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The following pages give the segment and data element completion
instructions for the London Insurance Market Claim Message. They
should be read in conjunction with the document 'London Insurance
Market Claim Message - Technical Specification'.
Message transmission
Design principle
All Bureaux have agreed that any data items sent to them within the
Standard Claim Message which are outside their requirements will be
ignored (i.e. they will not cause a validation rejection). Also,they
have agreed that if data they have designated as 'Not used'
subsequently becomes required by their Underwriter members,then they
will enhance their claim systems to capture that data (i.e. there will
be no requirement for Brokers to transmit such data within free format
text areas of the message).
INTERCHANGE HEADER - SEGMENT TAG = UNB
General
Completion
General
This segment starts and identifies each claim message within the
transmission.
Field - MESSAGE REFERENCE NUMBER (0062)
General
This segment provides general details about the Claim message being
transmitted. It identifies the type of message, the intended function
of this message, gives the unique market reference details and
provides for various general indicators relating to the message.
This is a mandatory segment.
Field - UNIQUE CLAIM REFERENCE (0801)
General
Description:- Not used for the bureau lead insurer within the
standard claims message.
General
This segment allows details of the contact name and telephone number
relating to the party specified within the above NAD segment to be
entered.
Field - CONTACT FUNCTION CODE (3855)
General
Description:- Settling agent ref (CPA cert no). Will only ever
be completed by Bureaux for transmission to
Brokers.
This segment provides information about the risk to which the claim
attaches. It is the first segment in a group which also contains a
repeating AMT segment. The AMT is used to supply risk related amounts
(limit, Excess, etc).
Field - INSURED (0816)
Description
This segment will be used for all risk amounts relating to the
claim message. The 'AMOUNT TYPE' will identify the amount.
General usage:-
For all other types of claim risk amounts can only be sent in one
currency, and therefore only one occurence of the segment may
be sent for each AMOUNT TYPE value.
Field:- AMOUNT TYPE (0836)
Description:- The sum insured for the risk to which the claim
relates.
General
Description:- Indicates that the claim is a total loss for the risk.
General
All other segment qualifier values are Conditional within the message.
Bureau usage of DTM qualifiers
Not all Bureaux use all of the available qualifiers, the following
list
gives a summary:-
Valid vals:- Numeric valid date in format YYYYMMDD. For all Bureaux
MM and DD may be expressed as 00 if month or day
of the loss is unknown (this facility may not be used
if a DATE OF LOSS TO - qualifier 006 - is also
provided within the message).
Valid vals:- Date format field, YYYYMMDD. Must be a valid date, and
must be greater than Date of Loss From.
Description:- The date that the claim movement was first advised
to Broker.
Description:- The Date the claim was advised to the slip lead where
they are different from the Bureau lead.
General
This segment is only used by UCS and allows for accounting and
statistical details that may vary by claim. It allows for complex slip
signings where separate premium accounting entries and statistical
codes have been required for the same risk and the same market.
Where more than one group of statistical codes apply to a claim this
segment, together with the CUX segment in the group, will identify the
section of the claim to which the amounts in the following AMT
segments apply.
Field - BUREAU ORIGINAL SIGNING REF (0864)
Description
This segment will be used for all claim amounts relating to the
claim message. The 'AMOUNT TYPE' will identify the amount.
General usage:-
For all claim amounts, the 'sign' for the amount is positive if
it is due to the Broker, and negative if it is due to the
Underwriters.
Description:- The Current estimate for the claim from the ground
up (i.e. the expected final total amount that will
be paid for the claim overall). Expressed as a
100% figure rather than bureau share.
Valid vals:- This currency must be the same as either the Reference
or the target currency within the CUX segment above.
See the initial segment definition above for valid
currencies allowed by Bureaux for each amount.
Field - AMOUNT QUALIFIER (0839)
General
This segment has been included for entry of a breakdown of the VAT
amount included within the AMT segment above (Entry Code 13). This
is only valid for UCS. One segment should be provided for each rate
of tax at which a VAT amount has been charged.
Field - DUTY/TAX TYPE CODED (5153)
General:-
Each text item is identified by the value of the TEXT SUBJECT CODE
at the start of the segment. Not all codes are used by all Bureau
systems, a summary is given below:-
General
Valid Vals:- 15 Character free format field. For ELASS and UCS this is
validated as being a maximum of 12 characters.
Field - COMPANY/SYNDICATE SECONDARY REFERENCE (0879)
Valid Vals:- 15 Character free format field. For ELASS and UCS this is
validated as being a maximum of 12 characters.
General:-
General:-
Valid vals:- Format is the same as that for the UNIQUE CLAIM
REFERENCE.
General:-
General
General:-
Valid vals:- Single character code. Will be 'C' for cash, 'L'
for LOC.
BUREAU LEAD RESPONSE DETAILS - SEGMENT TAG LDR
General:-
Valid vals:- A, B, C, D, E.
General:-
Simple claims
For single ccy, all cash claims, one SDC segment required.
Fields required are Original Bureau Reference, Original
Currency, Settlement Currency, and Signing Claim Cash
Amount.
For claims with any LOC involvement, only one 'ccy' repeat
of the segment group is allowed. It should be noted that no
Letter of Credit amounts may be processed within Bulk
Advice/Settlement transactions.
