AUDIT PERFORMANCE EVALUATION

• US 20150187012A1
• Filed: 12/31/2013
• Published: 07/02/2015
• Est. Priority Date: 12/31/2013
• Status: Active Grant

• Current Assignee: AON Global Operations SE Singapore Branch
• Original Assignee: Aon Global Risk Research Limited (Aon Plc (Spain))
• Inventors: Combes, Kevin, Braun, Paul, Galusha, Larry Joe
• Granted Patent: US 9,721,303 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: G06Q 10/06 Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
• CPC Class Codes: G06Q 10/06393 Score-carding, benchmarking or key performance indicator [KPI] analysis
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 40/00 Finance; Insurance; Tax strategies; Processing of corporate or income taxes
• CPC Class Codes: G06Q 40/08 Insurance

Abstract

Audit performance systems and methods can be used to provide objective assessment of the performance of claim administrators. Data from audits performed by one or more insurance broker consultants can be input into the audit performance system, and analyzed, to generate reports that compare the performance of a selected claim administrator to an industry standard level of performance or to one or more other claim administrators.

Claims

1. A method of performing an audit performance evaluation using an audit performance evaluation system, the method comprising steps of:

receiving, by an audit evaluation provider computing device, claim data and claim audit performance data;

storing, by an audit evaluation provider computing device, the received claim data and claim audit performance data in a memory of the audit performance evaluation system;

analyzing, by an audit evaluation provider computing device, the stored claim data and claim audit performance data; and

generating, by an audit evaluation provider computing device, one or more reports assessing the performance of a selected claim administrator.

2. The method of claim 1, wherein the claim data includes claim identification information that is used for indexing audit performance data associated with each claim audit received by the audit performance evaluation system.

3. The method of claim 1, wherein the claim audit performance data comprises performance scores for each of a plurality of performance categories.

4. The method of claim 1, wherein the claim audit performance data comprises performance scores for each of a plurality of criteria within each of a plurality of performance categories.

5. The method of claim 1, wherein the step of analyzing comprises determining an industry standard level of performance for each of a plurality of criteria within each of a plurality of performance categories.

6. The method of claim 1, wherein the step of analyzing comprises determining a cumulative performance score for at least one claim administrator for each of a plurality of performance categories.

7. The method of claim 1, further comprising a step of transmitting, by an audit evaluation provider computing device, the one or more reports to a client computing device.

8. The method of claim 1, wherein the one or more reports comprise a comparison of a performance of a selected claim administrator to an industry standard level of performance.

9. The method of claim 1, wherein the one or more reports comprise a comparison of a performance of a selected claim administrator to a performance of one or more other claim administrators.

10. A non-transitory computing device readable medium comprising computing device readable instructions that when executed cause a processor of an audit evaluation provider computing device to perform steps of:

receiving claim data and claim audit performance data;

storing the received claim data and claim audit performance data in a memory of the audit performance evaluation system;

analyzing the stored claim data and claim audit performance data; and

generating one or more reports assessing the performance of a selected claim administrator.

11. The non-transitory computing device readable medium of claim 10, wherein the computing device readable instructions for the step of analyzing comprise instructions that when executed cause the processor to perform a step of determining an industry standard level of performance for each of a plurality of criteria within each of a plurality of performance categories.

12. The non-transitory computing device readable medium of claim 10, wherein the computing device readable instructions for the step of analyzing comprise instructions that when executed cause the processor to perform a step of determining a cumulative performance score for at least one claim administrator for each of a plurality of performance categories.

13. The non-transitory computing device readable medium of claim 10, wherein the computing device readable instructions further comprise instructions that when executed cause the processor to perform a step of transmitting, by an audit evaluation provider computing device, the one or more reports to a client computing device.

14. The non-transitory computing device readable medium of claim 10, wherein the one or more reports comprise a comparison of a performance of a selected claim administrator to at least one of an industry standard level of performance and a performance of one or more other claim administrators.

15. An audit performance evaluation system comprising:

an audit evaluation provider computing device operatively connected to a network, the audit evaluation provider computing device having a processor and a memory, wherein the memory comprises computing device readable instructions that when executed cause the processor to perform steps of;

receiving claim data and claim audit performance data;

storing the received claim data and claim audit performance data in a memory of the audit performance evaluation system;

analyzing the stored claim data and claim audit performance data; and

generating one or more reports assessing the performance of a selected claim administrator.

16. The audit performance evaluation system of claim 15, further comprising one or more insurance broker consultant computing devices operatively connected to the network, wherein the audit evaluation provider computing device receives claim data and claim audit performance data from the one or more insurance broker consultant computing devices.

17. The audit performance evaluation system of claim 15, further comprising one or more client computing devices operatively connected to the network, wherein the audit evaluation provider computing device, wherein the audit evaluation provider computing device transmits the one or more reports to the one or more client computing devices.

18. The audit performance evaluation system of claim 15, wherein the one or more reports comprise a comparison of a performance of a selected claim administrator to an industry standard level of performance.

19. The audit performance evaluation system of claim 15, wherein the one or more reports comprise a comparison of a performance of a selected claim administrator to a performance of one or more other claim administrators.