ess - claim system

7/31/2019 ESS - Claim System

http://slidepdf.com/reader/full/ess-claim-system 1/20

]def 4 jl 9=

V^FY @DGVDO EVHCF \fy~hjg 1'=

LJY SAF

F`}ojxff ^fol ^fy|hnf

- Nodh` ^x~sf`

]YJCVNFC IX

HID^F Sfnagjojex ]yh|dsf Oh`hsfc cdsfc =4*=3*9=4=



]def 9 jl 9=

]yj}yhfsdyx Gjshnf

Hgljy`dshjg hg sah~ cjnv`fgs h~ ~vikfnsfc sj nadgef~ uhsajvs dgx gjshnf'

Saf hgljy`dshjg ch~noj~fc uhsahg sah~ cjnv`fgs hgnovcf~ saf }yj}yhfsdyxyheas~ jl HID^F Sfnagjojex ]yh|dsf Oh`hsfc' Safyfljyf/ saf njgsfgs hg sah~

cjnv`fgs ~adoo gjs if yf}yjcvnfc/ sydg~lfyyfc sj jsafy cjnv`fgs~/ jy v~fc ljy

jsafy }vy}j~f~/ vgof~~ dvsajyh{fc ix HID^F Sfnagjojex ]yh|dsf Oh`hsfc

uhsa d uyhssfg d}}yj|do'



]def > jl 9=

Sdiof jl Njgsfgs

4 Nodh` ^x~sf`''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 3

4'4 @fchndo Jvs}dshfgs '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 3

4'4'4 Nyfdsf Gfu @fchndo Jvs}dshfgs Nodh` ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 64'4'9 Fchs @fchndo Jvs}dshfgs nodh` !^d|fc*Cydls jy ]fgchge ljy d}}yj|do( ''''''''' 5

4'9 Cfgsdo Nodh` '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 1

4'9'4 Nyfdsf Gfu Cfgsdo Nodh` '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 8

4'9'9 Fchs Cfgsdo nodh` !^d|fc*Cydls jy ]fgchge ljy d}}yj|do( '''''''''''''''''''''''''''''''' 4=

4'> Afdosa ^nyffghge Nodh` ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 44

4'>'4 Nyfdsf Gfu Afdosa ^nyffghge Nodh` '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 44

4'>'9 Fchs Afdosa ^nyffghge nodh` !^d|fc*Cydls jy ]fgchge ljy d}}yj|do( ''''''''''' 4>

4'3 ^}fnhdoh~s Jvs}dshfgs Nodh` ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 43

4'3'4 Nyfdsf Gfu ^}fnhdoh~s Jvs}dshfgs Nodh` ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 43

4'3'9 Fchs ^}fnhdoh~s Jvs}dshfgs nodh` !^d|fc*Cydls jy ]fgchge ljy d}}yj|do( ''' 4<

4'6 Xfdyox @fchndo Nafnbv} Nodh` '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 45

4'6'4 Nyfdsf Gfu Xfdyox @fchndo Nafnbv} Nodh` ''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 45

4'6'9 Fchs Xfdyox @fchndo Nafnbv} nodh` !^d|fc*Cydls jy ]fgchge ljy d}}yj|do(48

4'< Nodh` Dvsajyh{dshjg '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 9=



]def 3 jl 9=

4'4 @fchndo Jvs}dshfgs

Sah~ `jcvof dooju~ v~fy sj ~vi`hs `fchndo jvs}dshfgs nodh`'

Sj |hfu jy nyfdsf `fchndo jvs}dshfgs nodh`/ kv~s ljooju saf ohgb d~ ~ajug ifoju'

Ej sj -7 F`}ojxff ^fol ^fy|hnf -7 Nodh` ^x~sf` -7 @fchndo Jvs}dshfgs

Saf ljoojuhge ~nyffg uhoo d}}fdy;

\hfu Nodh` ^v``dyxSj |hfu Nodh` ^v``dyx/ Ej Sj -7 Jsafy Dnshjg~ -7 ^aju Nodh` ^v``dyx

Gjsf „ Jllhnfy ndg do~j ‟Cjugojdc‐ sj fqnfo ljy`ds jy ‟]yhgs‐ saf }def'

4 Nodh` ^x~sf`

Nohnb Afyf



]def 6 jl 9=

4'4'4 Nyfdsf Gfu @fchndo Jvs}dshfgs Nodh`

Sj nyfdsf gfu `fchndo jvs}dshfgs nodh`/ Ej Sj -7 Jsafy Dnshjg~ -7 Gfu Nodh`


Nohnb Afyf



]def < jl 9=

Nodh` Sydg~dnshjg Hsf`

@dhg ]vy}j~f Ix cfldvos/ saf ~x~sf` uhoo ch~}odx saf }vy}j~f

`f~~def'

