System and method for automatically monitoring the performance of a contractor in the management of an insurance claim

• US 7,877,305 B2
• Filed: 03/01/2007
• Issued: 01/25/2011
• Est. Priority Date: 03/01/2007
• Status: Active Grant

• Current Assignee: Code Blue LLC
• Original Assignee: Code Blue LLC
• Inventors: Jones, Ed N., Gross, Paul
• Primary Examiner(s): Colbert; Ella
• Assistant Examiner(s): Shaikh; Mohammad Z
• Application Number:
  US11/713,271
• Publication Number:
  US 20070226029A1
• Time in Patent Office: 1,426 Days
• Field of Search: 705 35- 42
• US Class Current: 705/35
• CPC Class Codes: G06Q 10/06 Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
• CPC Class Codes: G06Q 40/00 Finance; Insurance; Tax strategies; Processing of corporate or income taxes

Abstract

In an exemplary embodiment, a server system stores a plurality of textual scripts in a database server in association with a plurality of contractor actions. Each of the textual scripts comprises an alert notifying the contractor of an obligation to perform the associated contractor action. The server system generates a plurality of deadlines by which the contractor is required to perform the contractor actions, and provides a user interface that allows a user to submit a plurality of notices of completion for the contractor actions. If a particular notice of completion is not submitted by the deadline for the contractor action, the server system selects the textual script associated with the contractor action, converts the textual script to a voice message, and initiates transmission of the voice message to the contractor via a telephone network.

Claims

1. A system for monitoring a contractor assigned to perform restoration services at an insured property, comprising:

a database server;

a server system coupled to the database server, wherein the server system;

generates a deadline by which the contractor is required to perform a contractor action, wherein the contractor action comprises one of the following;

arriving at the insured property, obtaining initial inspection information on the insured property, obtaining daily inspection information on the insured property, and preparing final documentation on the insured property;

provides a user interface that includes functionality for a user to submit a notice of completion for the contractor action;

stores the notice of completion for the contractor action in the database server in association with a claim identifier; and

initiates transmission of at least one automated reminder message to the contractor if the notice of completion is not submitted by the deadline for the contractor action, wherein the automated reminder message comprises an alert notifying the contractor of an obligation to perform the contractor action.

2. The system of claim 1, wherein the deadline for arriving at the insured property comprises a specified period of time after a date and time that the contractor is dispatched to the insured property.

3. The system of claim 2, wherein the specified period of time is between one hour and five hours.

4. The system of claim 2, wherein the user interface includes functionality for the user to submit the date and time that the contractor is dispatched to the insured property.

5. The system of claim 4, wherein the user comprises either a claim administrator or an insurance carrier.

6. The system of claim 2, wherein the notice of completion comprises submission of a date and time that the contractor arrives at the insured property.

7. The system of claim 6, wherein the user interface includes functionality for the user to submit the date and time that the contractor arrives at the insured property.

8. The system of claim 7, wherein the user comprises either a claim administrator or the contractor.

9. The system of claim 7, wherein a contractor arrival code is provided to a claimant, and wherein a date and time that the contractor arrival code is received from the claimant is utilized to verify the date and time that the contractor arrives at the insured property as submitted by the user.

10. The system of claim 6, wherein the automated reminder message comprises a textual or audio alert notifying the contractor of an obligation to arrive at the insured property and complete a description of damage to the insured property.

11. The system of claim 1, wherein the deadline for obtaining initial inspection information on the insured property comprises a specified period of time after a date and time that the contractor is dispatched to the insured property.

12. The system of claim 11, wherein the specified period of time is between two hours and twenty-four hours.

13. The system of claim 11, wherein the user interface includes functionality for the user to submit the date and time that the contractor is dispatched to the insured property.

14. The system of claim 13, wherein the user comprises either a claim administrator or an insurance carrier.

15. The system of claim 11, wherein the notice of completion comprises submission of the initial inspection information on the insured property.

16. The system of claim 15, wherein the user interface includes functionality for the user to submit the initial inspection information on the insured property.

17. The system of claim 16, wherein the user comprises the contractor.

18. The system of claim 15, wherein the automated reminder message comprises a textual or audio alert notifying the contractor of an obligation to submit the initial inspection information on the insured property.

19. The system of claim 1, wherein the deadline for obtaining daily inspection information on the insured property comprises a specified time on each inspection date.

20. The system of claim 19, wherein the notice of completion comprises submission of the daily inspection information on the insured property.

21. The system of claim 20, wherein the user interface includes functionality for the user to submit the daily inspection information on the insured property.

22. The system of claim 21, wherein the user comprises the contractor.

23. The system of claim 21, wherein the automated reminder message comprises a textual or audio alert notifying the contractor of an obligation to submit the daily inspection information on the insured property.

24. The system of claim 1, wherein the deadline for obtaining final documentation on the insured property comprises a specified period of time after a date and time that the contractor completes the restoration services at the insured property.

25. The system of claim 24, wherein the specified period of time is between zero hours and twenty-four hours.

26. The system of claim 24, wherein the user interface includes functionality for the user to submit the date and time that the contractor completes the restoration services at the insured property.

