Systems and methods for processing a request to repair or replace an item covered by insurance

• US 8,175,899 B2
• Filed: 11/12/2008
• Issued: 05/08/2012
• Est. Priority Date: 09/20/2002
• Status: Active Grant

• Current Assignee: Assurant Incorporated
• Original Assignee: Fortis Incorporated
• Inventors: Becerra, Manuel, Hickey, James, Vigo, Doris
• Primary Examiner(s): Cobanoglu, Dilek B
• Application Number:
  US12/269,299
• Publication Number:
  US 20090063202A1
• Time in Patent Office: 1,273 Days
• Field of Search: 705/4, 701/35, 1/1
• US Class Current: 705/4
• CPC Class Codes: G06Q 10/20 Administration of product repair or maintenance
• CPC Class Codes: G06Q 40/02 Banking, e.g. interest calculation or account maintenance credit or loans G06Q40/03
• CPC Class Codes: G06Q 40/08 Insurance

Abstract

A method of providing insurance to a customer that comprises the steps of: (1) selling a service contract to the customer that provides protection against the mechanical breakdown or other failure of an item (and in some cases, accidental damage); and (2) in response to the customer purchasing the service contract, providing, at no cost to the customer, third-party-paid insurance coverage that protects the customer against damage to the item, which, in some cases, includes accidental damage. In one embodiment of the invention, the step of providing the third-party-paid insurance coverage is done in order to permit the provision of insurance without the use of a licensed insurance agent.

Claims

1. A method of processing a request that an item be repaired or replaced, said method comprising:

receiving said request at a central claim processing facility;

determining whether said item requires replacement or repair due to;

an event covered under a service contract provided by a first provider, or

an event covered under an insurance policy provided by a second provider;

in response to determining that said item requires replacement or repair due to an event covered under said service contract, submitting a request to said first provider to process said item according to said service contract; and

in response to determining that said item requires replacement or repair due to an event covered under said insurance policy, submitting a request to said second provider to process said item according to said insurance policy, wherein;

said determining whether said item requires replacement or repair due to an event covered under said service contract comprises;

determining whether said item has incurred a mechanical breakdown; and

in response to determining that said item has incurred a mechanical breakdown, determining that said item requires replacement or repair due to an event covered under said service contract;

said determining whether said item requires replacement or repair due to an event covered under said insurance policy comprises;

determining whether said item has been damaged; and

in response to determining that said item has been damaged, determining that said item requires replacement or repair due to an event covered under said insurance policy.

2. The method of claim 1, further comprising the processing an insurance claim corresponding to said request that said item be repaired or replaced.

3. The method of claim 1, further comprising, after determining that said item requires replacement or repair due to an event covered under said insurance policy:

determining whether a customer who is submitting said request is in a state that requires the use of licensed claims adjusters; and

in response to determining that said customer is in a state that requires the use of licensed claims adjusters, transferring said request to a licensed claim adjuster for processing.

4. The method of claim 1, wherein an individual associated with said central claim processing facility executes said determining whether said item requires replacement or repair due to:

an event covered under said service contract;

or an event covered under said insurance policy.

5. The method of claim 1, wherein said submitting a request to said first provider is executed by an individual associated with said central claim processing facility.

6. The method of claim 1, wherein said submitting a request to said second provider is executed by an individual associated with said central claim processing facility.

7. The method of claim 1, wherein an individual associated with said central claim processing facility executes:

determining whether said item requires replacement or repair due to;

an event covered under said service contract, or an event covered under said insurance policy; and

submitting a request to said first provider.

8. The method of claim 1, wherein an individual associated with said central claim processing facility executes:

determining whether said item requires replacement or repair due to;

an event covered under said service contract, or an event covered under said insurance policy; and

submitting a request to said second provider.

9. The method of claim 1, further comprising determining whether the event is covered under the service contract provided by the first provider before determining whether the event is covered under an insurance policy provided by the second provider.

10. A system for processing a request that an item be repaired or replaced, said system comprising:

a computer network; and

a customer service representative computer that is configured to;

receive said request via said network;

determine whether said item requires replacement or repair due to;

an event covered under a service contract provided by a first provider, or

an event covered under an insurance policy provided by a second provider;

in response to determining that said item requires replacement or repair due to an event covered under said service contract, submitting submit a request via said computer network to said first provider to process said item according to said service contract; and

in response to determining that said item requires replacement or repair due to an event covered under said insurance policy, submit a request via said network to said second provider to process said item according to said insurance policy, wherein;

said determining whether said item requires replacement or repair due to an event covered under said service contract comprises the customer service representative computer being further configured to;

 

determine whether said item has incurred a mechanical breakdown; and

 

in response to determining that said item has incurred a mechanical breakdown, determine that said item requires replacement or repair due to an event covered under said service contract; and

said step of determining whether said item requires replacement or repair due to an event covered under said insurance policy comprises the customer service representative computer being further configured to;

 

determine whether said item has been damaged; and

 

in response to determining that said item has been damaged, determine that said item requires replacement or repair due to an event covered under said insurance policy.

11. The system of claim 10, wherein said customer service representative computer is located at a central claim processing facility.

12. The system of claim 10, wherein said customer service representative computer is further configured to determine whether the event is covered under the service contract provided by the first provider before determining whether the event is covered under an insurance policy provided by the second provider.