Claims Management

System

De Horizon Technologies P Ltd

Nungambakkam, Chennai
 OBJECTIVE

 To develop a Claims Management System, that converts

the pre-specified set of requirements as elicited by the

customer into a Integrated High-quality Application

Software.
Requirement Analysis
The overall requirements of the product is stated as follows;

 Information and Control Needs

 Product Function and Behavior

 Overall Product Performance

 Design and Interfacing Constraints

 Client Friendly Usage

 Online updating
 Existing System
The problems, which are perceived by the
customers / users in existing systems, are;

 Less Efficiency and accuracy due to lot of

manual entries

 More Time Delay for payments.

 Increased expenditure for storage

 Increase in labor
 Proposed System
The proposed system is designed to provide a
solution for the drawbacks of present system. It aims to:
 Replace Manual Processing system with an automated one.
 Speedup Transactions
 Reduce the chances of malpractices associated in a manual
system.
 Reduce the workload involved in processing
 Update information system and provide easy access to
corresponding information.
HARDWARE & SOFTWARE REQUIREMENTS

Technology Dot Net Technologies

FRONT-END
ASP.NET / VB.NET
SOFTWARE
USED
BACK-END
SQL Server

Pentium III 800 MHz,

SYSTEM 128MB RAM,
CONFIGURATION Minimum 40 GB HDD,
15’ Colour Monitor

OPERATING SYSTEM Windows 2000

 Module Description

Module Description
User Registration Employees in the organization can enter their
Module personal details like name, age, mail-id, emp-id etc
and register themselves in the database

User Login Module The Registered employees can enter the emp-id and
password to login into the system. Employee gains
access only if it is valid.

Claims Enquiry It contains the forms and procedures for various

claims that can be availed. Employees / Users can
query about a particular claim and also avail it.
 Module Description

Module Description
Database Employees request and on eligibility, passes the pay
Administration Module bill to higher-authority for approval. If the request is
an invalid one, an error message is displayed and the
request is rejected. Updation is required, if there is
any change in the Employee’s details.
Finance control Admin After the approval of higher authority, the pay bill is
Module converted into a pay slip with account number, bill
date, bill amount etc by the Finance dept. printer is
used to print the pay slip.
Search Module The search module is used search the employees
details and various claims details quickley, in a
specific order or in a full list order.
System Flow - Admin

Login

User Login DBADMIN Site Admin Finance Admin

Claims Status View Claims View Claims Add Claims Acceptance

Claims Register Claims Process Claims Edit /Del Prepare Pay slip

Claims Enquiry
Send to Finance Send to User

Home
  Data Flow Diagram
  

Start

User Claim Admin Database Financial

Login Login Admin Login admin Login

Claims View All Claims Add New View all Pay Back
Name Claims Claim Posted the Claim to
Claims the User

Respective Post a Add New

Claim
Tables Claim Claim Type Forward /
Type
Reject Pay-Slip
Claims
Respective View All
Tables Claims Respective
Status tables
Add New
Staff
Change
Password
Emp-
Profile
Data Flow Diagram – Employee
Registration

DB Admin

Employee Details
Entry

Seq Id

Store into table

Emp_Id list

Emp_Profile

Home
Data Flow Diagram – Employee Login
Employee

Employee ID
Entry

NO
Check Emp ID

YES
Employee ID
Entry

Store into table

Emp_Login
Home
Data Flow Diagram –
Claim Entry Employee

Claim View Claim Entry

Check Option

Claim Details Entry

Store into table

Store into Emp-Claim

Emp_claim

Home
 DB Admin Data Flow Diagram –
Claim Process

View Emp Claim

Emp_claim
Claim Verification

Claim_Type
No
IF Claim = OK? Set Flag as “NOT OK”

Yes
Entry the Reason
Set Flag as “OK”

Store into Emp Claim

Send to Finance Admin

Home
Data Flow Diagram –
Claim Acceptance Finance Admin
Login

View Claim Details

View Claim Status from

DB Admin
Emp_Claim

Covert claim into pay slip

Store into pay slip

Pay Slip
Home
Use Case Diagram
Emp Claim
User
Login View
Emp User

Claim
Claim
Entry
Status

Emp
User
DB Emp
Admin Addition
Login

DB ADMIN
Claim
Claim Verification
Allotment

Financ Claim
e View
Login
Finance ADMIN

Claim Allot
Claim
Check
Acceptance
Thank You