt x Add 10 Lowe Estade Listing Cin Vhs Loss Estimate Listing nsured Address City Postcode Siate Une Sue Business Class Limi of Liabilty Estimated Loss
22. it Loss Estimate Withdraw Loss Estimate State Line Size Business Class Limit of Liability Estimated Loss Total 20 000 15 000 ARPC Claims System Cedant Manual Version 1 0 ee EN A E y Ay gt A 7 3 Withdraw Loss Estimate Claims System Cedant Manual Submit Estimated Losses 23 A loss estimate submission can be withdrawn if the estimate was submitted in error by clicking on the Withdraw Loss Estimate button in th Please note that changes to the existing Estimate functionality e Loss Estimate tab loss estimate can be performed by using the Edit Loss A reason for the withdrawal must be provided to ARPC in order to withdraw a loss Ge RISe Reinsurance Ir x 1 e gt C f D localhost rise CedantView htmithome view489 Withdraw Loss Submission Only withdraw a loss submission if you no longer believe you have any losses for this incident Please edit the loss submission details if you wish to change your loss estimate Comments p E A withdrawn loss estimate can be reopened at any time up until the incident is declared or deemed to be non terrorism related Show Loss Estimate Detail J fife RISE Reinsurance Ir x Y gt C A D localhostirise CedantViewhtmithomeview489 C0001 Groening Insurance Limited incident Display incident Summary Sites TESTS nderwriting Yea 2013 14 Name Catastrophe Code Address Ona e AS 51 00
23. l AlS RISe Reinsurance In x Incident Display incident Summary TEST4 Declared 16 May 2014 21 May 2014 Active Claims Reterence Company TEST1234 33 Ave ARPC Claims System Cedant Manual Version 1 0 C f localhost rise CedantView html homewiew 4 Enter a new new claim by using the Enter New Insured Claim Address one Ainslie 5 C0001 4 Groening Sites Name Catastropne Code Address PITT STREET 304 56 Pitt St Sydney 2000 NSW Claims Business Limit of Claim Before Outstanding Approval e Expenditure Class Liability Reduction Estimate Status 510 000 Fire 100 000 000 540 000 000 550 000 000 Awaiting ISR BI Assessment Subtotal 100 000 000 40 000 000 50 000 000 10 000 Total 100 000 000 40 000 000 50 000 000 x LE insurance Limited Edit Withdraw l H i 4 e I Claims System Cedant Manual Submit Claims 29 8 3 Withdraw Claim A claim can be withdrawn by the reinsured if they no longer wish to receive a payment from ARPC in relation to the claim Any previously paid amounts will need to be repaid to ARPC ARPC will contact the reinsured to arrange details of the repayments where necessary 16 RiSe Reinsurance h x Y 7Ca O bocalhost rise CedantViesnitmithomeview4 1 Withdraw Clan wInoraw a Uam if you no tonger wish to rece we a payment from ARPC in relation E RISe Reinsurance b x _
24. mate Listing 7 1 Enter Loss Estimate The Submit Loss Estimate screen contains a summary of the incident similar to the Incident Summary on the View Incident Details screen For each insured and address please enter the following information Input Field Description Input Type Validation Name of The name of the insured at this address Text Required Insured Address The address of this insured Autocomplete Required Line Size The reinsureds share of the exposure to the insured Numeric Between O and 100 Notes Any additional relevant information about this Text Optional estimate Version 1 0 Submit Estimated Losses Additionally for each relevant business class please submit Input Field Description Input Type Validation Limit of Liability The maximum payable to the insured under this Numeric Required policy Estimated Loss The current estimation of the incurred loss This Numeric Required may not be greater than the Limit of Liability When you have finished the input for this estimate click the Add to Loss Estimate Listing button The details you have entered will then be transferred to the Loss Estimate Listing table AlS RISe Reinsurance Ir x Ca localhost Submit Loss Estimate Incident Summary Sites Name Catastrophe Code Address Step 1 Loss Estimates Loss Estimate Listing nsured Address City Postcode State Line Size Business Class Limit of Liability Estimated Loss Subtotal
