, home
Customer access Request an enterprise demo
Request an enterprise demo Customer access

Insurance / APPLICATION BLUEPRINT

Loss Adjusting & Repair Network Coordination

Coordinates loss adjusters, repair suppliers and assessment appointments for insurance cases.

Start generatingExplore illustrative interface

12 workspace menus · 11 business workflows · 5 role profiles

Application blueprint only. This is a proposed design, not a deployed or production-tested system. Screens and sample figures are illustrative; workflows, business rules, approvals, permissions and integrations require confirmation before build.

Designed for insurance operations coordinators and the responsible business owners

Loss Adjusting & Repair Network Coordination workspace interface preview; illustrative records and figures.
Loss Adjusting & Repair Network Coordination — operational workspaceIllustrative interface · Sample dataView full interface →

Explore an illustrative interface.

Illustrative workspace and record review. Select a concept screen to inspect it in full.

Loss Adjusting & Repair Network Coordination workspace interface preview; illustrative records and figures.
Loss Adjusting & Repair Network Coordination — operational workspaceIllustrative interface · Sample dataView full interface →
Loss Adjusting & Repair Network Coordination record interface preview; illustrative records and figures.
Loss Adjusting & Repair Network Coordination — record and workflow reviewIllustrative interface · Sample dataView full interface →

Operational dashboards and work queues.

Operational views

Review work, evidence, exceptions and authorised decisions within a defined operating scope.

Portfolio / service teamPeriodAssigned teamReview state

Dashboard measures

  • Active work records
    Count of all records in the selected workspace.
  • Review queue
    Records at the third stage of the business workflow.
  • Needs attention
    Records with an assigned review requirement.
  • Final-stage records
    Records in the fourth business workflow stage.

Business workflow and operating scope

Coordinates loss adjusters, repair suppliers and assessment appointments for insurance cases. Collects estimates and completion evidence, routes settlement milestones for approval and records customer handover, with visibility of outstanding work, disputed costs and unresolved repair issues.

Operations

Operational overview

Review the work position and priority actions.

Loss adjusters

Coordinate loss adjusters with assigned responsibilities, linked records and review history.

Repair suppliers

Coordinate repair suppliers with assigned responsibilities, linked records and review history.

Assessment appointments

Coordinate assessment appointments with assigned responsibilities, linked records and review history.

Estimates

Coordinate estimates with assigned responsibilities, linked records and review history.

Completion evidence

Coordinate completion evidence with assigned responsibilities, linked records and review history.

Settlement milestones

Coordinate settlement milestones with assigned responsibilities, linked records and review history.

Customer handover

Coordinate customer handover with assigned responsibilities, linked records and review history.

Insights

Reports and saved views

Review the reporting scope and export agreed operational views.

Governance

Approvals and exceptions

Review delegated decisions, exceptions and recorded conditions.

Audit history

Trace accepted changes, decisions and accountable actions.

Access and configuration

Manage the agreed role permissions and configurable operating rules.

The end-to-end business journey.

From intake to authorised completion, with evidence at each decision.

01

Register the work requirement

Establish the scope of loss adjusters, capture the required records and assign the accountable team.

02

Assess condition and readiness

Coordinate repair suppliers, assessment appointments, with linked evidence and visible outstanding actions.

03

Authorise and coordinate the work

Review the relevant conditions and exceptions. Record the authorised outcome and its supporting evidence.

04

Verify completion and history

Confirm the resulting records and handovers. Track remaining obligations, later changes and follow-up actions.

Business workflows

Select a workflow to review the steps, responsibilities, approval and exception handling.

01 · Coordinate loss adjusters

Coordinate loss adjusters within Loss Adjusting and Repair Network Coordination.

Trigger
Loss adjusters requires a new record, an agreed review or a controlled change.

Responsible role
Insurance operations coordinator

  • Register loss adjusters and its operating scope
  • Assign the accountable owner and required actions
  • Review the relevant evidence and unresolved conditions
  • Confirm the accepted outcome and retain its history

Approval
Authorised decision maker records the decision when the action changes an accepted commitment or requires delegated authority.

