Setting up the policy data for Insurance claims
Summarize
Summary of Setting up the policy data for Insurance claims
This guide helps you set up policy data for the Insurance claims application by either importing data into your ServiceNow instance or using remote tables to reference existing data. Proper configuration is crucial for accurate claim processing and management.
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Key Features
- Importing Policy Data: Regularly import the latest insurance policies from external systems to keep your ServiceNow instance updated. This ensures accurate policy snapshots during claim creation.
- Foundational Claims Data: Before creating claims, import essential information including insurance product models, consumer accounts, contacts, and key policy details such as policy holders and status.
- Remote Tables: Utilize APIs to search for policies in existing management systems during claim intake, allowing for seamless integration and policy selection.
Key Outcomes
By setting up your policy data effectively, you ensure that claims are processed with current and accurate policy information. This setup supports flexibility in retrieving policy coverages based on incident dates and enhances the overall claims management workflow within the ServiceNow platform.
Set up the policy data for the Insurance claims application by importing the policy data into your instance, or by using remote tables to reference the policy data.
Importing the policy data
If you store your insurance policy data in an external system, you should bring in the latest insurance policies for all your customers from that system into your instance. Synchronize the latest insurance policies from the external system daily.
The base system, by default, uses the latest insurance policy records that are available. It generates a policy snapshot using this data during the claim creation process. For more information, see Policy snapshots in Insurance claims.
You may bring in past policy coverages or any other past policy data if those policies apply on the incident date of a claim. If you want to create a claim against these policies, you must have the foundational claims data available to select the correct policy. For more information about the foundational claims data, see the next section.
Foundational claims data
- Insurance product models
- Consumers
- Accounts
- Contacts
- Basic insurance policy information, such as the following details:
- Policy holder
- Policy participants
- Effective dates
- Policy status
This foundational data is essential for ensuring that claims are created with accurate and up-to-date policy details. The insurance product model and basic policy information act as the backbone for claims processing, while coverages can be retrieved dynamically based on the incident date when necessary. This approach ensures flexibility without sacrificing critical information during claim creation.
Using remote tables to search for policies
If you already have an existing policy management system, you can use an API and remote tables to search for policies when you’re selecting a policy during intake. When a policy is selected, you can create a policy record to associate the policy to the claim.
Setting up the new policy data
- Insurance product models: Define the product models to reflect your available insurance products.
- Coverage specification: Define the coverage specifications for your products, such as what coverage is included and any available options.
- Setting up an insurance policy for Insurance claims: Create tables to store your personal and commercial policies.