Risk assessment method

• US 8,515,783 B1
• Filed: 11/06/2000
• Issued: 08/20/2013
• Est. Priority Date: 11/06/2000
• Status: Active Grant

• Current Assignee: Swiss Reinsurance Company
• Original Assignee: Swiss Reinsurance Company
• Inventors: Weeks, Betty L.
• Primary Examiner(s): Rines, David
• Application Number:
  US09/707,200
• Time in Patent Office: 4,670 Days
• Field of Search: 705/4
• US Class Current: 705/4
• CPC Class Codes: G06Q 10/0635 Risk analysis of enterprise or organisation activities
• CPC Class Codes: G06Q 40/08 Insurance

Abstract

A risk assessment method for insurance coverage of an enterprise includes identifying component risk activities of the enterprise, identifying the risk exposure factors which may be applicable to such activities, numerically scoring each activity against each risk exposure factor on the frequency and severity of potential claims on the exposure factor for the activity in a risk matrix, summing all the scores for each activity to obtain a corresponding total risk rating, and analyzing each total risk rating against hierarchies of approval authority to bind coverage on the activity and the potential premium rate for the activity. The method includes identifying a highest total risk rating an applicant as a customer rating which is used as an overall measure of potential risk exposure for the applicant. The method includes the capability of automatically declining, approving, or renewing coverage based on the customer rating.

Claims

1. A web-based process for quantitatively assessing risks associated with a selected enterprise for the purpose of enabling or disabling offering of insurance coverage on the enterprise, the enterprise engaged in a computer services industry, the process utilizes a computer system with a processor for collecting and processing information, the process comprising the steps of:

(a) assigning a plurality of pre-defined business-related component activities to the computer services industry, the plurality of component activities assigned to the computer services industry are pre-defined activities identified as typically performed by an enterprise included within the computer services industry and include a quantifiable risk;

(b) assigning a plurality of known risk factors to each insurance coverage classification being offered to the enterprise included within the computer services industry, each risk factor is an actual risk exposure potentially occurring as part of the enterprise performing at least one of the assigned component activities, each insurance coverage classification includes risk factors having common characteristics;

(c) generating a series of known risk factors based on the insurance coverage classification being analyzed, the series of risk factors is generated from the plurality of known risk factors assigned to each insurance coverage classification being offered;

(d) developing at least one matrix including the component activities assigned to the computer services industry and the generated series of known risk factors for assessing the identified component activities with respect to the series of known risk factors;

(e) determining within the at least one matrix an intersection of a risk factor and an associated risk activity, wherein the intersection provides a numeric activity score for each component activity assigned to the computer services industry and each assigned risk factor, the numeric activity score is based on a likelihood of a claim and an amount of a claim based on a risk associated with a particular risk factor occurring with respect to a given identified component activity of the enterprise;

(f) using the processor to process activity scores stored for each risk factor and calculate a risk rating for each associated component activity;

(g) upon said risk rating for a selected activity exceeding a selected decline score, automatically disabling, by the processor, the offering of insurance coverage on the associated component activity; and

(h) upon said risk rating for a selected activity not exceeding said decline score, enabling the automatic offering, by the processor, of insurance coverage of said component activity.

2. A process as set forth in claim 1 and including the step of:

(a) proportioning ranges of said risk rating to a premium value range of premiums associated with insurance coverage on the associated component activity.

3. A process as set forth in claim 1 and including the step of:

(a) associating a hierarchy of approval requirements with ranges of said risk rating.

4. A process as set forth in claim 1 and including the steps of:

(a) dividing said risk factors into a plurality of coverage classes having risk characteristics in common;

(b) summing activity scores associated with one of said identified component activities in relation to each risk factor within a coverage class to obtain a class sum; and

(c) summing class sums associated with said coverage classes to obtain said risk rating.

5. A process as set forth in claim 1 and including the step of:

(a) organizing said identified component activities to be contained along an axis of the matrix and said risk factors to be contained along another axis of the matrix with each identified component activity intersecting each risk factor at an associated activity score.

6. A process as set forth in claim 1 and including the steps of:

(a) identifying a plurality of previously assessed component activities of a customer enterprise;

(b) retrieving a previously determined risk rating associated with each of said component activities identified;

(c) identifying a customer rating equal to a numerically highest risk rating of the risk ratings associated with the identified component activities;

(d) comparing said customer rating to a previously developed enterprise hierarchy of approval authority; and

(e) submitting an application for coverage of a customer enterprise comprising said identified component activities to an approval authority within said enterprise hierarchy commensurate with said customer rating.

