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Auto Claim Intake to Payout process diagram

This is a worked example. Wavelength built the diagram below from the description on this page. Nobody drew it by hand.

What was said

A customer reports a claim and the first notice of loss is recorded. An adjuster is assigned to the claim. The adjuster checks the policy for coverage. If there is no coverage, the claim is denied. If there is coverage, an inspector inspects the vehicle. The adjuster writes the estimate. If fraud is suspected, the claim goes to the special investigations unit. If no fraud, the payment is issued to the customer.

The diagram

G n1 First Notice of Loss n2 Adjuster n1->n2 reported n3 Assign Adjuster n2->n3 assigned n4 Coverage Check n3->n4 checks n5 Coverage? n4->n5 reviews n6 Deny Claim n5->n6 No n7 Inspector n5->n7 Yes n14 Claim Closed n6->n14 denied n8 Inspect Vehicle n7->n8 inspects n9 Write Estimate n8->n9 report n10 Fraud Suspected? n9->n10 checks n11 SIU n10->n11 Yes n13 Issue Payment n10->n13 No n12 SIU Investigation n11->n12 investigates n12->n13 cleared n13->n14 paid
Hexagons are systems. Cylinders are data stores. Diamonds are decisions. Rounded orange boxes are people and teams. A dashed amber arrow is a link the AI inferred. Pink arrows are decision branches. Blue arrows move data.

What is in this flow

Steps

  1. First Notice of Loss
  2. Adjuster
  3. Assign Adjuster (Adjuster)
  4. Coverage Check (Adjuster)
  5. Coverage?
  6. Deny Claim (Adjuster)
  7. Inspector
  8. Inspect Vehicle (Inspector)
  9. Write Estimate (Adjuster)
  10. Fraud Suspected?
  11. SIU
  12. SIU Investigation (SIU)
  13. Issue Payment (Adjuster)
  14. Claim Closed

Mermaid code

Copy this into any Markdown file, GitHub README, or Mermaid Live to render the same flow.

flowchart TD
  n1([First Notice of Loss])
  n2(Adjuster)
  n3[Assign Adjuster]
  n4[Coverage Check]
  n5{Coverage?}
  n6[Deny Claim]
  n7(Inspector)
  n8[Inspect Vehicle]
  n9[Write Estimate]
  n10{Fraud Suspected?}
  n11(SIU)
  n12[SIU Investigation]
  n13[Issue Payment]
  n14([Claim Closed])
  n1 -->|reported| n2
  n2 -->|assigned| n3
  n3 -->|checks| n4
  n4 -->|reviews| n5
  n5 -->|No| n6
  n5 -->|Yes| n7
  n7 -->|inspects| n8
  n8 -->|report| n9
  n9 -->|checks| n10
  n10 -->|Yes| n11
  n10 -->|No| n13
  n11 -->|investigates| n12
  n12 -->|cleared| n13
  n6 -->|denied| n14
  n13 -->|paid| n14

Map your own process

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This example is part of our guide for insurance and lending.

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