ONESHIELD ENTERPRISE / CLAIMS

Claims Management

Manage the full claims lifecycle, from first notice of loss to resolution, on configurable workflows. AI-supported triage and routing help your team prioritize complex claims and move faster on the rest.

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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:

White check mark inside a blue circle indicating confirmation or approval.

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

User interface form with multiple input fields and an FNOL button for reporting claims or incidents.

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

Dashboard interface showing an incident report with a red Fraud flag and multiple status bars.

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

Table titled 'Losses on incident' with rows of data and colored blue and gray bars representing values.

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

Dashboard interface with text boxes, bullet lists, and a vertical bar chart with five blue bars.

“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.”