Note: To process shell policies, users must have the authority, "Submit on Shell Policy," in the Claims Submission group of authorities. Additionally, the "Allow Shell Policies" system setting (Claims folder) in the Diamond System Editor must be set to "True" (Enabled).
Shell policy claims are claims that are set up against a policy that does not exist in Diamond. These claims can be manually converted claims, claims on run-off lines of business or claims reported for record only purposes. This functionality replaces the older workflow of adding a record only policy and submitting a claim against that policy. The claims added to the system perform like "regular" Diamond claims. The associated "Shell Policy" has minimal information stored with it and does not include any coverage or premium information. Shell policies and claims are flagged as external policies in the database.
To begin submission of a shell policy claim, select Claims
/ New Claim from the Home Page on the Web. On the New
Claim screen:
Enter the policy number
Place a check mark in the Shell Policy field.
Loss Date: Defaults to the system date but can be changed.
Click OK.
Required entries include:
Company, State, LOB, Agency
Click the Policyholder 1 link; enter all name / address information and click Save to return to the Shell Policy screen. If necessary, repeat for Policyholder 2.
Once your information is verified, click OK.
On the Loss Notice screen, enter / select any required information (e.g., Location of Accident, Type of Loss, Description, etc.)
Enter / select any additional information using the tabs (Reported / Insured, Claimants, Notes, Personnel, etc.)
Once that information is recorded, you can either Submit or Pend the Loss Notice.
Once the Loss Notice is submitted, features / coverages can be added:
In the left pane of the Claim Tree View, select the claimant for which the feature will be opened.
Click the Features / Coverages folder.
Select Add.
Exposure: Exposures can be configured to suit your company's needs. Select the appropriate coverage exposure from the combo box.
Sub-Exposure: These can also be configured (based on your Exposures). Select the claim sub-exposure.
Coverage / Sub Coverage: Select these from the combo box.
Coverage Limit: Based on the Coverage / Sub-Coverage chosen, this field (if specified by your company) is automatically populated.
Click Save to retain the entry.
Depending on your company's guidelines, you may then add either a Claim Transaction or an Adjustment Transaction.