Lloyd’s Systems Processes & Procedures

1 London Market Group Secretariat Version: Page 1 of 72 Created on 01/09/ 2014 Lloyd's Systems Processes and Procedures Electronic Claims File Lloyd s Systems Processes & Procedures London Market Group Secretariat Version: Page 2 of 72 Created on 01/09/ 2014 Lloyd's Systems Processes and Procedures PREFACE .. 6 1. DOCUMENT CONTROL .. 8 ECF Scope .. 9 Business or Claim Types that ECF has Never Been Required to Support .. 9 Business or Claim Types Excluded from the Current Implementation of ECF .. 10 Escalation 10 2.

2 LLOYD S GENERIC Systems Processes AND Procedures .. 11 Points to Note When Using the Electronic Claims File .. 11 ECF Roles, Responsibilities & Data Requirements .. 11 Create or Update Claim File .. 11 Broker Retrieves Placing File, Slip and Matches Coverage .. 11 Broker Advises Managing Agencies .. 11 First Advice With Settlement .. 13 Settlement Currency .. 13 Fee Bills .. 14 Slip Orders .. 14 Claims on Unsigned Risks .. 14 Notification of Claims .. 15 Document Management by the Broker .. 15 Document Origin Information.

3 16 Document Guidelines .. 17 Endorsements .. 17 Establish Agreement Parties .. 17 Generic 18 Variations .. 18 Process When a Second Agreement Party (other than XCS) is involved .. 18 Claims Transformation Programme indicators .. 19 Claims Scheme Indicator .. 19 Triage Category Indicator .. 19 Market Response Screen (adding additional Agreement Parties) .. 20 Managing Agencies to Consider 22 ECF2 Components .. 22 Classification of documents - Agreement Parties .. 24 Confidential Reports .. 25 Warnings Section.

4 25 Consult with other Parties .. 25 Claims Process Involving a Query/Return 25 Query Reason Indicator in ECF2: .. 26 Reserving as a Lead Agreement .. 27 Outstanding Qualifier Codes .. 29 Record Response and Comments on the ECF Transaction .. 30 Comments Section .. 30 Cause Codes .. 31 Actions & Submissions in ECF .. 32 Response Codes & Description .. 33 London Market Group Secretariat Version: Page 3 of 72 Created on 01/09/ 2014 Lloyd's Systems Processes and Procedures Delegation of claim / role.

5 33 Delegation of claims to a 3rd party .. 34 Volume Claim Service .. 34 Partial Delegation of Claims to XCS .. 34 Disagreement Between XCS and Lead Agreement Party .. 34 Overrides and Exceptions .. 37 Conflict of Interests .. 37 Original Signing Number and Date .. 39 Premium Signing Information .. 39 Exceptions .. 40 Create Syndicate Records, Process Settlements and Create Advice to Market .. 40 SCM Generation .. 40 Settlement Processing .. 41 Reverting to Paper Process .. 41 Priorities / Claim Urgencies.

6 41 Multi Layer and/or Cross Market Claims .. 41 Multiple OSNDs .. 42 FDO Best Practice Guidance .. 42 Political Risks .. 43 Kidnap & Ransom .. 43 Space .. 43 Bloodstock .. 44 Binding Authorities .. 44 Advice of the bordereaux .. 44 Advice of loss funds .. 44 First Advice of Above Authority (Individual) Claim .. 44 Subsequent Advice of Above Authority (Individual) Claim .. 45 Cash Loss on Individual Claim .. 45 Co-Lead Binding Authorities .. 46 Above Authority Claims on Scheme Canada business.

7 48 Multiple OSNDs Inclusive of Aviation Verticals .. 48 Conditions .. 48 Premium submission and claims process .. 49 Process for Paper Premium Submissions .. 49 Claims where Subsequent Premium is Due .. 50 Simultaneous Reinstatements .. 50 Broker Submission .. 50 Lead Agreement Party Handling .. 50 ECF XCS Handling .. 51 Reinsurance .. 51 Corrections .. 51 Pre Phase 6 Claims .. 52 London Market Group Secretariat Version: Page 4 of 72 Created on 01/09/ 2014 Lloyd's Systems Processes and Procedures Loss Funds.

8 52 Direct Settlement of Indemnity .. 52 Aggregates .. 53 Aggregates .. 53 Splitting of Losses .. 53 Non Cash Settlements .. 54 Partial Markets .. 54 Coupled Claims - Lead Agreement Party Reserves (Claims Created Prior to May 2007) . 54 Blocks .. 55 Claims Seen But Not Entered By XCS .. 55 3. LEGACY CLAIMS & SCANNING 56 Paper to ECF Legacy process for singletons .. 56 4. OTHER EXCEPTIONS .. 57 Lloyd s Consortium Syndicates .. 57 IMR Security Model enhancements .. 57 Mid-Term Broker Changes (MTBC).

9 57 Variations .. 58 Ongoing responsibility for Existing Claims .. 58 MTBC prior to 7th December 2009 .. 58 Retention of 58 Mid-Term Market Changes (MTMC) .. 58 5. THIRD PARTY ACCESS .. 59 Run-off organisations .. 59 Deletion of Broker UCR .. 59 Parallel UCRs Fee reserving & Direct Reporting .. 60 Parallel UCRs and Multiple CORs .. 60 Comments .. 60 Creation of parallel UCRs .. 60 Conflict of Interest Parallel UCRs .. 60 Conflict of Interest .. 60 6. VARIATIONS .. 60 Duplicate UCRs .. 60 Confidential Terms.

10 61 ECF Transaction Deletion (The Parent / Child Issue) .. 61 Outbound DRI Notifications: Receipt of notifications for replacement lead .. 61 7. APPENDIX B CLAIMS PROCESS MAPS .. 63 ECF Business Process Model .. 63 London Market Group Secretariat Version: Page 5 of 72 Created on 01/09/ 2014 Lloyd's Systems Processes and Procedures ECF Business Process Model Grouped by Process .. 64 8. APPENDIX C GLOSSARY .. 65 9. APPENDIX F MINIMUM REQUIREMENTS FOR XCS BINDER LEGACY CLAIMS .. 66 10. APPENDIX G XCS LEGACY CO-ORDINATORS.