Download pdf - Panchdeep Insurance Recovery 2.0

7/27/2019 Panchdeep Insurance Recovery 2.0

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Confidential Copyright 2009 Wipro Ltd

ESIC

Pragati (Insurance)

Recovery

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Introduction

Recovery Recovery of Arrears

Employer Employer had defaulted payment towards Monthly Contribution.

Employer was marked as defaulter and necessary actions were undertaken.

After repeated reminders, if the employer continues to default in clearing the

arrears then Recovery Certificates are created. On receipt of Recovery

Certificates Recovery officer can initiate Certificate Proceedings against the

defaulting employer.

Employee/IP Employee or IP had received excess claims or received claims

beyond eligibility. Benefits branch will adjust the excess claims during future

claims by Employee or IP. In case Benefits branch is not able to adjust, then

Benefits Manager will issue recovery certificate against the IP/Employee. On

receipt of Recovery Certificates Recovery officer can initiate CertificateProceedings against the defaulting employee/IP.


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RecoveryTriggers

Recoveryagainst theEmployee/IP

Recoveryagainst theEmployer

MonthlyContribution

AOD/IR/TIR/VR/S

VR/Int. &

Damages

Recovery againstthe Employer

C-19, C-19(i), D-19

Excess Payments

Adjustments

Recovery againstthe Employee

B-19

Triggers

Revenue Branch

Creation of C-19 certificate

Creation of C-19(i) certificate

Creation of D-19 certificate

Benefit Branch

Creation of B-19 certificate


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Recovery Workflow

RecoveryCertificate

CP1CP2

CP3 CP4 CP5 CP6 CP7 CP8 CP9

CP10 CP12ACP11 CP12 CP15 CP24 CP26

Certificate Proceedings

PaymentIrrecoverable

Archive

Recovery Cert.

Recovery Certificate Marked to anotherRecovery Officer

15 daysnotice

Close Recovery

Cert.

10 Digit Recovery Certificate #(Running Number)


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Application Output

Retrieve the status of Certificate Proceedings

Track Recovery progress

Prioritise the Recovery process

Status update of Recovery certificate by Authorised

Officer and Legal Department which can notify the

Recovery officer to take actions suitably.

Recovery

Authorized Officer

(Revenue)

Creates Recovery

Certificate

C-19, C-19(i), D-19

Recovery

Retrieve asset list from Employer Registration module.

Add Assets to the employers which can be used to

create database of employer asset which can be utilised

for recovery of arrears. (Such assets information can be

gathered by Recovery Inspector or any ESIC official and

can be informed to Recovery team for update todatabase)

Attaches assets to recover dues.

Generate CP. Recovery officer to enter details in the CP

certificate and store CP within the system.

Update the status of CP.

Update the status of Recovery Certificates

Declare Irrecoverable to Recovery certificates

Recovery officer

ESIC Official

Authorized Officer

(Branch Officer)Creates Recovery

Certificate

B-19


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Exceptions to Normal Process

Employer / Employee/IP Employer can approach the Authorized officer(Revenue/Benefit as per the

case) and appeal against the Recovery certificate. Authorized officer can

Cancelor Holdthe Recovery Certificate.

If the Employer is unsatisfied with the Recovery Certificates can appeal to

High Court. High Court if issues the Stay order against the Recovery

progress then Recovery action will be put on hold till Court passes theorder.

Recovery Certificate against a DeadEmployer. Then recovery certificates

will be applicable to Legal Heir. Recovery officer to recover the amount

from the Legal Heir.


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Recovery Exit Triggers

Irrecoverable

Recovery Officer tries his level best to recover the dues, but due to

various reasons the Recovery amount cannot be recovered. Reasons

can be employer/Employee/IP is bankrupt, employer/Employee/IP is

dead, whereabouts are not known. System provides the Recovery

officer to submit it to Authorized officer for approval with necessary

documents to support Recovery officer decision.

After approval the Recovery Certificates will be archived andinformation is sent to F&A to make necessary adjustments in Books.

Recovery Payment

Employer/IP/Employee makes the payment by cash, cheque or DD.

After F&A confirmation, the Recovery Certificate will be removed from

the system.

Recovery of Arrears as result of CP(Certificate Proceedings)

Amount received from Certificate Proceedings are adjusted against

the Recovery certificate.

Any other pending amount with ESIC against the defaulter is adjusted.

Remaining amount is returned to defaulter.



Process related Reports

C-19 Register

C-19(i) Register

D-19 Register

Certificate Control Register

Daily Collection Register

Irrecoverable Dues Register

Stayed Case Register

Cheques Forwarded Register

Recovery Collected

Cheques Dishonored Register

BIFR/AAIFR employers

Summons Register

Certificates Proceeding Register

45-G Notice Register

Monthly Progress Reports



Master Data Required

Employer List

Complete Details of C-19

Complete Details of C-19(i)

Complete Details of D-19

Status of various Certificate Proceedings taken towards Recovery

Certificates. For Ex:

Show cause notice Arrest Warrant issued

Number of movable property attached

Number of immovable property attached

Irrecoverable Dues Declared

Instalment facilities provided

BIFR/AAIFR

Non-BIFR/Non-AAIFR



Screens



Thank You

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