Insurance Claims Core tables

  • Release version: Yokohama
  • Updated January 30, 2025
  • 2 minutes to read
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    Summary of Insurance Claims Core Tables

    The Insurance Claims Core tables are designed to manage and store essential insurance data related to claims. These tables facilitate the recording and processing of various aspects of insurance claims, ensuring that all necessary information is organized and accessible for efficient claims management.

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    Key Features

    • Claim Coverage: Stores the coverage details of an insurance policy for each claim.
    • Claim Incident: Captures details about insured properties and other related properties involved in the loss incident.
    • Claim Participant: Details the participants in the claim process, which can include individuals or entities involved in the claim.
    • Participant Role: Defines the role of each participant in the claims process, such as the insured party or reporting party.
    • Claim Reserve: Records reserve amounts against specific coverage and entity combinations.
    • Claim Payment: Contains information about payments made against reserves for claim settlements.
    • Injury Incident: Stores details of injuries related to the claim participants.
    • Policy Snapshot: Provides policy information relevant to the incident date, including policy numbers and effective dates.
    • Claim Incident Configuration: Defines the configuration settings for claim incidents, including descriptions and service definitions.
    • Itemized Loss/Expense: Records information about specific losses and expenses associated with a claim.
    • Baggage Incident: Contains details regarding baggage loss incidents, including descriptions and flight details.
    • Trip Incident: Manages information about trip loss incidents, including incident descriptions and reservation numbers.

    Key Outcomes

    By utilizing these tables, ServiceNow customers can effectively manage insurance claims, ensuring that all relevant data is stored and easily retrievable. This structured approach aids in the efficiency of the claims process and enhances the overall management of insurance operations.

    This section explains the insurance tables in Insurance Claims Core and how they handle insurance data.

    Tables installed

    The following table lists the tables that are installed with Insurance Claims Core.

    Table 1. Insurance Claims Core tables
    Table Description
    Claim Coverage

    [sn_ins_claim_coverage]

    		 Stores coverage of an insurance policy for a claim.
    Claim Incident

    [sn_ins_claim_property]

    		 Stores details about the insured properties or details about the other properties that are involved in the loss incident that is reported in the claim.
    Claim Participant

    [sn_ins_claim_profile]

    		 Stores details about all the participants involved in the claim process. It can be a person or company. For example, the insured driver, the driver of another vehicle, or any external experts involved in the evaluation and so on. These details can be used as an involved entity to make a claim against a coverage or as a payee to whom a payment is made.
    Participant Role

    [sn_ins_claim_participant]

    		 Stores information about a claim participant's role, such as the injured party, the insured, the reporting party, or another role related to the claim. Extends the Customer Service table Related Party [sn_customerservice_related_party].
    Claim Reserve

    [sn_ins_claim_reserve]

    		 Stores the reserve amounts that are created against a coverage and entity combination.
    Claim Payment

    [sn_ins_claim_payment]

    		 Stores details about the payment amount that is created against a reserve for settling a claim.
    Note:
    For both claim reserve and payment, depending on the system properties, the claims approval engine for approval process might be invoked for a reserve record or payment.
    Injury Incident

    [sn_ins_claim_injury]

    		 Stores participant injury details for a claim.
    Policy Snapshot

    [sn_ins_claim_policy_snapshot]

    		 Stores policy information specific to the time of an incident date, including Policy Number, Effective Date, Expiry Date, and other details.
    Claim Incident Configuration [sn_ins_claim_incident_config]Defines the configuration for claim incidents that can be created as part of the Insurance claims application. Use this table to define the following:
    • Name and short description of the claim incident
    • Claim incident table name
    • The icon that is shown
    • Adjuster task service definition
    • Parent service definition
    • Whether the loss can be itemized
    • Whether an adjuster task is created per incident or per incident type (for example, a single task for all baggage claim incidents)
    • Display order of the service definitions in the playbook
    • Whether the service definition is shown in the UI or not

    For more information, see Claim Incident Configuration table.

    Itemized Loss/Expense [sn_ins_claim_incident_item]Stores information about the itemized losses and expenses for a claim.
    Baggage Incident [sn_ins_claim_baggage]Stores information about a baggage loss incident, such as a description of the baggage, the associated flight details, and the claimant.
    Trip Incident [sn_ins_claim_trip]Stores information about a trip loss incident, such as a description of the incident, reservation numbers, and other supporting questions.