Injuries overview

In some claims, the law may dictate that a barrier be created between adjusters who manage different coverages on the same claim for the same party. To address this need, depending on roles and permissions, the system is designed to allow an adjuster to manage a claim either at the claim file level or at the exposure file level. For example, an exposure-level adjuster can manage an exposure file on a claim without the need to navigate to the parent claim file or access other exposures.

With this design, some information available on the claim file level is also available at the exposure file level. For example, claim file Injuries information related to an exposure is also available at the exposure file level.

You can add and manage injuries within the Injuries screen of a claim file. Injuries added during the first notice of loss (FNOL) automatically populate the Injuries screen. On the Injuries screen, you will see a list of all injuries currently listed on the claim. In the Injuries table, you will see the Injured Party, Injury Type, Injury Description Narrative, and Settlement Range. To add an additional injury, you can select +Add Injury, see Add injury.

Note: If you create an exposure for an injury related coverage, then an injury record will automatically be associated with the claimant and the exposure.

Figure 1: View of the Injuries table on the Injuries screen.

If you need to edit injury information, you can do so by accessing the Injury Details screen of a specific injured party. When you select the Injured Party link, you’re automatically directed to the party’s Injury Details screen. See the Injury Details overview for more information.