Claim Status

Status	Definition	PIC
INITIATED	Claim has been created but will not be processed until the required data are submitted by the Insured.	Insured
DATA_SUBMITTED	Claim data (forms, and files) has been filled and submitted by the Insured.	Insured
EXPIRED	Insured has not completed all of the necessary claim data within agreed time frame based on the insurance product terms.	Insured
DATA_ON_REVIEW	Claim has been successfully submitted by the Insured and is under review by Cermati Claim Team.	Cermati/Insured
DATA_COMPLETE	Claim has been reviewed by Cermati and proceeded to the Insurer for further analysis and confirmation.	Cermati/Insured
DATA_INCOMPLETE	Submitted claim has been reviewed by Cermati Claim Team but requires additional documents to proceed further.	Cermati
APPROVED	Claim has been reviewed and approved by the Insurer.	Insurer
REJECTED	Claim has been reviewed and rejected by the Insurer.	Insurer
ADDITIONAL_DATA	Claim has been reviewed by Insurer but requires additional documents to proceed further.	Insurer
REIMBURSEMENT_TRANSFERRED	Final status. Claim has been paid by the Insurer to the Insured.	Insurer
CANCELLED	Claim has been cancelled by the Insured. Cancelled claims will not be processed any further.	Insured
JUNK	Junk or testing claim.	Cermati

PIC	Definition
Insured	Customer(s) or organization whose name(s) is under the policy issuance and/or covered by the insurance.
Insurer	Insurance Company that underwrites the insurance product (insurance risks).
Cermati	Cermati internal team (e.g. Claim Analyst, etc).