A pre-configured claims administration solution including account management, billing and time tracking, document management, and detailed reporting and analysis.

Core Features

Designed specifically for Third Party Administrators (TPAs), this robust end-to-end claim administration solution supports multiple clients, accounts, and lines of business with automated workflows and rules.

Standardized workflows simplify required tasks and data based on the line of business, while an integrated journal management feature allows users to set single and recurring diary entries with automated escalation, generate system and user-created notes, deliver correspondence from templates, and integrate with email systems.

  • Manage Claims Efficiently

    The claim lifecycle is displayed on one screen, with easy access to First Notice of Loss (FNOL)/First Report of Injury (FROI), customer information, reserving, third-party provider management, and payment/recovery processing, as well as modules for loss prevention, litigation and medical case management, return-to-work tracking, subrogation and salvage, and assignment administration.

  • Secure Web Access for External

    Web portal technology, with stringent security measures, provides role-appropriate access to a claim, giving your business an efficient B2B portal for business partners (repair shops, medical providers, etc.) to share information and deliver action requests to supply chain providers.

  • Detailed Reporting

    OneShield Software’s feature-rich reporting module provides users with data dashboards and a wide variety of standardized reports, giving your team the ability to make informed and timely decisions. The module fully supports the configuration of all management, regulatory, financial, operational, statistical and marketing reports.

The Role of Microservices in Digital Insurance Distribution.

 

Critical Strategies for Transforming Traditional Insurers into the Digital Insurer of Tomorrow

Lower Cost of Ownership

TPAs

Speed To Market

Accelerate your speed to market meeting the time pressures of your business with our feature-rich, market-ready, out-of-the-box solution with tailorable workflows and rules to suit specific business & technology requirements.

TPAs

Data Flexibility & Visibility

Data transparency through feature-rich reporting, robust dashboards and a wide variety of standardized reports provide users the ability to make informed and timely decisions. With the interoperability of technology, leverage third-party data, and solutions to enhance your customer experience.

TPAs

All-In-One Pricing

Reduce overhead expenses and achieve lower total cost of ownership with a cloud-hosted platform. All-in-One license pricing comprises our SaaS Hub of Services encompassing implementation, training/support, multi-tenant licensing, managed services, and updates.