Model the following business process. Use pools/lanes where needed.

Database System Concepts
7th Edition
ISBN:9780078022159
Author:Abraham Silberschatz Professor, Henry F. Korth, S. Sudarshan
Publisher:Abraham Silberschatz Professor, Henry F. Korth, S. Sudarshan
Chapter1: Introduction
Section: Chapter Questions
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Model the following business
process. Use pools/lanes where
needed.
When a claim is received, a claims
officer first checks if the claimant
is insured. If not, the claimant is
informed that the claim must be
rejected by sending an automatic
notification via an SAP system.
Otherwise, a senior claims officer
evaluates the severity of the claim.
Based on the outcome (simple or
complex claims), the relevant forms
are sent to the claimant, again using
the SAP system. Once the forms
are returned, they are checked for
completeness by the claims officer.
If the forms provide all relevant
details, the claim is registered in the
claims management system, and
the process ends. Otherwise, the
claimant is informed to update the
forms via the SAP system. Upon
reception of the updated forms, they
are checked again by the claims
officer to see if the details have been
provided, and so on.
11:07 AM
Transcribed Image Text:Model the following business process. Use pools/lanes where needed. When a claim is received, a claims officer first checks if the claimant is insured. If not, the claimant is informed that the claim must be rejected by sending an automatic notification via an SAP system. Otherwise, a senior claims officer evaluates the severity of the claim. Based on the outcome (simple or complex claims), the relevant forms are sent to the claimant, again using the SAP system. Once the forms are returned, they are checked for completeness by the claims officer. If the forms provide all relevant details, the claim is registered in the claims management system, and the process ends. Otherwise, the claimant is informed to update the forms via the SAP system. Upon reception of the updated forms, they are checked again by the claims officer to see if the details have been provided, and so on. 11:07 AM
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