If you are processing claims in XTRM, please goto the claims link on the left menu. You can set the status of the claim, for example you can approve it, reject it, expire it and more. If you approve, you can instantly pay the individual or the individuals employer. After paying the claim status will switch to 'Completed'.
If you pay the individual, they will receive an alert email and can view and manage their funds. If you pay the individuals employer, then the admin of that company will receive an alert email and can login to their company account and see the payment and also who the details of the individual that made the claim.