25. on the ARPC internet site http arpc gov au claimprocedures The R Se User Manual describes the functions of the core RISe application This manual is available from the About RISe page on the ARPC Internet site http arpc gov au reinsuring rise 2 3 System Requirements The Claims System is a web based system so can be used on any device that runs a modern web browser Recommended browsers include Chrome Firefox Internet Explorer version 8 or above version 9 or above preferred Safari Other browsers may work but have not been tested by ARPC Version 1 0 Overview 3 Overview The ARPC Claims System is a web based application that manages the interactions between ARPC and its reinsureds for the purpose of claims processing Within the system reinsureds are able to provide ARPC with estimations of their expected loss in the early stages of an incident and then also to submit claims to ARPC for payment Reinsureds are also able to view the payments made by ARPC and view summaries of their submissions The flow chart on the following page provides a summary of the expected lifecycle of an incident and the interaction of a reinsured with the ARPC Claims System Version 1 0 Claims System Cedant Manual 6 Overview Loss estimates are open while 0 incident is undeclared Possible terrorism are submitted o created incident occurs l Incident is I Loss estimates Y y
26. red Claim Reference The reference number used to identify this Text Required claim policy This will be used by ARPC to reference this claim when speaking to the reinsured and in the event of any post claims audit Period of Cover The start and end dates for when this policy was Date Range Required for Policy active The policy should cover the date of the incident Claims The amount of claims expenditure for which the Numeric Required Expenditure reinsured seeks reimbursement under Section 6b of Greater the Reinsurance Agreement Please note the than or limitations placed upon what constitutes valid claims equal to 0 expenditure Address The address of this insured Autocomplete Required Line Size The reinsureds share of the exposure to the insured Numeric Required Between O and 100 Notes Any additional relevant information about this claim Text Optional Version 1 0 Additionally for each relevant business class please submit Input Field Description Input Type Submit Claims Validation Limit of Liability Payable Before Reduction Salvage Decreasing Adjustment Outstanding Estimate Claim Before Reduction The maximum payable to the insured under this Numeric policy The amount payable paid by the reinsured to the Numeric insured for this claim This amount should be stated exclusive of any adjustment required for the application of a reduction percentage ARPC will automatically adjust the claim s
27. rn on ne cana cane A i os Filter Incidents Incident Listing Market Share Reports bs tock P L prawns Incident Code Catastrophe Code s incident Date Manage Profile on Manage GWP rt Contact Us Logout ARPC Home Activity Summary New Templates uploaded since past month For more information on RlSe including details on how to log in please see the RISe User Manual available from the following link http arpc gov au reinsuring rise Version 1 0 aims System Cedant Manua Home Page Incident Listing 5 Home Page Incident Listing When an incident occurs that may be terrorism related ARPC will create an incident record within the Claims System All active incident records are viewable on the home page AlS RISe Reinsurance Ir x NN localhost rise Cedant Incidents Filter Incidents Incident Listing Refine the incident listing gt m S 3 Incident Code Catastrophe Code s ncident Date Status incident Code Catastrophe Code incident State Occurred Between Reset Filter 5 1 Incident Listing The display fields shown in the incident listing are described below Column Incident Code Description A unique code for the incident generated by ARPC Catastrophe Code s The ICA reference code s associated with this incident Incident Date Status The date on which the incident occurred The current status of the incident typically Undeclared or Declared In the situation w
28. sion 1 0 3 C0001 Sites Name Catastrophe Code Address PITT STREET 432 Postcode State Line Size Business Class Limit of Liability Estimated Loss Fire Subtotal 1 000 000 500 000 Total 1 000 000 500 000 If a loss estimate has been submitted in error it can be withdrawn by clicking on the Withdraw Loss Estimate button View Incident Details 6 4 Claim Display Claims entered by the reinsured will appear on up to three conditionally displayed tabs dependant on the claim s status Claims can only be entered after an incident has been declared to be terrorism related Until this time the claim display tabs will not be visible within the system The claims within each of the listings can be sorted by clicking on the respective column heading 6 4 1 Active Claims The Active Claims tab displays all claims submitted by the reinsured that have not been either rejected by ARPC or withdrawn by the reinsured 5 AlS RISe Reinsurance In x C fi localhost riss m pra Summary Sites amp TEST o Name Catastrophe Code Address es Se mao Active Claims Insured Claim Address City Postcode State Line Claims Business Limit of Claim Before Outstanding Approva Reference Size Expenditure Class Liability Reduction Estimate Status Liability Subtotal 23 000 000 11 000 000 0 yaney ES An explanation of the fields displayed in this listing can be found in the Enter Claim section of