27. The system of claim 26, wherein the user comprises either a claim administrator or the contractor.

28. The system of claim 24, wherein the notice of completion comprises submission of the final documentation on the insured property.

29. The system of claim 28, wherein the user interface includes functionality for the user to submit the final documentation on the insured property.

30. The system of claim 29, wherein the user comprises the contractor.

31. The system of claim 28, wherein the automated reminder message comprises a textual or audio alert notifying the contractor of an obligation to submit the final documentation on the insured property.

32. The system of claim 1, wherein the automated reminder message comprises one or more of the following:

a voice message, a text message, an e-mail, and an instant message.

33. The system of claim 1, wherein the server system initiates transmission of a plurality of automated reminder messages to the contractor until submission of the notice of completion.

34. The system of claim 33, wherein the user interface presents a web page that displays the transmitted automated reminder messages.

35. An automated method for monitoring a contractor assigned to perform restoration services at an insured property comprising:

using a server system to;

generate a deadline by which the contractor is required to perform a contractor action, wherein the contractor action comprises one of the following;

arriving at the insured property, obtaining initial inspection information on the insured property, obtaining daily inspection information on the insured property, and preparing final documentation on the insured property;

provide a user interface that includes functionality for a user to submit a notice of completion for the contractor action;

initiate transmission of at least one automated reminder message to the contractor if the notice of completion is not submitted by the deadline for the contractor action, wherein the automated reminder message comprises an alert notifying the contractor of an obligation to perform the contractor action; and

using a database server to store the notice of completion for the contractor action in association with a claim identifier.

36. The method of claim 35, wherein the deadline for arriving at the insured property comprises a specified period of time after a date and time that the contractor is dispatched to the insured property.

37. The method of claim 36, wherein the specified period of time is between one hour and five hours.

38. The method of claim 36, wherein the user interface includes functionality for the user to submit the date and time that the contractor is dispatched to the insured property.

39. The method of claim 38, wherein the user comprises either a claim administrator or an insurance carrier.

40. The method of claim 36, wherein the notice of completion comprises submission of a date and time that the contractor arrives at the insured property.

41. The method of claim 40, wherein the user interface includes functionality for the user to submit the date and time that the contractor arrives at the insured property.

42. The method of claim 41, wherein the user comprises either a claim administrator or the contractor.

43. The method of claim 41, wherein a contractor arrival code is provided to a claimant, and wherein a date and time that the contractor arrival code is received from the claimant is utilized to verify the date and time that the contractor arrives at the insured property as submitted by the user.

44. The method of claim 36, wherein the automated reminder message comprises a textual or audio alert notifying the contractor of an obligation to arrive at the insured property and complete a description of damage to the insured property.

45. The method of claim 35, wherein the deadline for obtaining initial inspection information on the insured property comprises a specified period of time after a date and time that the contractor is dispatched to the insured property.

46. The method of claim 45, wherein the specified period of time is between two hours and twenty-four hours.

47. The method of claim 45, wherein the user interface includes functionality for the user to submit the date and time that the contractor is dispatched to the insured property.

48. The method of claim 47, wherein the user comprises either a claim administrator or an insurance carrier.

49. The method of claim 45, wherein the notice of completion comprises submission of the initial inspection information on the insured property.

50. The method of claim 49, wherein the user interface includes functionality for the user to submit the initial inspection information on the insured property.

51. The method of claim 50, wherein the user comprises the contractor.

52. The method of claim 49, wherein the automated reminder message comprises a textual or audio alert notifying the contractor of an obligation to submit the initial inspection information on the insured property.

53. The method of claim 35, wherein the deadline for obtaining daily inspection information on the insured property comprises a specified time on each inspection date.

54. The method of claim 53, wherein the notice of completion comprises submission of the daily inspection information on the insured property.

55. The method of claim 54, wherein the user interface includes functionality for the user to submit the daily inspection information on the insured property.

56. The method of claim 55, wherein the user comprises the contractor.

57. The method of claim 55, wherein the automated reminder message comprises a textual or audio alert notifying the contractor of an obligation to submit the daily inspection information on the insured property.

58. The method of claim 35, wherein the deadline for obtaining final documentation on the insured property comprises a specified period of time after a date and time that the contractor completes the restoration services at the insured property.

59. The method of claim 58, wherein the specified period of time is between zero hours and twenty-four hours.

60. The method of claim 58, wherein the user interface includes functionality for the user to submit the date and time that the contractor completes the restoration services at the insured property.

61. The method of claim 60, wherein the user comprises either a claim administrator or the contractor.

62. The method of claim 58, wherein the notice of completion comprises submission of the final documentation on the insured property.

63. The method of claim 62, wherein the user interface includes functionality for the user to submit the final documentation on the insured property.

64. The method of claim 63, wherein the user comprises the contractor.

65. The method of claim 62, wherein the automated reminder message comprises a textual or audio alert notifying the contractor of an obligation to submit the final documentation on the insured property.

66. The method of claim 35, wherein the automated reminder message comprises one or more of the following:

a voice message, a text message, an e-mail, and an instant message.

67. The method of claim 35, further comprising initiating transmission of a plurality of automated reminder messages to the contractor until submission of the notice of completion.

68. The method of claim 67, wherein the user interface presents a web page that displays the transmitted automated reminder messages.