Claims Out of Balance Report

 

The Claims Out of Balance report lists all claim records with an outstanding balance and is grouped by the adjuster.  All out-of-balance records that do not have the Adjuster field set in Claim Detail will all be grouped and totaled under the “<no adjuster>” heading. 

 

All the information that a user needs to evaluate the status of claim settlement(s) is viewable from this report.

 

Parameters

 

Parameter

Description

Adjuster

Select *(all) to include all adjusters in the report, otherwise select adjusters individually.

 

Report Details

 

Report Grouping

 

The report groups by Adjuster.

 

Header Information

 

No header information displays.

 

Detail Information

 

The following table describes the fields that display on this report.

 

Field

Description

Claim Number

The identifier assigned to the claim displays. 

Order Number

Order Number associated to the claim displays.

Opened Date

The date the claim record was added to the system displays.

Claimant

 

The payee of the claim as set within First Name and Last Name fields in Claim Detail display.

Claim Status

Status of the claim as set through the Status field in Claim Detail displays.

Settlement

The total dollar amount of all Settlements items displays in this column.

Receivable

The total dollar amount of all Receivables items displays in this column.

Chargeback

The total dollar amount of all payable items set within Liabilities/Chargebacks displays in this column.

Applied

The total dollar amount of all applied chargeback items displays in this column.

Balance

The Balance represents the dollar amount needed to satisfy the claim.  A zero amount indicates the claim is settled and a positive balance indicates that more money is needed to settle the claim, and a negative balance amount (in red) indicates an overpayment.

The application computes the Balance as follows:

Total amount of all Settlement items LESS

Total amount of all Receivables items LESS

Total amount of all Chargeback payable items PLUS

Total amount of all applied Chargebacks EQUALS the Balance

 

 

 

Report Totals

 

The report provides the following total counts:

    Total Claims for each Adjuster and for the entire report

    Total Balance for each Adjuster and for the entire report