Exception handling
Required information or responsibility is missing, or an operating condition changes.

Outcome
A completed operating record with its linked evidence and remaining obligations.

02 · Coordinate repair suppliers

Coordinate repair suppliers within Loss Adjusting and Repair Network Coordination.

Trigger
Repair suppliers requires a new record, an agreed review or a controlled change.

Responsible role
Insurance operations coordinator

  • Register repair suppliers and its operating scope
  • Assign the accountable owner and required actions
  • Review the relevant evidence and unresolved conditions
  • Confirm the accepted outcome and retain its history

Approval
Authorised decision maker records the decision when the action changes an accepted commitment or requires delegated authority.

Exception handling
Required information or responsibility is missing, or an operating condition changes.

Outcome
A completed operating record with its linked evidence and remaining obligations.

03 · Coordinate assessment appointments

Coordinate assessment appointments within Loss Adjusting and Repair Network Coordination.

Trigger
Assessment appointments requires a new record, an agreed review or a controlled change.

Responsible role
Insurance operations coordinator

  • Register assessment appointments and its operating scope
  • Compare suitable capacity and existing commitments
  • Confirm the provider, service window and accepted conditions
  • Track fulfilment, cancellation and capacity release

Approval
Authorised decision maker records the decision when the action changes an accepted commitment or requires delegated authority.

Exception handling
Demand exceeds suitable capacity or a provider withdraws its commitment.

Outcome
An accepted capacity commitment with service conditions and completion evidence.

04 · Collect estimates and completion evidence

Coordinate estimates and completion evidence within Loss Adjusting and Repair Network Coordination.

Trigger
Estimates and completion evidence requires a new record, an agreed review or a controlled change.

Responsible role
Specialist reviewer

  • Register estimates and completion evidence and its operating scope
  • Collect the linked records and qualified evidence
  • Assign the responsible reviewer and record findings
  • Accept the outcome or assign corrective follow-up

Approval
Authorised decision maker records the decision when the action changes an accepted commitment or requires delegated authority.

Exception handling
Evidence is incomplete, disputed, expired or outside the reviewer’s authority.

Outcome
A review finding, its accepted evidence and any accountable corrective actions.

05 · Route settlement milestones

Coordinate settlement milestones within Loss Adjusting and Repair Network Coordination.

Trigger
Settlement milestones requires a new record, an agreed review or a controlled change.

Responsible role
Specialist reviewer

  • Register settlement milestones and its operating scope
  • Compare amounts, attribution and accepted conditions
  • Route differences to the accountable finance reviewer
  • Record authorised adjustments and the accepted position

Approval
Authorised decision maker records the decision when the action changes an accepted commitment or requires delegated authority.

Exception handling
Amounts, ownership or allocation evidence do not agree.

Outcome
A reconciled position, approved adjustments and separately owned outstanding items.

06 · Record customer handover

Coordinate customer handover within Loss Adjusting and Repair Network Coordination.

Trigger
Customer handover requires a new record, an agreed review or a controlled change.

Responsible role
Insurance operations coordinator

  • Register customer handover and its operating scope
  • Identify continuing obligations and dependencies
  • Obtain receiving-owner acceptance
  • Record the authorised transfer and follow-up

Approval
Authorised decision maker records the decision when the action changes an accepted commitment or requires delegated authority.

Exception handling
The receiving team declines an obligation or a dependency remains open.

Outcome
Accepted responsibility, transfer evidence and retained follow-up obligations.

07 · Register the operating requirement

Coordinate operating requirement within Loss Adjusting and Repair Network Coordination.

Trigger
Operating requirement requires a new record, an agreed review or a controlled change.

Responsible role
Insurance operations coordinator

  • Register operating requirement and its operating scope
  • Compare options, dependencies and operating constraints
  • Review the selected option with its accountable owners
  • Accept the plan and track its delivery conditions

Approval
Authorised decision maker records the decision when the action changes an accepted commitment or requires delegated authority.

Exception handling
An assumption changes, prerequisites are missing or stakeholders cannot accept the proposed commitment.

