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CLAIM WORK ASSIGNMENT USING WEIGHTED WORKLOADS

  • US 20150154713A1
  • Filed: 01/20/2014
  • Published: 06/04/2015
  • Est. Priority Date: 12/04/2013
  • Status: Active Application
First Claim
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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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