❖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