Using Adeptia Modeler

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Scenario
To explain the use of Adeptia Modeler, a Claims Management scenario at an insurance company is used. The business process involves all steps of validating claims, reviewing claims, processing claims and updating claim system.
Outlining Process Model
The process model for the above scenario is outlined in the following steps:

1. Claims Representative validates the claim request.
2. Claims Handler enters the details in the Claim System.
3. Claims Handler reviews the claim request.
4. Claims Specialist sets the reserve.
5. Claims Specialist processes the claim request.
6. Call Center Representative updates the Claim System and notifies customer.
7. If Subrogation is needed after processing claim, then the Subrogation Expert conducts the Subrogation Sub-process and at last the Claim System is updated.