7. A process as set forth in claim 1 and including the steps of:

(a) identifying a plurality of previously assessed component activities of a customer enterprise;

(b) retrieving a previously determined risk rating associated with each of said component activities identified;

(c) identifying a customer rating equal to a numerically highest risk rating of the risk ratings associated with the identified component activities;

(d) comparing said customer rating to a previously developed range of premium values proportioned to a range of customer ratings; and

(e) obtaining a premium value for coverage of the assessed component activities of said customer enterprise substantially proportional to said customer rating.

8. A process as set forth in claim 1 wherein assigning a plurality of pre-defined business-related component activities to the computer services industry further comprises assigning a plurality of pre-defined business-related component activities to the computer services industry that include at least computer training services or operation of a help or customer support desk, computer system installation and maintenance, computer system integration, web page development and maintenance, web page hosting, software application development, and computer network consulting.

9. A process as set forth in claim 1 and including the step of:

(a) computing the risk rating for a particular component activity by adding all of the numeric activity scores associated with the particular component activity.

10. A process as set forth in claim 9 and including the steps of:

(a) calculating risk ratings for all component activities in the matrix;

(b) analyzing all of the calculated risk ratings to determining the highest risk rating; and

(c) setting a customer risk rating based on the highest risk rating.

11. A process as set forth in claim 10 and including the steps of:

(a) comparing the customer risk rating against an upper risk threshold and a lower automatic approval threshold; and

(b) determining that coverage is declined when the customer risk rating exceeds the upper risk threshold or generating a proposed coverage contract when it is determined that the customer risk rating is less than the automatic approval threshold.

12. A web-based process for quantitatively assessing risks associated with a selected enterprise for the purpose of enabling or disabling offering of insurance coverage on the enterprise, the enterprise engaged in a computer services industry, the process utilizes a computer system with a processor for collecting and processing information, the process comprising the steps of:

(a) assigning a plurality of pre-defined business-related component activities to the computer services industry, the plurality of component activities assigned to the computer services industry are pre-defined activities identified as typically performed by an enterprise included within the computer services industry and include a quantifiable risk;

(b) assigning a plurality of known risk factors to each insurance coverage classification being offered to the enterprise included within the computer services industry, each risk factor is an actual risk exposure potentially occurring as part of the enterprise performing at least one of the assigned component activities, each insurance coverage classification includes risk factors having common characteristics;

(c) generating a series of known risk factors based on the insurance coverage classification being analyzed, the series of risk factors is generated from the plurality of known risk factors assigned to each insurance coverage classification being offered;

(d) developing at least one matrix including the component activities assigned to the computer services industry and the generated series of known risk factors for assessing the identified component activities with respect to the series of known risk factors;

(e) determining within the at least one matrix an intersection of a risk factor and an associated risk activity, wherein the intersection provides a numeric activity score for each component activity assigned to the computer services industry and each assigned risk factor, the numeric activity score is based on a likelihood of a claim and an amount of a claim based on a risk associated with a particular risk factor occurring with respect to a given identified component activity of the enterprise;

(f) using the processor to process activity scores stored for each risk factor and calculate a risk rating for each associated component activity;

(g) upon said risk rating for a selected activity exceeding a selected decline score, automatically disabling, by the processor, the offering of insurance coverage on the associated component activity;

(h) upon said risk rating for a selected activity not exceeding said decline score, enabling the automatic offering, by the processor, of insurance coverage of said component activity;

(i) proportioning ranges of said risk rating to a premium value range of premiums associated with insurance coverage on the associated component activity; and

(j) associating a hierarchy of approval requirements with ranges of said risk rating.

13. A process as set forth in claim 12 and including the steps of:

(a) dividing said risk factors into a plurality of coverage classes having risk characteristics in common;

(b) summing activity scores associated with one of said identified component activities in relation to each risk factor within a coverage class to obtain a class sum; and

(c) summing class sums associated with said coverage classes to obtain said risk rating.

14. A process as set forth in claim 12 and including the step of:

(a) organizing said identified component activities to be contained along an axis of the matrix and said risk factors to be contained along another axis of the matrix with each identified component activity intersecting each risk factor at an associated activity score.

