Collaborative intelligent task processor for insurance claims
First Claim
1. An insurance claim processing system, comprising:
- at least one computer including a processor and a memory device;
an insurance claims database operating on the at least one computer, the insurance claims database configured to store insurance claim data;
an action plan database operating on the at least one computer, the action plan database storing a plurality of action plans, wherein each of the action plans includes one or more automated procedures performed to complete a task related to processing an insurance claim; and
an automated task processor stored on the memory device and executable by the processor, the automated task processor configured to;
identify an insurance claim processing task performable by an automated performer;
obtain insurance claim data related to the identified insurance claim processing task from the insurance claims database;
for the identified insurance claim processing task, select an action plan from the action plan database based on the obtained insurance claim data;
for the selected action plan, identify a set of one or more automated procedures included in the action plan; and
cause execution of the identified set of automated procedures included in the action plan, wherein the selected action plan includes a first procedure that causes the automated task processor to acquire information related to an insurance claim, a second procedure that causes the automated task processor to trigger execution of an automated sub-process external to the selected action plan that provides additional data related to the insurance claim, and a third procedure that causes the automated task processor to process the acquired information and the provided additional data to yield a result responsive to the identified task, and wherein the provided additional data is stored in the insurance claims database.
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Accused Products
Abstract
An insurance claim processing system may include an insurance claim database, an event processor component, a task engine component and a collaborative intelligent task processor. The insurance claim database may be configured to store and provide access to data in a data record that is related to an insurance claim. The event processor component may be executable with a computer to iteratively monitor the data in the data record and identify events. The task engine component may be executable with a computer in response to one of the identified events to generate tasks indicative of information that needs to be acquired based on the contents of the data record. The collaborative intelligent task processor may be executable with a computer to analyze a task generated by the task engine component and select an action plan that is responsive to the task. The action plan may include a first procedure that enables the collaborative intelligent task processor to acquire information related to the insurance claim, and a second procedure that enables the collaborative intelligent task processor to process the information to yield a result responsive to the task.
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Citations
27 Claims
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1. An insurance claim processing system, comprising:
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at least one computer including a processor and a memory device; an insurance claims database operating on the at least one computer, the insurance claims database configured to store insurance claim data; an action plan database operating on the at least one computer, the action plan database storing a plurality of action plans, wherein each of the action plans includes one or more automated procedures performed to complete a task related to processing an insurance claim; and an automated task processor stored on the memory device and executable by the processor, the automated task processor configured to; identify an insurance claim processing task performable by an automated performer; obtain insurance claim data related to the identified insurance claim processing task from the insurance claims database; for the identified insurance claim processing task, select an action plan from the action plan database based on the obtained insurance claim data; for the selected action plan, identify a set of one or more automated procedures included in the action plan; and cause execution of the identified set of automated procedures included in the action plan, wherein the selected action plan includes a first procedure that causes the automated task processor to acquire information related to an insurance claim, a second procedure that causes the automated task processor to trigger execution of an automated sub-process external to the selected action plan that provides additional data related to the insurance claim, and a third procedure that causes the automated task processor to process the acquired information and the provided additional data to yield a result responsive to the identified task, and wherein the provided additional data is stored in the insurance claims database. - View Dependent Claims (2, 3, 4, 5)
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6. An insurance claim processing system, comprising:
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at least one computer; at least one database; and an automated task processor executable with the at least one computer to analyze a task, the task comprising a description of a discrete activity performed to process a condition included in an insurance claim, the automated task processor further executable with the at least one computer to determine an action plan from information included in the at least one database, the action plan having a plurality of procedures responsive to the task, wherein the action plan includes a first procedure that enables the automated task processor to acquire information related to the insurance claim, a second procedure that enables the automated task processor to trigger execution of an automated sub-process external to the action plan that provides additional data related to the insurance claim, and a third procedure to process the acquired information and the additional data to yield a result responsive to the task, the automated task processor further executable with the at least one computer to store the additional data related to the insurance claim in the at least one database. - View Dependent Claims (7, 8, 9, 10, 11, 12, 13)
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14. An insurance claim processing system, comprising:
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a processor; a database in communication with the processor; a tangible computer readable medium in communication with the processor, the tangible computer readable medium having stored therein a plurality of instructions for an automated task processor that are executable by the processor, the plurality of instructions comprising; instructions for the automated task processor to analyze a task representing at least one step in a process to administer at least part of an insurance claim; instructions for the automated task processor to determine action plans that fulfill the at least one step in the process, each of the action plans comprising a plurality of executable procedures in the form of computer executable instructions to at least one of request, receive, analyze or transmit data to complete the at least one step in the process; instructions for the automated task processor to initiate a first procedure included in an action plan to acquire data from the database related to the insurance claim; instructions for the automated task processor to initiate a second procedure included in the action plan to trigger an automated sub-process having executable instructions external to the action plan, the automated sub-process executable based on the data acquired in the first procedure to return additional insurance claim related data; and instructions for the automated task processor to store the additional insurance claim related data in the database. - View Dependent Claims (15, 16, 17, 18, 19, 20, 21)
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22. A method of processing insurance claims, the method comprising:
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receiving, with an automated task processor executing on a computer, a task comprising a description of a discrete activity performed to process an aspect of an insurance claim; analyzing the task and data related to the insurance claim with the automated task processor, the data related to the insurance claim stored in a database in association with the task; determining an action plan corresponding to the task with the automated task processor, the action plan including a plurality of computer readable instructions providing automated execution of a plurality of procedures by the automated task processor to complete the task; executing a first procedure included in the action plan with the automated task processor to retrieve information from the data related to the insurance claim stored in the database; executing a second procedure included in the action plan with the automated task processor to trigger an automated sub-process comprising activities to provide additional data related to the insurance claim, the sub-process independent from and unassociated with the action plan; the automated task processor supplying the automated sub-process with the information retrieved using the first procedure for use by the automated sub-process to generate additional data related to the insurance claim; and the automated task processor receiving and storing in the database the additional data received from the sub-process. - View Dependent Claims (23, 24, 25, 26, 27)
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Specification