Claims & Dispute Management

Studies show that it costs more to attract a new customer than to retain an existing one. In fact, some estimates suggest it can cost up to 40 times more to acquire a new customer. Keeping customers happy can pay big dividends, especially in the Banking industry. In such a challenging environment, having a robust Claims and Dispute Management system for banks becomes a necessity and  banks can differentiate themselves by processing Customer claims quickly and accurately.

To resolve customer claims and dispute Management, banks require online automatic retrieval transaction specific of EJ along with data from Core, Switch and Network.

claims process_small

We know Claims Processing is Complex and we understand it well!

We have worked hard to make it Very Simple for you !!

CAS_Color_300

 

Simply Resolve

Thinkprise Solution to Resolve Customer Disputes, Cash Balance Discrepancies, Compliance to Regulations and Improve Service Quality

Claims_Processing

What we hear!

Increasing ATM Customer Complaints – The volume of transactions has reached new peaks resulting in increase in exceptions, since the charges for inter-bank ATM transactions were made free. Also, customers are facing challenges in registering the complaints related to ATM Claims

Increasing Chargeback’s – Rise in inter-bank ATM transaction volume, result in increased in the volume of Chargebacks.

Reduced Settlement period to few days compared to few weeks earlier by regulatory authorities.

Penalty for Claim Delays is increase high value by regulatory authorities to be credited to the customer account

CAS Modules

Claims Registration

This module provides a web-based option to all connected branches to accept and register customer claims arising out of ATM transactions in a consistent manner with capability to print an acknowledgement to the customer instantaneously. Also available is an option to search and retrieve the status of claims registered using EJARSfrom any branch

Interfaces

ATM Claims Processing requires the following interface(s) to various systems / stake holders using online Web Services Interface or offline data file.

Claims Processing

Allows users to process the claims assigned based on the business rules. The user is presented with a screen displaying information required for processing a claim such as Claim Summary, Transaction details from Core/Switch/Network and Transaction details from EJ.

Reports

Extensive list of reports such as, Daily Claims Processing Status by Network, Claims Summary by Branch, Claims Summary by Bank, On-Us Claims, Off-Us Claims etc.

Administration

Allows administrative users to configure the working of EJARS as required by the bank. Some of the features in the administration module include managing user creation, roles, ATM details and branch details.

FEATURES

INTERFACES TO FETCH CLAIMS PROCESSING DATA

ATM Claims Processing requires the following interface(s) to various systems / stake holders using online Web Services Interface or offline data files.

EJ_PROCESSING

  • Customer Info such as Card No, Customer Name, Card Status from Bank
  • Exception Data from Recon Server – All exceptions such as Available in Switch not in Network, Available in Network not in Switch etc
  • Transaction Data from Core, Switch and Network
  • Chargeback to other networks
  • Chargeback from other networks
  • Re-presentment to other networks
  • Re-presentment from other networks
  • Credit / Debit files to Core
  • Email interface to send EJARS generated mails

Claims Processing Workflow

Start of Day Processing

At a scheduled time the Claims Processing Workflow starts and initializes a number of parameters and performs a set of actions such as archival of claim data older than the mandatory retention period

start_of_day

exception_data

Exception Data Retrieval

This option retrieves the Switch/Network/Core exception data for the required dates based on the availability. Under normal circumstances the exception data will be available for T-2 (Today – 2). EJARSrequires the exception data from Recon Provider through a Web Services interface.

Data Collection from Switch/Core/Network

If the claimed transaction is not in exceptions list for the day, CAS will fetch the relevant transaction from the Recon Provider through a Web Services interface.

data_collection

chargeback

Chargebacks and Re-presentments Tracking

CAS has a built-in feature to extract Chargebacks from other networks such as NFS, Visa, Master etc based on a predefined formatted file interface. Upon extraction, every charge back is converted into a claim for further processing by workflow. Re presentments from Partner Networks in response to Chargebacks raised by THE BANK, are extracted and loaded into the system for further processing.

Claims Assignment

CAS workflow module assigns claims to various users within their Processing Centre, based on the associated business rule. EJARS Claims Assignment process is repeated at a predefined interval between the SOD and EOD operations.

End-of-Day Processing

At a predefined cut-off time EJARS performs this operation. Any claim registered after this will be considered only on the next business day for processing.

Generation of Output Files to Core / Partner Networks

This module generates a set of output files.

Reports

This module provides options to generate reports by setting various report specific parameters such as Start Date, End Date, Network, Claims Type etc.

assign

Claims Processing

The Claims Processing module allows users to process the claims assigned based on the business rules. The user is presented with a screen displaying information required for processing a claim such as Claim Summary, Transaction details from Core/Switch/Network and Transaction details from EJ.

Accept Claims

Reject Claims

Request EJ from Service Provider

Raise Charge back

This is a text block. Click the edit button to change this text..