Internet claims handling services

• US 20040064345A1
• Filed: 09/27/2002
• Published: 04/01/2004
• Est. Priority Date: 09/27/2002
• Status: Abandoned Application

• Current Assignee: Harouteoun S. Ajamian, Setrak A. Ajamian
• Original Assignee: Harouteoun S. Ajamian, Setrak A. Ajamian
• Inventors: Ajamian, Harouteoun S., Ajamian, Setrak A.
• Application Number:
  US10/259,701
• Publication Number:
  US 20040064345A1
• Time in Patent Office: Days
• US Class Current: 705/4
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 40/08 Insurance

Abstract

A method by which insurance claims may be handled on an on-going and continuous basis 24 hours a day, 7 days a week. By providing Internet or web-based document repository and distribution services, insurance companies, approved vendors, and independent adjusters may all address the loss or claim of an insured via the maintenance of such a web-based system by a service provider. In establishing certain methodological protocols, the present invention enables claims to be addressed in a rapid fashion to the benefit of insurers due to reduced costs and insureds due to quick response and more minimal damage.

Claims

1. A method for handling insurance claims via a computer network, the steps comprising:

providing a claim-handling service provider to receive and administer claims made by insureds, said claim-handling service provider including secure data storage space accessible via a large scale computer network;

said claim-handling service provider determining if a new claim is an emergency claim or if said new claim is not an emergency claim;

said claim-handling service provider contacting a vendor to perform emergency services by effecting repair or taking preventative action if said new claim is an emergency claim;

said vendor performing said emergency services;

said vendor transmitting data regarding performance of said emergency services to said claim-handling service provider including transmitting data to said secure data storage space via said large scale computer network; and

said claim-handling service provider making said performance data available to appropriate parties via said large-scale computer network;

whereby

an emergency claim may be determined and handled by said claim-handling service provider in a timely manner that repairs and/or mitigates damage arising from a source of said emergency claim.

2. A method for handling insurance claims via a computer network as set forth in claim 1, further comprising:

determining if an insurance adjuster is required to handle said new claim; and

contacting an insurance adjuster, said contacting performed by said claim-handling service provider;

whereby

an insurance adjuster may be contacted and engaged prior to contacting said vendor.

3. A method for handling insurance claims a computer network as set forth in claim 1, wherein said step of said vendor transmitting data further comprises:

said vendor contacting said claim-handling service provider;

said vendor informing said claim-handling service provider of said vendor'"'"'s performance; and

said vendor transmitting a first report to said claim-handling service provider via said large-scale computer network for storage, retrieval, and archiving.

4. A method for handling insurance claims computer network as set forth in claim 3, further comprising:

said claim-handling service provider contacting an owner of property subject to said new claim;

said claim-handling service provider inquiring of said owner as to said owner'"'"'s satisfaction with said vendor'"'"'s performance; and

recording said owner'"'"'s response for future reference.

5. A method for handling insurance claims network as set forth in claim 4, further comprising:

storing reports and documents on said secure data-storage space;

whereby

to the extent possible, a paperless claims-handling process is achieved.

6. A method for handling insurance claims as set forth in claim 1, further comprising:

said claim-handling service provider using said secure data-storage space for documents and reports for shared online handling of said new claim if said new claim is not an emergency claim;

whereby

interested parties, including an insurer, may lodge, review, and reference said documents and reports for said new claim to thereby expedite said non-emergency claim and make processing of said non-emergency claim more efficient and less expensive.

7. A method for handling insurance claims set forth in claim 2, further comprising:

proceeding to contact said vendor if said new claim is an emergency claim;

or

using said secure data-storage space for documents and reports for shared online handling of said new claim if said new claim is not an emergency claim;

whereby

said insurance adjuster may use said vendor if needed for an emergency claim and use said secure data-storage space for a non-emergency claim.

8. A method for handling insurance claims forth in claim 1, further comprising:

providing a survey to an owner of property subject to said new claim, said survey made available to said owner via said large-scale computer network.

