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Conclusion of E-Claim Module

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Conclusion of E-Claim Module

The E-Claim Module offers a comprehensive solution for managing the claim submission, review, and approval processes. Through its various applets, users and administrators can efficiently configure and handle claims, subscriptions, travel allowances, and related employee data. Together, these applets form a seamless framework for handling claims, ensuring that every step of the process, from submission to review and approval, is managed effectively and in compliance with organizational policies. This manual has guided you through the key functionalities and configurations of each applet, ensuring a thorough understanding of their purpose, outcomes, and benefits.

Key Outcomes:

  1. Streamlined Claim Management: From claim submissions to approvals, the module centralizes and automates processes for greater efficiency.

  2. Enhanced Customization: The ability to configure settings such as claim categories, approval workflows, and employee maintenance ensures alignment with organizational policies.

  3. Improved Accuracy: Default selections, role-based permissions, and field visibility settings reduce errors and maintain data consistency.

  4. Compliance and Transparency: Audit trails and configurable cut-off dates ensure compliance with internal and external policies.

  5. User-Friendly Interfaces: Intuitive navigation and detailed configurations allow both end-users and administrators to optimize their workflows.

By using this module, organizations can save time, ensure accuracy, and maintain compliance, ultimately leading to increased productivity and satisfaction among employees and administrators alike.

Linking All Applets

  1. Claim Applet: Serves as the starting point where employees submit their claims. These claims are then routed to supervisors for review and approval.

  2. Claim Cycle Applet: Works closely with the Claim Applet to consolidate monthly claims. It ensures proper review and finalization by finance and TIM departments.

  3. Engagement Applet: Enhances clarity in responsibilities by allowing managers to assign roles within specific engagements. This ensures the claims are aligned with defined roles and engagements.

  4. Event Applet: Facilitates accurate tracking and processing of event-related claims, ensuring that expenses incurred during events are managed effectively.

  5. Employee Maintenance Applet: Maintains accurate employee data, which is critical for processing claims, assigning roles, and managing approvals.

  6. Organization Applet: Provides the foundation for managing organizational structures, ensuring that branches, locations, and job groups are accurately configured to support claim management.

  7. Chart of Account Applet: Supports the financial aspects of the module by managing charts of accounts and fiscal years, enabling accurate financial reporting and compliance.

Each applet is interconnected, ensuring a streamlined workflow. For instance:

  • Claims submitted in the Claim Applet are reviewed using configurations from the Claim Cycle Applet and roles assigned in the Engagement Applet.

  • Employee data maintained in the Employee Maintenance Applet is used across all applets to ensure accuracy.

  • Financial data from the Chart of Account Applet integrates with claims to maintain compliance and reporting accuracy.

  • Event-related claims managed in the Event Applet are processed using organizational settings from the Organization Applet.

Frequently Asked Questions (FAQs)

General Questions

  1. What is the purpose of the E-Claim Module?

  • The module facilitates the submission, review, and approval of employee claims, including subscriptions, travel allowances, and other reimbursements, while ensuring compliance and efficiency.

  1. Who is responsible for configuring the applets?

  • System administrators are responsible for most configurations, while certain permissions may allow managers and specific roles to make changes.

Claim Submission Process

  1. How do I submit a claim?

  • Navigate to the Claim Submission section, select the appropriate claim type, fill in the required details, attach supporting documents, and click Submit.

  1. Can I edit a submitted claim?

  • Claims can only be edited if they are in a "Pending" status. Navigate to the claim, make the changes, and resubmit.

  1. Why is my claim rejected?

  • Reasons for rejection are visible in the rejection notification. Common reasons include missing documentation, exceeding claim limits, or non-compliance with company policies.

Review and Approval Process

  1. How is the claim approval hierarchy determined?

  • The approval hierarchy is configured in the Claim Approval Settings applet. Each claim type and entity may have a different workflow.

  1. What happens if the final approver rejects a claim?

  • The claim is marked as rejected, and the submitter receives a notification with the reason. It may require resubmission with corrections.

Linking Applets

  1. What is the purpose of the Employee Maintenance Applet?

  • It ensures accurate and consistent employee data by managing field visibility and default values, such as currency.

  1. How does the Organization Applet support claim management?

  • It manages branches, locations, and related settings, ensuring claims are aligned with organizational structures.

Configurations

10. How do I configure a new subscription or travel allowance?

  • Navigate to the Subscriptions and Memberships or Travel Allowance applet, click on the + button, fill in the required fields, and save.

11. Can I add a new field to the claim submission form?

  • Fields are predefined in the system. You can toggle their visibility in the Field Settings of relevant applets but cannot add entirely new fields without system updates.

12. What happens if I don’t set a claim cut-off date?

  • Claims may be submitted indefinitely for past periods, leading to compliance risks. Configuring cut-off dates in the Claim Cut-Off Logic applet ensures timely submissions.

Organization and Branch Settings

13. What are the settings of a company in the Organization Applet that are being used in the Claim Applet?

  • Business Registration Numbers (BRNs): Used for associating claims with the correct legal entity, ensuring compliance with regulatory and tax requirements.

  • Company Codes: Ensure claims are routed and processed under the appropriate company within the e-Claim module.

  • Invoice Upload Configurations: Allow automated linking of invoice-related claims, improving efficiency in processing.

  • Entity-Specific Permissions: Define which employees or approvers have access to claims submitted under a specific company entity.

14. How are branches linked or used in the Claim Applet?

  • Used to link claims to specific branches, ensuring that expenses are accurately attributed to the correct location.

  • Approvals can be set up at the branch level, allowing claims to be reviewed and authorized by managers responsible for those branches.

  • Reports and claim listings can be filtered by branches for granular analysis and accountability.

  • Users may only have access to submit or approve claims for branches they are associated with.

15. Are permissions linked to branches?

  • Yes: Permissions are often tied to branches to ensure that only authorized personnel can submit, approve, or view claims related to a specific branch.

  • Example: A branch manager may be configured as an approver for all claims within their branch, while employees in that branch are restricted to submitting claims only.

16. Are there reports linked to branches?

  • Yes:

    • Branch-level reports detail claims submitted, approved, pending, or reimbursed for each branch.

    • These reports help in tracking expenses and identifying trends or anomalies at the branch level.

    • Reports can be filtered by branch to focus on specific operational units.

17. Is approval based on branches or companies?

  • Both:

    • Branch-Level Approval: Typically used when branch-specific managers or teams are responsible for approving claims.

    • Company-Level Approval: Used when claims require review by higher-level management or finance teams overseeing multiple branches.

    • Hierarchy: Many workflows allow for a combination of both, starting with branch-level approval and escalating to company-level approvers for final authorization.

18. How is the claim reimbursed?

  • Claims are often processed and reimbursed at the branch level to ensure alignment with local operations.

  • In some cases, claims from all branches are consolidated at the company level for reimbursement.

  • Employee payment configurations (set up in the Employee Maintenance Applet) ensure funds are transferred to the correct account.

  • Verifies claim data and initiates reimbursements through pre-configured payment workflows linked to the Organization Applet.

 

The E-Claim Module's comprehensive structure empowers organizations to handle claims efficiently, accurately, and in compliance with policies. By integrating all applets into a single module, it minimizes manual intervention, reduces errors, and ensures transparency. Employees, managers, and administrators benefit from its user-friendly design, which simplifies processes while maintaining robust controls.

By understanding and utilizing each applet effectively, users can maximize the module’s potential, leading to improved productivity, better financial management, and enhanced employee satisfaction.

 

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