CLAIM WORK ASSIGNMENT USING WEIGHTED WORKLOADS
First Claim
Patent Images
1. A system for assigning insurance claim work on an insurance claims processing platform, comprising:
- one or more computer processors configured to;
obtain an insurance claim work unit;
identify among a plurality of users of the insurance claims processing platform a set of eligible users who are eligible to process the insurance claim work unit; and
automatically select among the set of eligible users a selected user to process the insurance claim work unit, including determining a set of weighted workloads that corresponds to the set of eligible users and applying a set of one or more assignment rules based on the set of weighted workloads; and
one or more memories coupled to the one or more computer processors, configured to provide the one or more computer processors with instructions.
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Abstract
Automated assignment of insurance claim work includes: obtaining an insurance claim work unit; identifying among a plurality of users of the insurance claims processing platform a set of eligible users who are eligible to process the insurance claim work unit; and automatically selecting among the set of eligible users a selected user to process the insurance claim work unit, including determining a set of weighted workloads that corresponds to the set of eligible users and applying a set of one or more assignment rules based on the set of weighted workloads.
35 Citations
22 Claims
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1. A system for assigning insurance claim work on an insurance claims processing platform, comprising:
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one or more computer processors configured to; obtain an insurance claim work unit; identify among a plurality of users of the insurance claims processing platform a set of eligible users who are eligible to process the insurance claim work unit; and automatically select among the set of eligible users a selected user to process the insurance claim work unit, including determining a set of weighted workloads that corresponds to the set of eligible users and applying a set of one or more assignment rules based on the set of weighted workloads; and one or more memories coupled to the one or more computer processors, configured to provide the one or more computer processors with instructions. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11)
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12. A method of automated assignment of insurance claim work, comprising:
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obtaining an insurance claim work unit; identifying among a plurality of users of the insurance claims processing platform a set of eligible users who are eligible to process the insurance claim work unit; and using one or more computer processors to automatically select among the set of eligible users a selected user to process the insurance claim work unit, including determining a set of weighted workloads that corresponds to the set of eligible users and applying a set of one or more assignment rules based on the set of weighted workloads. - View Dependent Claims (13, 14, 15, 16, 17, 18, 19, 20, 21)
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22. A computer program product for automated assignment of insurance claim work, the computer program product being embodied in a tangible computer readable storage medium and comprising computer instructions for:
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obtaining an insurance claim work unit; identifying among a plurality of users of the insurance claims processing platform a set of eligible users who are eligible to process the insurance claim work unit; and automatically selecting among the set of eligible users a selected user to process the insurance claim work unit, including determining a set of weighted workloads that corresponds to the set of eligible users and applying a set of one or more assignment rules based on the set of weighted workloads.
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Specification