SIMS Business Rules

Creating Rules in SIMS Claims will help drive best practices and workflow within your organization. SIMS Business Rules Module leverages Microsoft SQL Service Broker to provide a user friendly and intuitive construct for configuring both simple and complex rules. Simple rules are defined by selecting a table, one or more fields in the table, and the conditions of each field (if the field value is greater than, less than, equal to, between, etc.) that will trigger the rule. A single rule can be configured to perform an unlimited number of actions. Some of the actions currently supported are: sending a diary, sending an e-mail, or entering data into a notepad. Rules can also be configured by Insurer, Jurisdiction, and Insured. As an example, a Closing Claim rule can be configured so that if the Close Date is entered, and if the Claim Type equals Indemnity, and if the Loss Type equals Trauma, then send a Diary to the Supervisor, and send an e-mail to the Insured/Policy Holder. More complex rules involving more than one table can also be created using stored procedures. Both simple and complex rules are managed through the Business Rule user interface.
SIMS Business Rules run asynchronously so there is no negative performance impact upon saving a claim file, payment, etc.; this will allow SIMS to scale to a large number of users.

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