9. A method for handling insurance claims via a computer network, the steps comprising:

providing a claim-handling service provider to receive and administer claims made by insureds, said claim-handling service provider providing secure data storage space accessible via a large scale computer network;

said claim-handling service provider determining if a new claim is an emergency claim or if said new claim is not an emergency claim;

said claim-handling service provider contacting a vendor to immediately perform emergency services by effecting repair or taking preventative action if said new claim is an emergency claim;

said claim-handling service provider determining if an insurance adjuster is required or needed to handle said new claim and contacting an insurance adjuster if said claim-handling service provider determines that an insurance adjuster is required or needed;

said vendor performing services to repair or mitigate damages from a source of said new claim;

said vendor transmitting data regarding performance of said services to said claim-handling service provider including transmitting data to said secure data storage space via said large scale computer network, including said vendor contacting said claim-handling service provider and said vendor informing said claim-handling service provider of said vendor'"'"'s performance;

said vendor transmitting a first report to said claim-handling service provider via said large-scale computer network for storage, retrieval, and archiving;

said claim-handling service provider storing reports and documents on said secure data-storage space so that to the extent possible, a paperless claims-handling process is achieved;

said claim-handling service provider making said performance data available to appropriate parties via said large-scale computer network; and

said claim-handling service provider using said secure data-storage space for documents and reports for shared online handling of said new claim if said new claim is not an emergency claim so that interested parties, including an insurer, may lodge, review, and reference said documents and reports for said new claim to thereby expedite said non-emergency claim and make processing of said non-emergency claim more efficient and less expensive;

whereby

both emergency and non-emergency claims may be determined and handled by said claim-handling service provider in a timely manner so that for an emergency claim, repairs and/or mitigation of damage arising from a source of said emergency claim may be timely effected, and for a non-emergency claim, an efficient and less expensive procedure may be achieved for handling said new claim

10. A method for handling insurance claims via a computer network as set forth in claim 9, the steps further comprising:

said claim-handling service provider contacting an owner of property subject to said new claim;

said claim-handling service provider inquiring of said owner as to said owner'"'"'s satisfaction with said vendor'"'"'s performance; and

said claim-handling service provider recording said owner'"'"'s response for future reference.

11. A method for handling insurance claims via a computer network as set forth in claim 9, the steps further comprising:

providing a survey to an owner of property subject to said new claim, said survey made available to said owner via said large-scale computer network.

12. A method for handling insurance claims via a computer network, the steps comprising:

determining if a claim by an insured qualifies for handling by a claim-handling service provider and using an existing claims-handling policy that does not include said claim-handling service provider if said new claim does not qualify for handling;

said claim-handling service provider having a web site to which documents may be uploaded and from which documents may be downloaded;

assigning said claim to said claim-handling service provider for handling by said claim-handling service provider;

providing a vendor, said vendor contacting an owner of property subject to said claim;

said vendor inspecting said property;

said vendor providing documentation including estimates, diagrams, photos, or notes;

said documentation uploaded to said web site by said vendor;

providing an adjuster, said adjuster reviewing said documentation by downloading said documentation from said web site;

determining if said insured wants said vendor to perform work on said property;

performing and completing said work upon said property;

posting a certificate of completion by upload to said web site;

contacting said owner to ensure owner is satisfied with said work; and

notifying said adjuster of owner'"'"'s satisfaction so that said adjuster may make payment on said claim;

whereby

said claim may be handled more efficiently and with less expense.

13. A method for handling insurance claims via a computer network, the steps comprising:

assigning a claim to a claim-handling service provider for handling by said claim-handling service provider;

said claim-handling service provider having a web site to which documents may be uploaded and from which documents may be downloaded;

notifying an insurance adjuster of said claim;

said insurance adjuster contacting a property owner;

said insurance adjuster inspecting property owned by said property owner and subject to said claim;

said insurance adjuster contacting said claim-handling service provider if construction and/or an emergency vendor is needed;

said insurance adjuster determining an initial scope of said claim and obtaining photographs of said claim;

said insurance adjuster documenting said claim and uploading initial documentation including said initial scope and said photographs to said web site;

said insurance adjuster uploading additional claim documentation to said web site including estimates, diagrams, additional photos, reports, and/or notes;

reviewing said initial and additional documentation, said reviewing performed by an insurer;

determining if said insured wants work performed to remedy damage associated with said claim;

performing said work to remedy said damage;

documenting said performance of said work by uploading performance documentation to said web site;

uploading a certificate of completion to said web site upon completion of said work;

providing said property owner with a survey via said web site regarding said work performed; and

notifying adjuster of said completion of said work and issuing payment according to said completion;

whereby

said claim may be processed in conjunction with said web site which facilitates document processing and distribution regarding said claim.