OneShield Enterprise

Claims Management

Highly adaptable, OneShield Claims lets your team focus on the critical decisions needed to manage claims across every line of business.

From FNOL through file closure, OneShield Claims comes pre-configured with built-in rules, workflows, and content to match your business. Built-in workflows and process rules drive extensive automation and keep information flowing.

Simplify claims management while improving customer service, agent relationships, and third-party coordination.

Focus on the Critical Decisions

OneShield Claims automates manual processes so you can focus on complex claims handling, reducing overhead and improving efficiency.

Reporting & Incidents

Open claims with the full picture from day one

Guided questions and third-party data connections help your team open claims with fewer gaps to fill later.

Key capabilities:

FNOL reporting and incident management to track activity and identify opportunities before a claim is opened

Dialogue scripts built into the claims intake process

Enter or receive FNOL/FROI directly from third-party service vendors

Workflow & Context Awareness

Keep full context with every claim, every handoff

Assignment rules and shared context keep every claim moving toward resolution instead of sitting in a queue.

Key capabilities:

Automated claim assignment by user role, skill set, location, line of business, and other criteria

Manage individual claims at the incident level with intelligent workflow and context awareness

Detect fraud and act on loss control more effectively

Deliver a better customer experience

Rules-Based Assessments

Assess losses and coverage automatically

Rules-based logic reviews every loss against coverage and history, then suggests reserves and recommended actions.

Key capabilities:

Capture unlimited losses tied to the same incident

Make recommendations based on historical behavior

Identify the reserves needed for each coverage

Recommend loss control measures

User Visibility

Give every role its own view of claims

Adjusters and managers see what needs attention today and how claims trend across products, agencies, and time.

Key capabilities:

Each user's dashboard shows appointments, daily activity, critical alerts, open workflow steps, and recently reported claims at a glance

Quick access to action items, contacts, reports, financials, claim setup, search, and admin functions

View incurred claims by product, agency, year, and location through an interactive claims reporting dashboard with hover-over detail

Create intelligent tasks automatically, based on reported losses

“We have a history of innovation at Hiscox, and we expect the OneShield platform will help us achieve greater efficiencies, productivity, and contemporary digital client experience.”