Outcome
An approved operating plan and owned actions for its accepted conditions.

08 · Resolve operating exceptions

Coordinate operating exceptions within Loss Adjusting and Repair Network Coordination.

Trigger
Operating exceptions requires a new record, an agreed review or a controlled change.

Responsible role
Insurance operations coordinator

  • Register operating exceptions and its operating scope
  • Gather the relevant evidence and review options
  • Route the case to the delegated decision owner
  • Record the outcome, conditions and follow-up obligations

Approval
Authorised decision maker records the decision when the action changes an accepted commitment or requires delegated authority.

Exception handling
The case exceeds delegation, contains a conflict or has disputed evidence.

Outcome
An authorised decision or escalation with accountable resolution actions.

09 · Verify completion and follow-up

Coordinate completion and follow-up within Loss Adjusting and Repair Network Coordination.

Trigger
Completion and follow-up requires a new record, an agreed review or a controlled change.

Responsible role
Specialist reviewer

  • Register completion and follow-up and its operating scope
  • Collect the linked records and qualified evidence
  • Assign the responsible reviewer and record findings
  • Accept the outcome or assign corrective follow-up

Approval
Authorised decision maker records the decision when the action changes an accepted commitment or requires delegated authority.

Exception handling
Evidence is incomplete, disputed, expired or outside the reviewer’s authority.

Outcome
A review finding, its accepted evidence and any accountable corrective actions.

10 · Review controlled operating changes

Coordinate controlled operating changes within Loss Adjusting and Repair Network Coordination.

Trigger
Controlled operating changes requires a new record, an agreed review or a controlled change.

Responsible role
Specialist reviewer

  • Register controlled operating changes and its operating scope
  • Collect the linked records and qualified evidence
  • Assign the responsible reviewer and record findings
  • Accept the outcome or assign corrective follow-up

Approval
Authorised decision maker records the decision when the action changes an accepted commitment or requires delegated authority.

Exception handling
Evidence is incomplete, disputed, expired or outside the reviewer’s authority.

Outcome
A review finding, its accepted evidence and any accountable corrective actions.

11 · Prepare scoped operational reports

Coordinate scoped operational reports within Loss Adjusting and Repair Network Coordination.

Trigger
Scoped operational reports requires a new record, an agreed review or a controlled change.

Responsible role
Insurance operations coordinator

  • Register scoped operational reports and its operating scope
  • Assign the accountable owner and required actions
  • Review the relevant evidence and unresolved conditions
  • Confirm the accepted outcome and retain its history

Approval
Authorised decision maker records the decision when the action changes an accepted commitment or requires delegated authority.

Exception handling
Required information or responsibility is missing, or an operating condition changes.

Outcome
A completed operating record with its linked evidence and remaining obligations.

Governance and control

  • Role permissions reflect the agreed responsibilities and restricted record access.
  • Sensitive information is restricted to the agreed roles and permitted sharing scope.
  • Required information and evidence are checked before the relevant decision or handover.
  • Exceptions have a named owner, recorded reason and an authorised resolution.
  • Approved changes retain their previous values, accountable decisions and linked evidence.
  • Integration mappings, business rules and acceptance criteria are reviewed with the customer.
Operating rules by business workflow
  • For loss adjusters, the record retains an accountable owner, its supporting evidence and accepted outcome.
  • For repair suppliers, the record retains an accountable owner, its supporting evidence and accepted outcome.
  • For assessment appointments, capacity is committed only after prerequisites and the responsible provider are confirmed.
  • For estimates and completion evidence, evidence, reviewer authority and acceptance conditions are visible before a reviewed outcome is accepted.
  • For settlement milestones, adjustments require source evidence, a recorded reason and authorised financial review.
  • For customer handover, a receiving owner, evidence of acceptance and unresolved obligations are recorded before a handover closes.
  • For operating requirement, the accepted plan records assumptions, rejected alternatives, dependencies and conditions.
  • For operating exceptions, a decision retains its authority, reason, supporting evidence and resulting obligations.
  • For completion and follow-up, evidence, reviewer authority and acceptance conditions are visible before a reviewed outcome is accepted.
  • For controlled operating changes, evidence, reviewer authority and acceptance conditions are visible before a reviewed outcome is accepted.
  • For scoped operational reports, the record retains an accountable owner, its supporting evidence and accepted outcome.

