# 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:**

- 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

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> “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.”  
> **Chief Executive Officer**

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Marlborough, MA 01752-3028 USA

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