Yfnfh}s Cdsf Cdsf jl saf yfnfh}s

Yfnfh}s Gv`ify Yfnfh}s Gv`ifyLjy Uaj` Xjv ndg nodh` ljy xjvy~fol jy xjvy cf}fgcdgs

!cf}fgc~ jg nj`}dgx }johnx(

Nohghn Sx}f ^fofns nohghn sx}f

Nohghn ^fofns nohghn gd`f

Yfnfh}s D`jvgs D`jvgs jg saf yfnfh}s

Fqnadgef Ydsf ^fs ix cfldvos

Nodh`diof d`jvgs ^fs ix cfldvos !Cf}fgc~ jg nj`}dgx }johnx(

]vy}j~f ]yj|hcf xjvy }vy}j~f

Nadyef |jsf ^fofns saf |dyhjv~ nadyef |jsf

Dssdna`fgs Xjv `dx v}ojdc xjvy yfnfh}s jy yfof|dgs

hgljy`dshjg ix nohnbhge jg saf ‟Dcc Lhof‐ Dcc yju Hl xjv uh~a sj ~vi`hs `jyf sadg jgf nodh`/

nohnb jg ‟Dcc yju‐ dgc nyfdsf dcchshjgdo yjuljy xjvy nodh`'

Cfofsf Shnb jg saf ijq vgcfy saf cfofsf hnjg sj cfofsf

dudx saf ~fofnsfc yfnjyc'

Cjviof nafnb xjvy cfsdho~ dgc ~fofns xjvy D}}yj|fy'

Hl xjv cj gjs uh~a sj ~vi`hs sah~ d}}ohndshjg/ nohnb ‟^d|f d~ Cydls‐ sj ~d|f sah~

d}}ohndshjg' Jsafyuh~f nohnb jg ‟Gfqs‐ sj ~vi`hs sah~ d}}ohndshjg ljy d}}yj|do


Cjviof nafnb saf cfsdho~ dgc ~fofns xjvy D}}yj|fy'

Nohnb jg saf hnjg sj ~fofns saf D}}yj|fy' Xjv `dx ~fofns saf }yjqx d}}yj|fy hl safd}}yj|fy h~ dudx' Jllhnfy `dx fgsfy saf d}}yj|fy gd`f jy cf}dys`fgs jg saf ‟^sdll

Gd`f‐ dgc ‟Cf}dys`fgs‐ sfqs ijq yf~}fnsh|fox sj gdyyju cjug saf ~fdyna yf~vos~'



]def 5 jl 9=

GJSF; Safyf dyf yvof~ dgc }johnhf~ hg ej|fyghge saf |dohchsx dgc ndonvodshjg jl d nodh`~vi`h~~hjg' ]ofd~f yflfy sj saf AY Cf}dys`fgs evhcfohgf~ ljy saf yvof~ dgc }johnhf~/

~ajvoc xjvy d}}ohndshjg h~ gjs ~vnnf~~lvo'

Fhsafy saf nodh` h~ d}}yj|fc jy yfkfnsfc2 saf d}}ohndgs uhoo yfnfh|f dg f-`dho hgljy`hgesaf` jl saf ~sdsv~ jl safhy ~vi`h~~hjg'

Sh}~;Cjviof nohnb jg saf gd`f jl saf yf}jyshge jllhnfy jy nj|fyhge jllhnfy sj yf`j|f hs lyj` saf

oh~s ijq'

4'4'9 Fchs @fchndo Jvs}dshfgs nodh` !^d|fc*Cydls jy ]fgchge ljy d}}yj|do(

Sj fchs d nodh` sydg~dnshjg sads ud~ ~d|fc d~ cydls/ jllhnfy ndg fchs saf d}}ohndshjg vgcfy safnodh` ~v``dyx d~ ~ajug ifoju

Dlsfy `dbhge saf gfnf~~dyx nadgef~ dgc ~vi`hsshge saf d}}ohndshjg' Dg f`dho uhoo if yjvsfc sj

yf~}fnsh|f jllhnfy sj hgljy`hge saf` jg saf nadgef~'



]def 1 jl 9=

4'9 Cfgsdo Nodh`

Sah~ `jcvof dooju~ jllhnfy sj ~vi`hs cfgsdo nodh`'

Sj |hfu jy nyfdsf cfgsdo nodh`/ kv~s ljooju saf ohgb d~ ~ajug ifoju'

