保險理賠處理
保險從保戶報案、資料收集、查勘定損、理算覆核到賠款支付的完整理賠處理流程，涉及多個內外部團隊協作。
humansystem
為什麼需要 OSOP
理賠處理是保險公司的核心流程，直接影響保戶體驗和成本控制。OSOP 標準化每個處理環節和審核關卡，確保理賠時效和品質一致，並完整記錄處理歷程。
Workflow Steps (6)
1
File Claim
human2
Documentation Collection
human3
Adjuster Investigation
human4
Settlement Offer
human5
Negotiation
human6
Issue Payment
systemConnections (6)
File Claim→Documentation Collectionsequential
Documentation Collection→Adjuster Investigationsequential
Adjuster Investigation→Settlement Offersequential
Settlement Offer→Negotiationconditionalpolicyholder_accepts == false
Settlement Offer→Issue Paymentconditionalpolicyholder_accepts == true
Negotiation→Issue Paymentsequential
6
Steps
6
Connections
2
Node Types