Overview

An event is a general term for things that happen. We split events into two groups: Incidents and Claims.

Incident vs Claims

Incident

An incident refers to an unexpected event or occurrence that is recorded and tracked, as it has the potential to become a lawsuit or claim.

Claim

A claim is created typically when an incident has either a lawsuit that is formally filed, or a demand for money is made.

Example: For instance, let's consider a situation where a patient slips and falls on an icy sidewalk at a care facility. In this case, the incident is created and tracked as it has the potential to result in a lawsuit. It turns into a claim when either a formal lawsuit is filed or a legal representative of the patient reaches out to the facility seeking a settlement.

Accessing Events

Step 1. Select the “Events” section located on the left sidebar of the screen.

Step 2. Select any one of your specific events (Claim or Incident).

Creating Events

Step 1. Click on "Events" on the navigation bar on the left.

Step 2. In the upper right corner, click on “New Event” and select the type of event you’re creating: “Incident” or Claim”.

Step 3. Fill out event details.

Step 4. Choose the relevant Coverage Type. The lines of coverage shown are configured by your organization and can be customized or changed by your admin

Step 5. Associate it with the appropriate Insured(s). You can type to search for a specific insured. If you don't see the insured you're looking for you will need to [add it](link to creating insured).

Step 6. Provide any additional helpful notes in the event description field.

Step 7. Click "Create Incident" or "Create Claim" based on the nature of the event.

Note: The "Create Incident" and “Create Claim” buttons will be initially grayed out until you enter “Coverage Type” and “Name.”

Exporting Events

Events are one of the many entities you can create reports of. Using our export feature you can easily generate loss runs of your claims. You can learn how to export data in our documentation as seen here

Searching, Sorting & Filtering Events

You can search, filter, and sort through events effortlessly. Sort, search, or filter events based on whether the events are claims or incidents. This makes it simple to manage and find the information you're looking for.

Searching

Step 1. Be sure to specify whether you are searching for a claim or an incident in the "Events" section under the word “Events”.

Step 2. Enter keywords, event names, or relevant terms into the “Search Claims” field.

Step 3. The search functionality will dynamically display events based on the input.

Sorting

Step 1. Be sure to specify whether you are searching for a claim or an incident in the "Events" section under the word “Events”.

Step 2. Sort by clicking on the “Sort by:” dropdown list.

• Alphabetical: Alphabetically arrange your files by name, simplifying the process of locating specific events.
• Last updated: Sort your files based on their last update, ensuring that you access the most recent events.
• Recently created: Locate your most recently created files by using this sorting option.

Filtering

By clicking on "Add Filters", you can filter by one or more of the following fields:

• Event Status
• Coverage Type
• Expected Total Indemnity
• Expected Total ALAE
• Expected Total Incurred
• Insured(s) Name
• Policy Number
• Plaintiff Attorney Firm
• Lawsuit Served Date
• Defense Attorney Firm(s)
• Lawsuit Filed Date
• Report Date
• State
• Whether or not a lawsuit has been served

Example: Suppose you wish to filter and view all the claims specific to North Carolina. To do this, follow these steps: Click on "Add Filters" -> Select "State" -> Choose "North Carolina”.

Note: Multiple filters are applied with "AND" statement logic.

Event Properties

All of your events have six sub-tabs beneath them titled

• [Event Details]
• [Legal]
• [Files]
• [Notes]
• [Financials]
• [Activity]

Only "Event Details", "Legal" and "Financials" are unique to events. The others are standard properties of all entities and can be learned about by clicking their links above.

Event Details

Event Details are where all fields associated with your events/claims are tracked. What fields are shown is determined by the Line of Coverage selected on the claim. For example, you'll track different fields on a Medical Malpractice claim than on a Commercial Trucking claim.

Fields are also logic-based. For example, you'll only be asked to enter a Settlement Date on a claim if you indicate it's Disposition is "settled".

Configuration

Which fields are in event details can be configured by your team. Simply ask your Account Manager and they can add custom fields for you. We can also provide recommendations on why certain fields are present.

Sections

Fields in Event Details are grouped into sections automatically depending on the line of coverage. For example, if the claim has a claimant, you'll see a "Claimant" tile appear containing claimant-related fields. The same applies for medical-related, allegation-related, and a slew of other groups.

Note: Any edits made to Event details will be tracked and recorded in the [Activity] tab. This ensures a transparent and traceable history of modifications to the event information.

Editing Fields

Step 1. Click the pen and paper icon on an event details section to edit the fields therein.

Step 2. Click “Save”.

Policy Information

AI Insurance will automatically apply the most current active policy to a claim and pull in all of the relevant policy information. If you'd like to change the policy applied or select one manually you can do so by clicking the down arrow in the “Policy Information” section and choosing a policy from the dropdown.

Note: If a policy isn't automatically applied, it likely means that there isn't one and you'll need to [Add a Policy]

Legal

Lawsuit Fields

Just like editing Event Details, you can edit lawsuit-related fields by clicking the "Edit" button at the top right.

Once you check the box indicating that there is a lawsuit, we'll show a slew of additional fields related to lawsuit tracking.

Plaintiff Legal Information

AI Insurance allows you to track all info about a plaintiff, and more importantly, their attorney firm. Collecting this data lets us show you over time which firms are focusing on your insurance company the most, and what their tendencies are.

Defendants

You can track all defendants (insured and non-insured) associated with a lawsuit.

Adding a Defendant

Step 1. Click the pen and paper icon to input the defendant information of the event.

Step 2. Click “Add New Defendant”.

Step 3. Input the new defendant information. When typing the defendant name, you can select from existing insureds in the dropdown, or continue typing to see the "Add Non-Insured Defendant" option appear.

Financials

Summary

The Summary section is a rollup of all the financial information associated with the event.

Transactions

The Transactions section is a rollup of all the invoices or payments that have been made associated with the event.

How to add invoices and payments

Step 1. In the Transactions section click “Add new”.

Step 2. Fill out the “Basic information” section

Step 3. Select the payment or invoice type.

Step 4. Select the payment or invoice status

Step 5. Continue to fill out the remaining fields

Step 6. Click “Add Payment”