Ej sj -7 F`}ojxff ^fol ^fy|hnf -7 Nodh` ^x~sf` -7 Cfgsdo


\hfu Nodh` ^v``dyx

Sj |hfu Nodh` ^v``dyx/ Ej Sj -7 Jsafy Dnshjg~ -7 ^aju Nodh` ^v``dyx Gjsf „ Jllhnfy ndg do~j ‟Cjugojdc‐ sj fqnfo ljy`ds jy ‟]yhgs‐ saf }def'

Nohnb Afyf



]def 8 jl 9=

4'9'4 Nyfdsf Gfu Cfgsdo Nodh`

Sj nyfdsf gfu cfgsdo nodh`/ Ej Sj -7 Jsafy Dnshjg~ -7 Gfu Nodh`



@dhg ]vy}j~f Ix cfldvos/ saf ~x~sf` uhoo ch~}odx saf }vy}j~f`f~~def'

Yfnfh}s Cdsf Cdsf jl saf yfnfh}sYfnfh}s Gv`ify Yfnfh}s Gv`ify

Ljy Uaj` Xjv ndg nodh` ljy xjvy~fol jy xjvy cf}fgcdgs~



Yfnfh}s D`jvgs D`jvgs jg saf yfnfh}s

Fqnadgef Ydsf ^fs ix cfldvos





hgljy`dshjg ix nohnbhge jg saf ‟Dcc Lhof‐ Dcc yju Hl xjv uh~a sj ~vi`hs `jyf sadg jgf nodh`/






]def 4= jl 9=


Hl xjv cj gjs uh~a sj ~vi`hs sah~ d}}ohndshjg/ nohnb ‟^d|f d~ Cydls‐ sj ~d|f sah~d}}ohndshjg' Jsafyuh~f nohnb jg ‟Gfqs‐ sj ~vi`hs sah~ d}}ohndshjg ljy d}}yj|do



Nohnb jg saf hnjg sj ~fofns saf D}}yj|fy' Xjv `dx ~fofns saf }yjqx d}}yj|fy hl safd}}yj|fy h~ dudx' Jllhnfy `dx fgsfy saf d}}yj|fy gd`f jy cf}dys`fgs jg saf ‟^sdll


GJSF; Safyf dyf yvof~ dgc }johnhf~ hg ej|fyghge saf |dohchsx dgc ndonvodshjg jl d nodh`~vi`h~~hjg' ]ofd~f yflfy sj saf AY Cf}dys`fgs evhcfohgf~ ljy saf yvof~ dgc }johnhf~/~ajvoc xjvy d}}ohndshjg h~ gjs ~vnnf~~lvo'

Fhsafy saf nodh` h~ d}}yj|fc jy yfkfnsfc2 saf d}}ohndgs uhoo yfnfh|f dg f-`dho hgljy`hgesaf` jl saf ~sdsv~ jl safhy nodh` ~vi`h~~hjg'

Sh}~;

Cjviof nohnb jg saf gd`f jl saf yf}jyshge jllhnfy jy nj|fyhge jllhnfy sj yf`j|f hs lyj` saf

oh~s ijq'

4'9'9 Fchs Cfgsdo nodh` !^d|fc*Cydls jy ]fgchge ljy d}}yj|do(






]def 44 jl 9=

4'> Afdosa ^nyffghge Nodh`

Sah~ `jcvof dooju~ jllhnfy sj ~vi`hs afdosa ~nyffghge nodh`'

Sj |hfu jy nyfdsf afdosa ~nyffghge nodh`/ kv~s ljooju saf ohgb d~ ~ajug ifoju'

Ej sj -7 F`}ojxff ^fol ^fy|hnf -7 Nodh` ^x~sf` -7 Afdosa ^nyffghge


\hfu Nodh` ^v``dyx


4'>'4 Nyfdsf Gfu Afdosa ^nyffghge Nodh`

Sj nyfdsf gfu afdosa ~nyffghge nodh`/ Ej Sj -7 Jsafy Dnshjg~ -7 Gfu Nodh`


Nohnb Afyf



]def 49 jl 9=



`f~~def'


Yfnfh}s Gv`ify Yfnfh}s Gv`ify

Ljy Uaj` Xjv ndg nodh` ljy xjvy~fol jy xjvy cf}fgcdgs~!cf}fgc~ jg nj`}dgx }johnx(


Yfnfh}s D`jvgs D`jvgs jg saf yfnfh}sFqnadgef Ydsf ^fs ix cfldvos





hgljy`dshjg ix nohnbhge jg saf ‟Dcc Lhof‐

Dcc yju Hl xjv uh~a sj ~vi`hs `jyf sadg jgf nodh`/









]def 4> jl 9=


Nohnb jg saf hnjg sj ~fofns saf D}}yj|fy' Xjv `dx ~fofns saf }yjqx d}}yj|fy hl saf

d}}yj|fy h~ dudx' Jllhnfy `dx fgsfy saf d}}yj|fy gd`f jy cf}dys`fgs jg saf ‟^sdll






oh~s ijq'

