Table of Contents

Process KLE daily allowance settlements and repayments

Insurers transfer daily allowance settlements and repayments as separate KLE stories. Check the amounts and detailed periods before you transfer daily allowances to the salary journal or pay a repayment.

Prerequisites

  • The KLE case is reported, and the settlement or repayment story has been received.
  • For journal transfers, settlement posting and salary types are set up.

Open a daily allowance settlement

  1. Open the KLE Case Card.
  2. Open the daily allowance story.

The page includes the following fields:

Field Description
ID (Settlement ID) Specifies the insurance settlement reference.
Settlement Date Specifies when the settlement was received.
Coverage Specifies the coverage information provided by the insurer.
Annual Earnings Specifies the annual earnings used for the benefit.
Covered Daily Allowance Specifies the insured daily allowance rate.
Favour Specifies the company or insurance company.
Coverage / Payment third Specifies the reported payments.
Repayment / Repayment third Specifies the reported repayment amounts.

In Settlement Details, each benefit line shows:

  • type: Normal, Correction, New, or Reduction;
  • product category;
  • date from and date to;
  • waiting days and covering days;
  • incapacity for work;
  • daily allowance rate;
  • amount;
  • quantity of days;
  • beneficiary.
Warnung

A detail amount marked as Reduction might require a separate reduction salary type for the journal transfer. Check the detail lines, not only the total amount.

  1. Open the daily allowance settlement.
  2. Choose Process > Print daily allowance list.
  3. In the output, check the case number, incident date, insurance case ID, settlement period, waiting and covering days, daily allowance rate, and amount.

You can choose whether to print the daily allowance settlement anonymized. You can also send the report to SwissSalary Direct.

Transfer a daily allowance settlement to the Management Rapport Journal

Processing depends on Settlement Posting in Swissdec Setup. For more information, see Set up KLE for accidents and sickness:

  • If Settlement Posting in Swissdec Setup is set to Management Rapport Journal, the story remains incomplete until the daily allowance lines have been transferred to the Management Rapport Journal. If Settlement Posting is set to Manual, the settlement is complete even without a journal transfer.

If Settlement Posting in Swissdec Setup is set to Management Rapport Journal but you don't want to transfer a daily allowance to the Management Rapport Journal automatically, you can mark the story as paid (Mark as Paid), provided that the insurer has set the case to the Communication stopped status or you temporarily mark the case as closed.

Check repayments

  1. Open the KLE Case Card.
  2. Open the repayment.
  3. Check:
    • Repayment ID
    • Link to Settlement ID
    • Expiry Date
    • amount and reference
    • payee and bank details.
  4. Use the Link to Settlement ID to open the related daily allowance settlement.
  5. Mark the repayment as paid as soon as you have handed over the repayment invoice to accounts payable.

Choose Repayment Invoice to create a payment document. Mark the repayment as paid as soon as you have handed over the repayment invoice to accounts payable.

For transfers, the report creates the payment part from the IBAN, amount, reference, insurance contact, and company address. For QR references, the reference type is determined from the payment data provided.

Good to know

  • Check the settlement total.
  • Pay repayments.

See also