System and method for processing insurance claims
First Claim
1. A method of processing an insurance claim by assigning tasks to suppliers, the method comprising the steps of:
- (a) generating a claim datafile having data sections;
(b) selecting at least one supplier from a plurality of suppliers;
(c) assigning tasks to said at least one supplier over a communications network;
(d) providing each of said at least one selected supplier with access to claim datafile;
(e) providing said at least one selected supplier with the ability to electronically attach documents relating to completed tasks to the claim datafile over the communications network.
1 Assignment
0 Petitions
Accused Products
Abstract
An insurance claim processing system and method which provides a plurality of prime movers such as insurers, intermediates, and risk managers and a plurality of suppliers including claim service providers, other professionals and vendors with the ability to simultaneously access, modify, and enhance a claim file remotely over a communications network. The claim processing system allows prime movers to select, interact with, assign tasks to, monitor, and evaluate claim service suppliers. As selected suppliers completed their assigned tasks, the suppliers are able to electronically attach electronic report documents to the claim file. Once all the tasks are completed, the prime mover associated with the claim file is notified and reviews the progress of the claim. Any additional tasks can be assigned and the claim adjustment can be completed. The relative performance of suppliers can be evaluated based on comparative performance records maintained by the system and future selection of suppliers can be informed by historical performance of suppliers. In this way, the system serves as an electronic clearing house for insurance claim processing.
190 Citations
16 Claims
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1. A method of processing an insurance claim by assigning tasks to suppliers, the method comprising the steps of:
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(a) generating a claim datafile having data sections;
(b) selecting at least one supplier from a plurality of suppliers;
(c) assigning tasks to said at least one supplier over a communications network;
(d) providing each of said at least one selected supplier with access to claim datafile;
(e) providing said at least one selected supplier with the ability to electronically attach documents relating to completed tasks to the claim datafile over the communications network. - View Dependent Claims (2, 3, 4, 5, 6)
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7. A system for processing a claim file by assigning tasks to suppliers, said system comprising:
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(a) a network server for generating and maintaining a claim datafile, said claim datafile having a plurality of data sections;
(b) a communications network coupled to said network server;
(c) a user interface for selecting at least one supplier from a plurality of suppliers;
(d) a user interface for assigning tasks to said at least one supplier over a communications network;
(e) a user interface for providing each of said at least one selected supplier with access to said claim datafile; and
a user interface for providing said at least one selected supplier with the ability to electronically attach documents relating to completed tasks to the claim datafile over the communications network. - View Dependent Claims (8, 9, 10, 11, 12)
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13. A claim datafile for use in an insurance claim processing system which adjusts an insurance claim by assigning tasks to selected suppliers, the claim file comprising:
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(a) a user interface that allows for the selecting of at least one supplier from a plurality of suppliers;
(b) a user interface for assigning at least one task to the at least one selected supplier; and
(c) a user interface which provides said at least one supplier with the ability to electronically attach a report document to the claim datafile. - View Dependent Claims (14, 15, 16)
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Specification