* 31/7/92: It should be noted that there are some ongoing
problems regarding split cash/loc amounts (see last 3
sections of this item). ILU have only so far implemented
one of the split cash/LOC facilities ('All members share
cash/loc split in the same proportion'). Also, although
LIRMA have implemented all three split cash/LOC facilities,
usage of the last two ('All members share cash/LOC in same
proportion' and 'Members participate in cash/LOC in varying
proportions') have been suspended by most Brokers pending
resolution of business problems. Individual LIRMA members
have proved unwilling to agree movements containing LOC
amounts until they have had advice of LOC drawdown from
their bank, causing delay to cash payments involved in the
same movement.
For 'all LOC' claims (no cash involved), one SDC segment
required. Fields required are Original Bureau Reference,
Original Currency, Settlement Currency and Signing Claim
LOC Amount.
Complex signing LOC claims
- Where the risk has not yet been signed (claim advices
only). One SDC segment should be sent with only the
'ORIGINAL CURRENCY' completed (to avoid transmission
of an empty segment), followed by an MKT segment for
each member of the Market. Where multi currencies are
involved the Market for all of them will be the same,
and only one SDC segment grouping should be sent , the
'ORIGINAL CURRENCY' quoted in the SDC must be one of
the currencies involved with the claim.
- For old risks (pre 1976) the ILU may not hold the
original signing details. In this case the SDC segment
should be sent giving the actual original signing
details if they are available. If the Broker does not
know the original signing reference, he should enter
'PMH' for Hull risks, 'PMC' for Cargo risks or 'PMA'
for Aviation, followed by the year of the original
signing. MKT segments should then be sent to give
details of the Market.
The SDC/MKT segment group is also used by the Bureaux to advise
Brokers of the actual signing reference allocated to claim
settlement requests.
Valid vals:- Must be valid ISO currency code. Must be the same as
one of the reference currencies sent within a CUX segment
earlier in the message. Must be present for settlement
request transactions.
Valid vals:- Must be valid ISO currency code. Must be the same as
one of the target currencies sent within a CUX segment
earlier in the message. Must be present for settlement
request transactions.
Field - SIGNING CLAIM CASH AMOUNT (0869)
General
Valid Vals:- 15 Character free format field. For ELASS and UCS this is
validated as being 12 characters only.
Field - COMPANY/SYNDICATE SECONDARY REFERENCE (0879)
Valid Vals:- 15 Character free format field. For ELASS and UCS this is
validated as being 12 characters only.
General
General:-
The BLK segment is the first element of a segment group. The other
segments of this group are a CUX segment and a repeating AMT (Amounts)
segment.
Description:- Date of loss for the claim item. If day or month part
of the date is not known, they may be shown as zeros.
For losses extending over a period of days, this date
is the first date of that period.
Valid vals:- Must be the 'next' running sequential number for the claim
entry to which the item relates.
CURRENCIES - SEGMENT TAG CUX
Description
Description
This segment will be used for all amounts relating to the claim
item within the bulk settlement.
General usage:-
For all amounts, the 'sign' for the amount is positive if it is due
to the Broker, and negative if it is due to the Underwriters. All
other amounts should have a positive sign.
AMT segments with an AMOUNT TYPE = 001, 003, and 014 must always be
provided. Where settlement amount (014) is intentionally zero, 'N'
value for AMOUNT QUALIFIER should be used.
There will be validation that the sum of the CLAIM AMOUNT 100PC's in
each reference currency quoted for each Bulk item is equal to the
CLAIM AMOUNT 100PC in the same reference currency quoted within
the main CUX segment grouping earlier in the message.
Field:- AMOUNT TYPE (0836)
Valid vals:- This currency must be the same as either the Reference
or the target currency within a CUX segment above.
Field - AMOUNT FOR ITEM (0838)
Description:- The Current estimate for the item (i.e. the expected
final total amount that will be paid for the item on
this policy), expressed as a 100% figure rather than
bureau share.
Valid vals:- This currency must be the same as either the Reference
or the target currency within the CUX segment above.
See the initial segment definition above for valid
currencies allowed by Bureaux for each amount.
General
This segment provides details of individual claim items that apply to Cover
claims.
Field - CLAIM ITEM QUALIFIER (0889)
Valid vals:- 'A' - Non recoverable amount fell within the aggregate
deductible.
'X' - Non recoverable amount exceeded the maximum
recoverable under the policy.
Description
This segment will be used to show amounts for Cover Claim items.
Validation of amounts for Cover claims
For Cover claims, only the amount type 30 is required for each
item (settled this time), and this is mandatory.
Field:- AMOUNT TYPE (0836)
Valid vals:- Must be a valid ISO ccy. Must match one of the Target
currencies within the CUX segment grouping sent earlier
in the message.
CLAIM STATISTICAL CODES - SEGMENT TAG CSC
General
General
Date of Loss from is the only value that can be sent for Cover claim
items, where it is mandatory.
Field - DATE/TIME QUALIFIER (2005)
General:-
General:-
General:-
Description
General
This segment signifies the end of the claim message within the
transmission. It is mandatory.
Field - NUMBER OF SEGMENTS IN THE MESSAGE (0074)
Valid vals:-
INTERCHANGE TRAILER - SEGMENT TAG UNZ
General
Completion