Data, interfaces and operating requirements.

Core records

Work recordLoss adjustersRepair suppliersAssessment appointmentsEstimatesCompletion evidenceDecisionSupporting evidenceActivity history
Record fields and linked information
  • Record identifier — Stable reference for the operating transaction.
  • Portfolio / service team — Business scope used for responsibility and reporting.
  • Operating subject — The request, commitment or work item being handled.
  • Accountable owner — Named responsibility for the next action.
  • Workflow stage — Current position in the agreed business journey.
  • Review requirement — Required review and outstanding decision.
  • Due or review date — Agreed action window or review trigger.
  • Linked evidence — Source records supporting the operating decision.
  • Decision authority — The delegated authority relevant to the accepted outcome.
  • Accepted outcome — Recorded decision and its business consequences.
  • Follow-up obligation — Remaining responsibilities after an accepted action.
  • Revision history — Trace of accepted changes and their evidence.
  • Loss adjusters reference — Link the relevant loss adjusters to the operating transaction and its decision evidence.
  • Repair suppliers reference — Link the relevant repair suppliers to the operating transaction and its decision evidence.
  • Assessment appointments reference — Link the relevant assessment appointments to the operating transaction and its decision evidence.
  • Estimates reference — Link the relevant estimates to the operating transaction and its decision evidence.
  • Completion evidence reference — Link the relevant completion evidence to the operating transaction and its decision evidence.

Systems and interfaces

  • Policy, claims and financial records
  • Approved broker, repair or service-network interfaces
  • Identity and role-based access services
  • Approved document and communication services

Interface scope, data mapping and testing are agreed for each engagement.

Implementation requirements
Confirm the operating boundaries, loss adjusters, responsible roles, review authority, record retention, interface mappings and acceptance scenarios.

Mobile and tablet access

Authorised users can review loss adjusters, supporting records and assigned actions through mobile and tablet access. The relevant tasks and permissions are agreed for the deployment.

Access approved workflows through the Dalfin mobile app. Device tasks and permissions are confirmed for the deployment.

Apple App Store ↗Google Play ↗

AI extensions

Core workflows and approval rules are defined with your business owners. Operational AI can be assessed separately against a specific business outcome and review requirements.

AI extensions are scoped around the required data, business outcome and review controls.

Engineered with Genesis.

Structured application engineering

Connect requirements, roles, records, workflows and interfaces through the agreed Genesis engineering process.

Controlled changes

Review dependency impact and validation requirements. Context Memory supports governed changes and accepted application revisions.

Deployment and support

Agree customer cloud or on-premises requirements, device access, implementation acceptance and ongoing engineering support.

AN EXAMPLE OPERATING SCENARIO

What to validate in a scoped demonstration.

Start with loss adjusters and follow the record through assess condition and readiness. Introduce a missing item or operating exception, record the authorised resolution and inspect the final handover, evidence and history.

What to review

  • A saved end-to-end transaction
  • An exception and its authorised resolution
  • Different operator, approver and reviewer permissions
  • Final records, history and the relevant report
Discuss this solution

Questions before implementation.

What can we review in a tailored demonstration?

Review a representative work record, its workflow stages, accountable roles, an exception and the resulting operational report. Bring the business process and existing system requirements that matter to your organisation.

How is the solution adapted to our organisation?

The operating scope covers your records, role permissions, review authority, business rules and integration boundaries. These requirements are agreed with the responsible business owners.

How does the solution connect with existing systems?

Connection design defines interfaces, data ownership, mapping, authentication and exception handling. The agreed implementation includes validation against the selected systems and workflows.

How are subsequent changes controlled?

The agreed engineering approach covers review of change impact, bounded implementation, validation and accepted revisions. Discuss the relevant Genesis Context Memory and support requirements during solution scoping.