Domain separation and Insurance claims
Summarize
Summary of Domain Separation and Insurance Claims
Domain separation in Insurance claims allows for the logical grouping of data, processes, and administrative tasks into distinct domains. This functionality ensures that users can control access and visibility of data based on their assigned domain, enhancing data security and management.
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Key Features
- Data Control: Users can manage which individuals access specific data, ensuring privacy and compliance.
- Runtime Support: Domain separation operates seamlessly during application runtime, affecting user interfaces, cache keys, reporting, rollups, and aggregations.
- Integration with CSM: All FSO integrations utilize Customer Service Management (CSM) tables that are domain-separated, enhancing data integrity across services.
- Domain-Separated Tables: Key tables such as Claim Case, Claim Task, and various incident configurations are designed to function within their respective domains.
Key Outcomes
By implementing domain separation, ServiceNow customers can effectively manage insurance claims through distinct user roles and responsibilities. For instance:
- Case Intake: Intake agents gather necessary information for claims, ensuring accurate data entry for processing.
- Claims Analysis: Claims specialists can efficiently review policies, request additional information, and make informed decisions on claims based on comprehensive activity tracking.
Overall, domain separation enhances operational efficiency and ensures that data handling adheres to service provider needs, allowing for improved customer interaction and claim management.
Domain separation is supported for Insurance claims. Domain separation enables you to separate data, processes, and administrative tasks into logical groupings called domains. You can control several aspects of this separation, including which users can see and access data.
Support level: Basic
- Business logic: Ensure that data goes into the proper domain for the application’s service provider use cases.
- The application supports domain separation at run time. The domain separation includes separation from the user interface, cache keys, reporting, rollups, and aggregations.
- The owner of the instance must set up the application to function across multiple tenants.
Sample use case: When a service provider (SP) uses chat to respond to a tenant-customer’s message, the customer must be able to see the SP's response.
For more information on support levels, see Application support for domain separation.
How domain separation works in Insurance claims
All FSO integrations applications are built on top of and use many Customer Service Management (CSM) tables. The key reference tables are the customer tables such as Consumer, Account, and Contact, and these tables are domain-separated.
Tables
- Claim Case [sn_ins_gen_claim_case]
- Claim Task [sn_ins_gen_claim_task]
- Claim Adjuster Task [sn_ins_gen_claim_adj_task]
- Claim Incident Configuration [sn_ins_claim_incident_config]
- Itemized Loss/Expense [sn_ins_claim_incident_item]
- Baggage Incident [sn_ins_claim_baggage]
- Trip Incident [sn_ins_claim_trip]
- Personal Travel Policy [sn_bom_pt_ins_policy]
- Commercial Travel Policy [sn_bom_ct_ins_policy]
Use cases
- Case Intake
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The first notice of loss (FNOL) intake agents can intake information for an insurance claim on behalf of a customer.
When the customer calls to file a claim, the intake agent gathers important information that is related to the claim. This can include a description of the incident, itemized losses, and any supporting documentation.
After collecting the initial details, they open a claim case for a claims specialist to work on.
- Claims Analysis
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A claims specialist works on a claim that they receive through the workspace dashboard.
The specialist reviews the policy details. If necessary, they can request and review the additional information or documentation from the claimant.
The specialist sets the reserve funds, modifies the coverage exposures and reserve funds over time, and can also view all activity that is associated with handling the claim.
The specialist can also make claim approval or denial decisions based on the available evidence.