SYSTEM AND METHOD FOR ANALYSIS OF INSURANCE CLAIMS

• US 20110320223A1
• Filed: 06/28/2010
• Published: 12/29/2011
• Est. Priority Date: 06/28/2010
• Status: Abandoned Application

• Current Assignee: Hartford Fire Insurance Company (The Hartford Financial Services Group, Inc.)
• Original Assignee: Hartford Fire Insurance Company (The Hartford Financial Services Group, Inc.)
• Inventors: Pierce, Donald R., Drennan, Arthur Paul III, Howard, Kevin Thomas, Lee, Kyle M., MacDonald, Shannon Cathleen
• Application Number:
  US12/824,713
• Publication Number:
  US 20110320223A1
• Time in Patent Office: Days
• US Class Current: 705/4
• CPC Class Codes: G06Q 40/08 Insurance

Abstract

A computer system for analyzing insurance claim data is configured to receive data relating to a current insurance claim from a client device; query a database for data relating to insurance claims similar to the current claim; receive from the database data relating to insurance claims responsive to the query; analyze the received data; generate a display of the analyzed received data and communicate the generated display to the client device for display on the client device. The display may include a value of recoveries within the time window as a proportion of initial demands for settled similar claims and a value of recoveries within the time window as a proportion of initial demands for arbitrated similar claims.

Claims

1. A computer system for analyzing insurance claims, comprising:

a system access module configured to authenticate a user from a client device;

a communication module configured to receive from the client device data relating to a current insurance claim;

a data access module configured to access from a database data relating to insurance claims;

a processing module configured to, based on the received data relating to the current insurance claim, formulate a query for use by the data access module in identifying claims similar to the current claim;

a graphical user interface generation module configured to provide, for display on the client device;

data related to recoveries for similar claims compared to data related to recoveries for a broader set of claims, within a time window; and

a processor configured to execute instructions furnished by each of the modules.

2. The computer system of claim 1, wherein the current claim relates to an automotive collision.

3. The computer system of claim 1, wherein the GUI generation module is further configured to display on a single screen a value of recoveries within the time window as a proportion of initial demands for settled similar claims and a value of recoveries within the time window as a proportion of initial demands for arbitrated similar claims.

4. The computer system of claim 3, wherein the GUI generation module is further configured to display on the single screen a value of recoveries within the time window as a proportion of initial demands for litigated similar claims.

5. The computer system of claim 1, wherein the similar claims comprise claims having similarity in a plurality of factors, including responding carrier, type of claim and dollar value of claim.

6. The computer system of claim 1, wherein the time window is user-selected.

7. The computer system of claim 1, wherein the GUI interface generation module is further configured to display a value of recoveries as a proportion of initial demands against time for time periods within the time window.

8. The computer system of claim 1, wherein the GUI interface generation module is further configured to display a comparison of time to recovery for a responding carrier and for benchmark carriers over time.

9. A computer system for analyzing insurance claim data, comprising:

a hardware server in communication with a network;

a data storage device in communication with the hardware server;

the hardware server being configured to;

receive data relating to a current insurance claim from a client device over the network;

query a database on the data storage device for data relating to insurance claims similar to the current claim;

receive from the database data relating to insurance claims responsive to the query;

analyze the received data;

generate displays of the analyzed received data and communicate the generated displays over the network for display by the client device.

10. The computer system of claim 9, wherein the current claim relates to real property damage.

11. The computer system of claim 9, wherein the generated display includes a on a single screen a value of recoveries within the time window as a proportion of initial demands for settled similar claims and a value of recoveries within the time window as a proportion of initial demands for arbitrated similar claims.

12. The computer system of claim 11, wherein the generated display further includes on the single screen a value of recoveries within the time window as a proportion of initial demands for litigated similar claims.

13. The computer system of claim 11, wherein the generated display further includes on the single screen a value of recoveries within the time window as a proportion of initial demands for a broader benchmark set of arbitrated claims.

14. The computer system of claim 9, wherein the time window is user-selected.

15. The computer system of claim 9, wherein the generated display further includes a time to recovery for demands against the responding carrier over time and a time to recovery for demands against a benchmark set of carriers over time.

16. The computer system of claim 9, wherein the generated display further includes a comparison of time to escalation to arbitration or litigation for a responding carrier and for benchmark carriers over time.

17. The computer system of claim 9, wherein the received data includes a responding law firm, and the generated display includes data relating to proportions of cases settled by the responding law firm within a time window.

18. A computer-implemented method for analyzing insurance claims, comprising:

receiving by a hardware server data relating to a current insurance claim from a client device over a network;

querying by the hardware server a database having data stored on a data storage device in communication with the hardware server for data relating to insurance claims similar to the current claim;

receiving by the hardware server from the database data relating to insurance claims responsive to the query;

analyzing by the hardware server the received data;

generating by the hardware server a display of the analyzed received data and

communicating by the hardware server the generated displays over the network for display by the client device.

19. The computer-implemented method of claim 18, wherein the received data includes claim amount, claim type, claim state, and responding carrier.

20. The computer-implemented method of claim 18, wherein the generating includes generating a display including on a single screen a value of recoveries within a time window as a proportion of initial demands for settled similar claims and a value of recoveries within the time window as a proportion of initial demands for arbitrated similar claims.

21. The computer-implemented method of claim 20, wherein the generated display further includes on the single screen a value of recoveries within the time window as a proportion of initial demands for litigated similar claims.

22. The computer-implemented method of claim 20, wherein the generated display further includes a value of recoveries within the time window as a proportion of a value of initial demands for a benchmark set of arbitrated claims.

23. The computer-implemented method of claim 20 wherein the generated display further includes a time series display of times to recovery for demands made against a same responding carrier as a responding carrier of the current claim.

24. The computer-implemented method of claim 20, wherein the generated display further includes a comparison of time to recovery for a responding carrier and for a benchmark set of carriers over time.

25. A computer-implemented method for displaying data related to an insurance claim, comprising:

establishing by a client device, in communication with a network, communication with a hardware server over the network;

furnishing by the client device to the hardware server, via the network, data relating to a current insurance claim, the data including a demanded amount and a responding carrier;

receiving by the client device from the hardware server via the network data indicative of a graphical display of analyzed data relating to the current insurance claim; and

displaying by the client device the graphical display.

26. The computer-implemented method of claim 25, wherein the graphical display includes a value of recoveries within a time window as a proportion of initial demands for settled similar claims and a value of recoveries within the time window as a proportion of initial demands for arbitrated similar claims.

27. The computer-implemented method of claim 26, wherein the graphical display further includes a value of recoveries within the time window as a proportion of initial demands for litigated similar claims.

28. A non-transitory computer-readable medium having stored thereon computer-readable instructions, which instructions, when executed by a processor, cause the processor to:

receive data relating to a current insurance claim from a client device;

query a database for data relating to insurance claims similar to the current claim;

receive from the database data relating to insurance claims responsive to the query;

analyze the received data;

generate a display of the analyzed received data; and

communicate the generated display to the client device.

29. The non-transitory computer-readable medium of claim 28, wherein the generated display includes a value of recoveries within a time window as a proportion of initial demands for settled similar claims and a value of recoveries within the time window as a proportion of initial demands for a benchmark set of settled claims.

30. The non-transitory computer-readable medium of claim 29, wherein the generated display further includes a value of recoveries within the time window as a proportion of initial demands for arbitrated similar claims and a value of recoveries within the time window as a proportion of initial demands for a benchmark set of arbitrated claims.