Processes

Reconcile claim cash flows

How reconcile claim cash flows are reshaped as AGI capability advances.

ProcessesReconcile claim cash flows
Reconcile claim cash flows — illustrated

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How the work flows

Trigger: A batch of claim payments, adjustments, or recoveries is processed and posted by the core claims administration system.

  1. Extract claim payment and recovery transaction data from the core system
  2. Retrieve corresponding bank statement files for the settlement accounts
  3. Match system-generated claim transactions against cleared bank records
  4. Flag exceptions, outstanding disbursements, and unmatched cash entries
  5. Investigate and resolve identified discrepancies with internal teams or banking partners
  6. Finalize the reconciliation report and post adjusting entries to the general ledger

Outcome: Claim cash transactions are fully verified against bank statements, with all discrepancies resolved and accounted for in the general ledger.

Measured by

Reconciliation Cycle TimeException Resolution TimePercentage of Unmatched TransactionsFirst-Pass Match Rate