Components installed with Insurance Claims Core data model

Washington DC Financial Services Operations

Release

washingtondc

ft:locale

en-US

ft:publication_title

Washington DC Financial Services Operations

ft:clusterId

finso

bundleId

finso

workflow

Customer and Industry

Components installed with Insurance Claims Core data model

Release version: Washingtondc

Updated February 1, 2024

3 minutes to read

Several types of components are installed with the Insurance Claims Core application, including tables, properties, and user roles.

Note:

The Insurance Claims Core application is automatically installed when you install either the Financial Services Operations Core application, or the Commercial Lines Claims application, or the Personal Lines Claims application.

Roles installed

The Insurance Claims Core includes access control lists (ACLs) and read-write user roles to restrict access to different tables.

Table 1. Roles installed with the Insurance Claims Core application
Role title [name]	Description
Insurance Claims Core admin [sn_ins_claim.admin]	Create, read, write, and delete access to all tables including the core data.
Insurance Claims Core reserve writer [sn_ins_claim.reserve_writer]	Write access to the Claim Reserve table.
Insurance Claims Core reserve reader [sn_ins_claim.reserve_reader]	Read access to the Claim Reserve table.
Insurance Claims Core property writer [sn_ins_claim.property_writer]	Write access to the Claim Incident table.
Insurance Claims Core property reader [sn_ins_claim.property_reader]	Read access to the Claim Incident table.
Insurance Claims Core payment writer [sn_ins_claim.payment_writer]	Write access to the Claim Payment table.
Insurance Claims Core payment reader [sn_ins_claim.payment_reader]	Read access to the Claim Payment table.
Insurance Claims Core participant writer [sn_ins_claim.participant_writer]	Write access to the Participant Role table.
Insurance Claims Core participant reader [sn_ins_claim.participant_reader]	Read access to the Participant Role table.
Insurance Claims Core coverage writer [sn_ins_claim.coverage_writer]	Write access to the Claim Coverage table.
Insurance Claims Core coverage reader [sn_ins_claim.coverage_reader]	Read access to the Claim Coverage table.
Insurance Claims Core claim injury writer [sn_ins_claim.injury_reader]	Write access to the Claim Injury table.
Insurance Claims Core claim injury reader [sn_ins_claim.injury_writer]	Read access to the Claim Injury table.
Insurance Claims Core profile reader [sn_ins_claim.profile_reader]	Read access to the Claim Participant (Profile) table.
Insurance Claims Core profile writer [sn_ins_claim.profile_writer]	Write access to the Claim Participant (Profile) table.
Policy Snapshot reader [sn_ins_claim.policy_snapshot_reader]	Read access to the Policy Snapshot table.
Policy Snapshot writer [sn_ins_claim.policy_snapshot_writer]	Write access to the Policy Snapshot table.

Tables installed

The Insurance Claims Core data model references information from the following tables to store data:

Financial Services Operations tables that are installed when Commercial Lines Claims and Personal Lines Claims applications are installed.
Tables from Customer Service Management (CSM) application.
ServiceNow AI Platform tables.

Table 2. 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 responsibility relevant details such as whether the participant is the injured, the insured, or the reporting 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.

Properties installed

To update the claims system properties, navigate to Insurance claim operations > Properties. The following properties are available:

Table 3. Claims system properties
Property	Name	Description
Approval process required for claim reserves?	sn_ins_claim.reserve_approval	Determines if you want an approval process for claim reserve.
Hierarchical approval required for claim reserves?	sn_ins_claim.reserve_approval_is_sequential	When enabled, the manager receives a notification that the adjuster has submitted a claim reserve request for review. Even if the manager doesn’t have the approval authority, the claim reserve approval request will always move a sequential order to all the next level manager for approval. When disabled, the approval request goes directly to a manager who has the approval authority for the amount.
Approval process required for claim payments?	sn_ins_claim.payment_approval	Determines if you want an approval process for claim payment.
Hierarchical approval required for claim payments?	sn_ins_claim.payment_approval_is_sequential	When enabled, the manager receives a notification that the adjuster has submitted a claim payment request for review. Even if the manager doesn’t have the approval authority, the claim payment approval request will always move in a sequential order to all the next level manager for approval. When disabled, the approval request goes directly to a manager who has the approval authority for the amount.