Claim Details

Displays the important details of an individual member's claims.

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Business Overview

Provides key information about a member's claim, gathered during the assessment process, ensuring a smooth and transparent experience for both members and funds.

The below diagram illustrates where in the customer journey the API can be utilised.

Member suffers an injury or illness
Member notifies fund of claimable event
Fund lodges claim with Zurich
Claim is created and assessed by Zurich
Decision is made on the member's claim
Claim is finalised

Data fields available

Funds can elect to integrate some or all of the below fields into their native UI.

Data fields Description of field
Claim Number The members claim number with Zurich
Policy Number Zurich’s unique policy number for the fund
Claim Status Status of the claim
Member Name Name of the member / insured person
Member Number Fund's unique ID for the member
Account Name Fund / Corporate that the member is insured under
Claim Lodgement Number Unique identifier created for each claim lodgement
Claim Assessor Name of the Zurich Employee who is managing the claim
Date Procedural Fairness Issued Date the Procedural Fairness letter was issued on the claim
Notification Method Channel of how the claim notified to Zurich
Finalised Reason Reason the claim was finalised
Claim Type Type of claim the member has lodged
Cause of Claim The medical condition causing disability
Claim Cause Category The boarder category the medical condition falls under
Date of Event The date Zurich has accepted liability from
Authentication

API access for B2B leverages the OAuth 2.0 framework to ensure secure and authorised interactions for members and partners. View our Authentication API documentation here.

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Versioning and Release Notes

Zurich is committed to continuously improving and expanding the services it provides its customers.

Version Changes made
Version 1.0 Base claims domain API released.
Access

To access the API end points and mocking service, request access below.

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You will then be directed to the Zurich Exchange website where you will need to either login or register with Zurich exchange to access the API end points and Mocking service. You can login or register with Zurich Exchange at the top right-hand corner of the page.