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A robust, flexible and easily configurable enterprise-class claims solution that automates manual processes, reduces overhead expenses and improves overall efficiencies.

Core Features

OneShield Claims is a robust and flexible solution gives your team members the ability to focus solely on the critical decisions needed to efficiently and effectively manage claims across all lines of business.

From your first notice of loss through to file closure, OneShield Claims is pre-configured with built-in rules, workflows and content to match your specific business needs.

Whether deployed in the cloud “As-A-Service” or on-premise, allows you to simplify the management of claims while enhancing customer service levels, agent relationships and third-party co-ordination.

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End-to-End Incident Management

With intelligent workflow and context awareness, OneShield Claims manages individual claims at the level of incident (one level higher than claims), allowing you to detect fraud, identify and implement loss control more effectively, and deliver a better customer experience.

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Claims Management Automation

Pre-built workflows and process rules allow for extensive automation, presenting claim handlers with information and processes reflecting your best practices. Automated claim assignment, for example, allows for both automated and manual assignments based on user role, skill set, location, line of business and other criteria.

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Intelligent Rules-based Assessments

While capturing an unlimited number of losses related to the same incident, OneShield Claims makes recommendations based on historic behavior, including identifying necessary reserves for different coverages, creating intelligent tasks based on reported losses, and recommending loss control measures.

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Configurable User Dashboard

Each user begins with a home page providing a snapshot of appointments, daily activities, critical alerts, open workflow steps, and recently reported claims. Users also have quick access to action items, contacts, reports, financials, claim setup, search and administration functions.

Podcast: What key trends are most impacting insurance claims departments, and how?

Vivek Gujral
Executive Vice President,
Chief Technology Officer

Podcast: How is your business model changing for a new generation of workers, while continuing to serve the needs of insurers?

Vivek Gujral
Executive Vice President,
Chief Technology Officer

Podcast: What is the greatest challenge facing the claims industry in the next five years, and how is the industry addressing it?

Vivek Gujral
Executive Vice President,
Chief Technology Officer

Technology Platform

OneShield delivers a pre-built process automation platform with an innovative design tool allowing users to rapidly self-modify solutions via configuration. Bundled with an abundance of components, including object models, UIs, workflows and rules, this cutting-edge platform is deployed on public or private clouds.

add-ons

Portals

OneShield Software’s self-serve Web portals give your customers and other market partners secure, yet controlled access to any aspect of your solutions, allowing agents, partners and customers to select and execute payment options

Relationship Management

OneShield Billing provides premium billing functionality in a complete payment and receivables management system for P&C and Life insurers across all personal, commercial, life and specialty markets.

Reporting

Your ability to foresee, react or adapt to marketplace events often depends on the quality of information available. With OneShield Reporting, you can leverage pre-built or ad-hoc reports to get critical decision-making data.

Lower Cost of Ownership

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Pre-Built Insurance Content

Our pre-built library of insurance-specific content for personal, commercial, life and specialty lines and pre-defined and configurable data models, workflows, rules, rates, reports, dashboards and product definitions — eliminating the time-consuming and costly “ground-up” requirements gathering process.

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Wizard-Based

The intuitive nature of our design application and wizard-based development, OneShield Designer, empowers your business and technical users to work collaboratively to achieve 100% self-sufficiency in modifying functions.

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Customer-Centric

As one policy can impact another, our model allows you to underwrite on an account-level, rather than policy-level, giving you the ability to easily launch customer loyalty programs and agent incentives.