Insurance Claim Swimlane BPMN

An insurance claim swimlane diagram shows how work moves from customer-service intake to an adjuster's decision and, when appropriate, to payments. The lanes make responsibility visible at the point where a claim changes hands. The decision gateway separates the paid and declined outcomes so both paths are understood. Use clear labels that match the team's actual claim vocabulary, and add document requests, fraud review, legal review, or customer communication only when they are part of the process. This map is useful for operational review and training, but it does not determine coverage, settlement amounts, or legal obligations. Update it whenever the responsibilities or claim procedure changes.