15. A process as set forth in claim 12 and including the steps of:

(a) identifying a plurality of previously assessed component activities of a customer enterprise;

(b) retrieving a previously determined risk rating associated with each of said component activities identified;

(c) identifying a customer rating equal to a numerically highest risk rating of the risk ratings associated with the identified component activities;

(d) comparing said customer rating to a previously developed enterprise hierarchy of approval authority; and

(e) submitting an application for coverage of a customer enterprise comprising said identified component activities to an approval authority within said enterprise hierarchy commensurate with said customer rating.

16. A process as set forth in claim 12 and including the steps of:

(a) identifying a plurality of previously assessed component activities of a customer enterprise;

(b) retrieving a previously determined risk rating associated with each of said component activities identified;

(c) identifying a customer rating equal to a numerically highest risk rating of the risk ratings associated with the identified component activities;

(d) comparing said customer rating to a previously developed range of premium values proportioned to a range of customer ratings; and

(e) obtaining a premium value for coverage of the assessed component activities of said customer enterprise substantially proportional to said customer rating.

17. A web-based process for quantitatively assessing risks associated with a selected enterprise for the purpose of enabling or disabling offering of insurance coverage on the enterprise, the enterprise engaged in a computer services industry, the process utilizes a computer system with a processor for collecting and processing information, the process comprising the steps of:

(a) assigning a plurality of pre-defined business-related component activities to the computer services industry, the plurality of component activities assigned to the computer services industry are pre-defined activities identified as typically performed by an enterprise included within the computer services industry and include a quantifiable risk;

(b) assigning a plurality of known risk factors to each insurance coverage classification being offered to the enterprise included within the computer services industry, each risk factor is an actual risk exposure potentially occurring as part of the enterprise performing at least one of the assigned component activities, each insurance coverage classification includes risk factors having common characteristics;

(c) generating a series of known risk factors based on the insurance coverage classification being analyzed, the series of risk factors is generated from the plurality of known risk factors assigned to each insurance coverage classification being offered;

(d) developing at least one matrix including the component activities assigned to the computer services industry and the generated series of known risk factors for assessing the identified component activities with respect to the series of known risk factors;

(e) dividing said risk factors into a plurality of coverage classes having risk characteristics in common;

(f) determining within the at least one matrix an intersection of a risk factor and an associated risk activity, wherein the intersection provides a numeric activity score assigned to each component activity assigned to the computer services industry and each assigned risk factor, the numeric activity score is based on a likelihood of a claim and an amount of a claim based on a risk associated with a particular risk factor occurring with respect to a given identified component activity of the enterprise;

(g) using the processor to process activity scores associated with one of said identified component activities in relation to each risk factor within a coverage class to obtain a class sum;

(h) using the processor to process class sums associated with said coverage classes to obtain a risk rating;

(i) upon said risk rating for a selected component activity exceeding a selected decline score, automatically disabling, by the processor, the offering of insurance coverage on the associated component activity; and

(j) upon said risk rating for a selected component activity not exceeding said decline score, enabling the automatic offering, by the processor, of insurance coverage of said component activity.

18. A process as set forth in claim 17 and including the step of:

(a) proportioning ranges of said risk rating to a premium value range of premiums associated with insurance coverage on the associated component activity.

19. A process as set forth in claim 17 and including the step of:

(a) associating a hierarchy of approval requirements with ranges of said risk rating.

20. A process as set forth in claim 17 and including the step of:

(a) organizing said identified component activities to be contained along an axis of the matrix and said risk factors to be contained along another axis of the matrix with each identified component activity intersecting each risk factor as an associated activity score.

21. A process as set forth in claim 17 and including the steps of:

(a) identifying a plurality of previously assessed component activities of a customer enterprise;

(b) retrieving a previously determined risk rating associated with each of said component activities identified;

(c) identifying a customer rating equal to a numerically highest risk rating of the risk ratings associated with the identified component activities;

(d) comparing said customer rating to a previously developed enterprise hierarchy of approval authority; and

(e) submitting an application for coverage of a customer enterprise comprising said identified component activities to an approval authority within said enterprise hierarchy commensurate with said customer rating.

22. A process as set forth in claim 17 and including the steps of:

(a) identifying a plurality of previously assessed component activities of a customer enterprise;

(b) retrieving a previously determined risk rating associated with each of said component activities identified;

(c) identifying a customer rating equal to a numerically highest risk rating of the risk ratings associated with the identified component activities;

(d) comparing said customer rating to a previously developed range of premium values proportioned to a range of customer ratings; and

(e) obtaining a premium value for coverage of the assessed component activities of said customer enterprise substantially proportional to said customer rating.