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Workflow
Insurance

Client Scope Change for Insurance

Manages requests to modify the scope of an active policyholder engagement, including impact assessment and formal approval.

Trigger: Policyholder or claim team identifies a need to change the claim scope
Total: 3-10 business days
5 stages
Compliance Note

Aligns with ASIC regulatory requirements, General Insurance Code of Practice, and AFSL obligations. Includes audit trail provisions.

Workflow Stages

1

Change Request Submission

Document the proposed scope change with clear description of what is being added, modified, or removed.

Inputs

  • Change request from policyholder or team
  • Current scope of work document
  • Change request template

Outputs

  • Formal change request document
  • Change request logged in system
  • Impact assessment initiated
Project Manager
1-2 hours
2

Impact Assessment

Analyze the change request impact on timeline, budget, resources, and deliverables.

Inputs

  • Change request document
  • Current claim plan
  • Resource allocation data

Outputs

  • Impact assessment report
  • Revised timeline estimate
  • Cost impact analysis
Project Manager
2-3 days

Decision Points

  • Does the change require additional budget?
  • Does the change affect the claim critical path?
3

Internal Approval

Review the impact assessment internally and decide whether to proceed with the policyholder approval process.

Inputs

  • Impact assessment report
  • Profit margin analysis
  • Resource availability

Outputs

  • Internal approval decision
  • Revised proposal for policyholder
  • Risk mitigation recommendations
Service Delivery Manager
1-2 days

Decision Points

  • Is the change feasible and commercially viable?
4

Policyholder Approval

Present the scope change impact and revised terms to the policyholder for their formal approval.

Inputs

  • Revised proposal
  • Impact summary for policyholder
  • Updated contract terms if needed

Outputs

  • Policyholder approval or rejection
  • Signed change application
  • Updated contract amendment if applicable
Account Executive
2-5 days

Decision Points

  • Does the policyholder accept the revised terms?
5

Implementation and Plan Update

Incorporate the approved change into the claim plan and communicate updates to all stakeholders.

Inputs

  • Signed change application
  • Current claim plan
  • Stakeholder communication list

Outputs

  • Updated claim plan
  • Revised milestone schedule
  • Stakeholder notifications sent
Project Manager
1-2 days

Frequently Asked Questions

What happens if a scope change is rejected?

The requestor is informed of the rejection reason. Alternative approaches may be proposed to address the underlying need without a formal scope change.

How are scope changes tracked over the life of a claim?

All scope changes are logged in a change register that provides a complete audit trail of every modification, its impact, and approval status.

Who can submit a scope change request?

Either the policyholder or any member of the claim team can submit a scope change request. All requests go through the same assessment and approval process.

Ready to implement this workflow in your business?

Our team can implement this workflow into your business operations with custom tools and training.