Collaborative intelligent task processor for insurance claims
First Claim
1. An insurance claim processing system, comprising:
- an insurance claim database configured to store and provide access to data in a data record that is related to an insurance claim;
an event processor executable with a computer to iteratively monitor the data in the data record and identify changes to the data as events;
a task engine component executable with a computer in response to one of the identified events to generate tasks indicative of information related to the event that is to be acquired based on the contents of the data record; and
a collaborative intelligent task processor executable with a computer to analyze a task generated by the task engine component and select an action plan that is responsive to the task, wherein the action plan includes a first procedure that enables the collaborative intelligent task processor to acquire information related to the insurance claim, and a second procedure that enables the collaborative intelligent task processor to process the acquired information to yield a result responsive to the task.
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Accused Products
Abstract
An insurance claim processing system may include an insurance claim database, an event processor component, a task engine component and a collaborative intelligent task processor. The insurance claim database may be configured to store and provide access to data in a data record that is related to an insurance claim. The event processor component may be executable with a computer to iteratively monitor the data in the data record and identify events. The task engine component may be executable with a computer in response to one of the identified events to generate tasks indicative of information that needs to be acquired based on the contents of the data record. The collaborative intelligent task processor may be executable with a computer to analyze a task generated by the task engine component and select an action plan that is responsive to the task. The action plan may include a first procedure that enables the collaborative intelligent task processor to acquire information related to the insurance claim, and a second procedure that enables the collaborative intelligent task processor to process the information to yield a result responsive to the task.
238 Citations
42 Claims
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1. An insurance claim processing system, comprising:
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an insurance claim database configured to store and provide access to data in a data record that is related to an insurance claim;
an event processor executable with a computer to iteratively monitor the data in the data record and identify changes to the data as events;
a task engine component executable with a computer in response to one of the identified events to generate tasks indicative of information related to the event that is to be acquired based on the contents of the data record; and
a collaborative intelligent task processor executable with a computer to analyze a task generated by the task engine component and select an action plan that is responsive to the task, wherein the action plan includes a first procedure that enables the collaborative intelligent task processor to acquire information related to the insurance claim, and a second procedure that enables the collaborative intelligent task processor to process the acquired information to yield a result responsive to the task. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A method of processing insurance claims with instructions stored in a computer, the method comprising:
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iteratively evaluating data related to an insurance claim with a computer, wherein the evaluated data is stored in an insurance claim database;
generating an execution task with the computer based on the content of the stored data;
analyzing the execution task with a collaborative intelligent task processor executable with the computer, the collaborative intelligent task processor selecting an action plan from among a plurality of action plans to formulate a response to the execution task;
the collaborative intelligent task processor completing a first procedure included in the action plan that results in acquisition of data related to the insurance claim; and
the collaborative intelligent task processor completing a second procedure included in the action plan to process the acquired data to obtain a result responsive to the execution task. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24)
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25. An insurance claim processing system embodied in instructions stored on a memory device, comprising:
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a memory device, instructions stored in the memory device to iteratively analyze data associated with an insurance claim and identify investigations to be performed to process the insurance claim;
instructions stored in the memory device to generate an assignable task related to one of the identified investigations;
instructions stored in the memory device executable after allocation of the task to a collaborative intelligent task processor to select an action plan responsive to the assignable task;
instructions stored in the memory device to complete a first procedure included in the action plan, wherein the first procedure enables acquisition of information related to the insurance claim;
instructions stored in the memory device to complete a second procedure included in the action plan, to process the acquired information; and
instructions stored in the memory device to store the results in association with the insurance claim. - View Dependent Claims (26, 27, 28, 29)
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30. An insurance claim processing system, comprising:
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a task analysis component executable by a computer to receive an assigned task related to processing of an insurance claim, wherein the task analysis component is configured to select an action plan responsive to the assigned task that includes at least two procedures;
a data retrieval component executable by a computer to complete a procedure included in the selected action plan to access and retrieve information;
an enable actions component executable by a computer to complete a procedure included in the selected action plan by initiation of a sub-process that is not part of the selected action plan, by selective supply of retrieved information to the sub-process and by receipt of resulting information from the sub-process; and
a data analysis component executable by a computer to complete a procedure included in the selected action plan to apply processing rules to at least one of the retrieved information or the resulting information, or combinations thereof, to generate a task result responsive to the assigned task. - View Dependent Claims (31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42)
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Specification