The request
“Draw a BPMN insurance claim process with customer service, adjuster, and payments lanes; check claim details, assess the claim, send a denial notice when declined, and issue payment when approved.”
Then tryAdd a document request task.Add a fraud review lane.
What is in this drawing
Read the decisions behind it.
01Intake
Customer service checks the information received.
02Assessment
The adjuster decides whether the claim is approved.
03Outcome
Payments issues an approved settlement.
Use this pattern when distinct teams own claim intake, assessment, and payment; align it with the actual policy and claim process.
More like this
Other examples in this family.
FAQ
Common questions
Why use swimlanes for claims?
They show the handoff from claim intake to assessment and payment, making ownership visible.
Where should approval be decided?
Place the decision after the adjuster's assessment, before the payment or denial outcome.
Can I add fraud review?
Yes. Add a fraud lane and route selected claims to it before a final decision.