29. this document Claim submissions are editable by clicking on the Edit button A claim is editable at any time that the incident is open for processing even after payment has been processed N B editing a paid claim may trigger a refund or additional payment If a claim has been submitted in error it can be withdrawn by clicking on the Withdraw button A new claim can be entered by clicking on the Enter New Claim button that is displayed at the bottom of the Active Claims listing Version 1 0 6 4 2 Rejected Claims Claims System Cedant Manual 4 A View Incident Details Le T Claims that have been rejected by ARPC will appear in this tab The tab will not be displayed when there are no rejected tabs AlS RISe Reinsurance In x C fi localhost rise CedantView html Incident Display An incident where bad stuff ha Insured Claim Address City Postcode State Line Siz ed li nt Summa dagy TEST Declared gt May 2014 Me XN y Rejected Claims These claims have been rejected by ARPC You should either edit and res HOME LOGOUT 3 C0001 Sites Name Catastrophe Code Address d JENT SITE 14 14 Childers St Canberra 2600 ACT sbmit withdraw the claim contact ARPC to discuss Claims Business Limit of Claim Reference e Expenditure Class Liability Before Estimate Reduction ACI ACI 56 Pitt Sydney 2000 NSW 100 100 000 Fire 50 000 St BI mtract a Subtotal 3 050 000 1 010 000 0
30. vs Australian Government spa Australian Reinsurance Pool Corporation RISe Reinsurance Information System Claims System Cedant Manual Version v1 0 Contents 1 Document Informations ani ronaldo 3 tl E A A E 3 INTrOdUctiON csi aliadas 4 2 1 Who Should Read this Wana lsc caste a E N 4 2 2 Other RESOUNCES E EE EE antia er ereean canoes 4 2 3 SV Stemi Requirements iaa isa 4 OV CN VICW sacri coca A A te nacecseamneemersacotuenten 5 LOPNA oe 7 Home Pace 7 Incident LIStING ni 8 Del WNCIO SME HUSNE acstensecccetanesenaveasatenos a A AA tenaeeencen Gation ne aes tena eecucianers 8 52 Nte Incidentes 9 View Incident Details visores italia E 10 Bek e A A nad E 10 Du rd 11 6 Eoss Estimate DIS Ol AY rsx cias 12 cA CaM Display enen SI iat Maiien ita 13 SAL TACTIC Chin Si id 13 GAZ Rejected Cilia iba 14 643 WITNAFaWN Clai Me reier na a A EE EA 15 65 Payment DISDIAV edeki e A E E A E a AA 16 Submit Estimated Lose 18 Pod Enter LOSS EStimial ind id 18 Tiled SAVE AS DP ARO a E 20 TAs UDMA ARP C orn wane Ganlanace E E E E staneaamnnnsouness 21 1 2 ETEO Sle SUNN a e ea A E O 22 Ted WtAdrowW Loss Estimate resia E O 23 Submit ClalMS asia a EN 24 OL Enter New Cialis 25 8 2 FdE iodo 28 8 3 Withdraw Cll 29 PDDENGINGS viii dis 30 OT Possible ncident Statuses a 30 92 Possible Loss Estimate Status aia 30 953 Possible Payment TYPES a 31 Claims System Cedant Manual Document Information 1 Document Information
31. xpenditure Class Liability Reduction Estimate Date ACME ACM1234 56 Pitt Sydney 2000 NSW 100 100 000 Fire 10 000 000 Industries st ISR B Edit Contract 2 00 00 500 00 0 Works Subtotal 22 000 000 10 500 000 0 100 000 Total 22 000 000 10 500 000 so The values that are displayed are the same as those on the Active Claims tab with the addition of the following Column Description Withdrawal Date The date that the claim was withdrawn by the reinsured Claims that have been withdrawn can be edited and resubmitted to ARPC if it is later believed that the claim represents an eligible loss ARPC Claims System Cedant Manual Version 1 0 View Incident Details 6 5 Payment Display The Payment Tab displays the list of payments made by ARPC to the reinsured for the current incident The payments are each allocated to a claim submitted by the reinsured Al RISe Reinsurance In x C fi localhost rise HOME LOGOUT 5 C0003 l l l m e elle Sites l l Tu 09 Name Catastrophe Code Addres S ia Payments Insured Claim Reference Payment Date Payment Type Claims Paid Reduction Amount Claim Payment Amount moun 10 700 000 so 10 000 000 100 000 800 000 The types of payments are listed in Appendix Payment Types All payments made by ARPC are attributed to a specific claim and these payments will be individually listed within this table Any required refunds or adjustments to payable
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