When a claim is received , it is first checked whether the claimant is insured by the organization. If not , the claimant is informed that the claim must be rejected. Otherwise , the severity of the claim is evaluated. Based on the outcome ( simple or complex claims ) , relevant forms are sent to the claimant. Once the forms are returned , they are checked for completeness. If the forms provide all relevant details , the claim is registered in the Claims Management system , which ends the Claims Notification process. Otherwise , the claimant is informed to update the forms. Upon reception of the updated forms , they are checked again .