A pre-configured system for processing workers’ compensation, general liability, property, commercial automobile and specialty lines.

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 display 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 (RTW) 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.

  • Intelligent Policy Management

    Underwriting information collected is systematically evaluated by the rules engine to define underwriting processing for review and acceptance. Once bound, the system performs re-rating, changes in exposures and resulting billing plans, financial transaction management, and renewals and cancellation management.

  • Detailed Reporting

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

Knowledge Hub

OneShield Market Solutions – TPAs Solution

OneShield Market Solutions – TPAs Solution

OneShield Market Solutions: TPAs A Claims solution designed for TPA’s supporting multiple clients, accounts, and lines of business with automated workflows and rules OneShield Software’s TPA solution works the way you do: any time, anywhere. Based in the cloud, our...

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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.

TPAs
Line of Business

Line of Business

Designed specifically for personal, commercial, life and specialty lines of business content.

OneShield Software can help enhance and improve your operational and process efficiencies, agent and member service levels, and time-to-market for new products and changes.

Reporting

Reporting

Turn raw data into actionable information with near-time portfolio analysis and detailed standard or customized reports.

OneShield provides one of the industry’s leading reporting components — a powerful and easily configurable data analysis module that can be leveraged by any products within our solution platform.

Reinsurance

Reinsurance

Vital reinsurance handling capabilities that streamline the administration and management of reinsurance agreements.

With OneShield’s Reinsurance Cession Management functionality, you will have the business intelligence data and administrative tools needed to manage each relationship.

Lower Cost of Ownership

TPAs

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.

TPAs

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.

TPAs

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.