4'>'9 Fchs Afdosa ^nyffghge nodh` !^d|fc*Cydls jy ]fgchge ljy d}}yj|do(

Sj fchs d nodh` sydg~dnshjg sads ud~ ~d|fc d~ cydls/ jllhnfy ndg fchs saf d}}ohndshjg vgcfy saf

nodh` ~v``dyx d~ ~ajug ifoju





]def 43 jl 9=

4'3 ̂ }fnhdoh~s Jvs}dshfgs Nodh`

Sah~ `jcvof dooju~ jllhnfy sj ~vi`hs ~}fnhdoh~s jvs}dshfgs nodh`'

Sj |hfu jy nyfdsf ~}fnhdoh~s jvs}dshfgs nodh`/ kv~s ljooju saf ohgb d~ ~ajug ifoju'

Ej sj -7 F`}ojxff ^fol ^fy|hnf -7 Nodh` ^x~sf` -7 ^}fnhdoh~s Jvs}dshfgs


\hfu Nodh` ^v``dyx


4'3'4 Nyfdsf Gfu ^}fnhdoh~s Jvs}dshfgs Nodh`

Sj nyfdsf gfu ~}fnhdoh~s jvs}dshfgs nodh`/ Ej Sj -7 Jsafy Dnshjg~ -7 Gfu Nodh`


Nohnb Afyf



]def 46 jl 9=



`f~~def'



Ljy Uaj` Xjv ndg nodh` ljy xjvy~fol jy xjvy cf}fgcdgs~!cf}fgc~ jg nj`}dgx }johnx(







hgljy`dshjg ix nohnb hge jg saf ‟Dcc Lhof‐










]def 4< jl 9=









oh~s ijq'

4'3'9 Fchs ^}fnhdoh~s Jvs}dshfgs nodh` !^d|fc*Cydls jy ]fgchge ljy d}}yj|do(


Dlsfy `dbhge saf gfnf~~dyx nadgef~ dgc ~vi`hsshge saf d}}ohndshjg' Dg f`dho uhoo if yjvsfc sjyf~}fnsh|f jllhnfy sj hgljy`hge saf` jg saf nadgef~'



]def 45 jl 9=

4'6 Xfdyox @fchndo Nafnbv} Nodh`

Sah~ `jcvof dooju~ jllhnfy sj ~vi`hs xfdyox `fchndo nafnbv} nodh`'

Sj |hfu jy nyfdsf xfdy `fchndo nafnbv} nodh`/ kv~s ljooju saf ohgb d~ ~ajug ifoju'

Ej sj -7 F`}ojxff ^fol ^fy|hnf -7 Nodh` ^x~sf` -7 Xfdyox @fchndo Nafnbv}


\hfu Nodh` ^v``dyx


4'6'4 Nyfdsf Gfu Xfdyox @fchndo Nafnbv} Nodh`

Sj nyfdsf gfu xfdyox `fchndo nafnbv} nodh`/ Ej Sj -7 Jsafy Dnshjg~ -7 Gfu Nodh`


Nohnb Afyf



]def 41 jl 9=



`f~~def'



Ljy Uaj` Xjv ndg nodh` ljy xjvy~fol jy xjvy cf}fgcdgs~








hgljy`dshjg ix nohnbhge jg saf ‟Dcc Lhof‐










]def 48 jl 9=









oh~s ijq'

4'6'9 Fchs Xfdyox @fchndo Nafnbv} nodh` !^d|fc*Cydls jy ]fgchge ljy d}}yj|do(


Dlsfy `dbhge saf gfnf~~dyx nadgef~ dgc ~vi`hsshge saf d}}ohndshjg' Dg f`dho uhoo if yjvsfc sjyf~}fnsh|f jllhnfy sj hgljy`hge saf` jg saf nadgef~'



4'< Nodh` Dvsajyh{dshjg

Sah~ `jcvof dooju~ v~fy sj d}}yj|f/ ~fgc idnb jy yfkfns nodh` d}}ohndshjg'

Gjsf „ Sah~ h~ jgox d}}ohndiof sj nodh` d}}yj|fy jgox'

Sj d}}yj|f/ ~fgc idnb jy yfkfns nodh` d}}ohndshjg/ kv~s ljooju saf ohgb ifoju

Ej Sj-7 F`}ojxff ^fol ^fy|hnf -7 Nodh` ^x~sf`-7 Nodh` Dvsajyh{dshjg

Ljoojuhge ~nyffg uhoo d}}fdy;

Nohnb Afyf

ess - claim system

Documents