❖Who We Are
❖Overview of the Motor Claims Recovery Process
❖Current Market Practice
❖ Proposed Changes
❖Challenges
❖ Solutions – TASWEYA motor claim recovery platform
❖What’s Next?
Recoverable Claim Settled
and Discharged
Document Disptach to
TPI
TPI Approval or Dispute
CN/DN Exchange
Reconciliation of SOA
Payment
Accident
Non-Fault Comprehensive
At Fault
Dispute resolution
Agree on
amount
Car repair
Invoice
Discharge
Claims
Process
Completed
LPO
Approval
TPI issues CN
Insurer
issues DN
Reconciliation
of SOA
Payment confirmation
Close File
Subrogation Process
TPI
confirmation
of docs
receipt
Dispatch docs to TPI
With
approval
Without
approval
Validate
claim docs
and amount
No dispute
Notify TPI of claim intimation
showing a unique claim
reference number
Insurer and TPI agree on
Partial Loss
Non-Agency Repair
Agency Repair
< AED 5k
AED 5k
< AED 3k
AED 3k
Agency quote
Notify TPI with
quotes within 2 days
of receiving quote
3 days
waiting for TPI
Obtain 3 quotes
Take lowest quote
Notify TPI with
quote within 5 days
of receiving quote
3 days
waiting for TPI
Notify TPI with
highest bid
within 30 days
5 days
waiting for
TPI
Approval of agreed
bidSell vehicle
Insured settlement
Insurer and TPI agree on
Total Loss
Dispute
Resolution Unit
Long recovery cycle, payment delays and manual work is excessive
Matching different reference for all insurance companies in reconciliation
Process
No automation even in the basic steps of claim notification and document exchange
Different systems used by different insurers leading to nil coherency
Automation
Lack of standardization in claim acceptance
Procedures not unified between insurance companiesPolicies and Procedures
Large volumes of paper printed annually
Storage of files is becoming a problem for some insurers who are renting storage space
Unnecessary paperwork printed for no reason
Lack of engagement from insurance companies with disputes resolution
No agreed process for negotiation and settlement between insurers
Dispute resolution and escalation process
Higher costs and negative impact on P&L
Huge strain on solvency and creditworthiness
Negative impact on financial strength
Recoverable Claim Settled
and Discharged
Document Disptach to
TPI
TPI Approval or Dispute
CN/DN Exchange
Reconciliation of SOA
Payment
Dispatch
Approve
Settle
Documents & approvals
Accounting & settlements
30 Daysfrom Dispatch
to Payment