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πŸ“‹ Business Analysis & Process Β· Swimlane

Motor Insurance Claim Swimlane

A car insurance claim from accident to settlement, across the policyholder, the insurer's claims desk, the surveyor and the garage.

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Drawing diagram…

What this diagram shows

  • Surveyor inspection as the key hand-off
  • Policy check and claim approval as decisions
  • Cashless settlement with the garage

Prompt used

Swimlane map for a motor insurance claim: the policyholder reports the accident in the app, the claims desk checks the policy is active and rejects the claim if it lapsed, a surveyor inspects the car and estimates the damage, the claims desk approves the amount, the network garage repairs the car and the insurer pays the garage directly (cashless). The policyholder pays only the deductible and collects the car.

Mermaid code
flowchart LR
  subgraph PH["πŸ‘€ Policyholder"]
    direction LR
    S(["Accident"]) --> A1["Report claim in app"]
    A2["Pay deductible"] --> A3["Collect car"]
    E(["Claim settled"])
  end
  subgraph Claims["🏒 Claims Desk"]
    direction LR
    B1{"Policy active?"}
    B2["Reject claim"]
    B3{"Approve estimate?"}
    B4["Pay garage"]
    X(["Claim rejected"])
  end
  subgraph Surveyor["πŸ” Surveyor"]
    direction LR
    C1["Inspect car"] --> C2["Estimate damage"]
  end
  subgraph Garage["πŸ”§ Network Garage"]
    direction LR
    D1["Repair car"] --> D2["Send final bill"]
    D3["Revise estimate"]
  end
  A1 --> B1
  B1 -->|No| B2
  B2 --> X
  B1 -->|Yes| C1
  C2 --> B3
  B3 -->|No| D3
  D3 --> B3
  B3 -->|Yes| D1
  D2 --> B4
  B4 --> A2
  A3 --> E

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