Market relationship management

• US 8,612,262 B1
• Filed: 05/04/2006
• Issued: 12/17/2013
• Est. Priority Date: 11/19/2003
• Status: Active Grant

• Current Assignee: Allstate Insurance Company (Allstate Corporation)
• Original Assignee: Allstate Insurance Company (Allstate Corporation)
• Inventors: Condon, Michael H., Hanson, Randall M., Rawlins, Kent Alan
• Primary Examiner(s): NIQUETTE, ROBERT R
• Application Number:
  US11/417,468
• Time in Patent Office: 2,784 Days
• Field of Search: 705/4, 705 10- 12, 705/14, 705/26, 705 35- 45, 705/80, 709/223
• US Class Current: 705/4
• CPC Class Codes: G06Q 40/08 Insurance

Abstract

A system and method for managing an insurance company'"'"'s relationships with service providers is disclosed. Data about a service provider'"'"'s performance is obtained for a variety of metrics. Performance rating models and business rules may be used to evaluate the data and to rate the performance of service providers. The resultant ratings can be used as a basis for recommending service providers to customers. Feedback may be provided to the service providers so as to inform them of their competitive position relative to other service providers.

Claims

1. A computer-implemented method of recommending a service provider to an insurance customer, comprising:

(a) receiving at a processing unit a first notice of loss from the customer, the first notice of loss including customer geographic data and service requirements data;

(b) configuring at the processing unit a local market based on the customer geographic data and the service requirements data, wherein the configuring comprises determining at the processing unit whether the customer'"'"'s policy requires use of a particular service provider;

(c) determining at the processing unit a service provider performance rating for each service provider in the local market;

(d) sorting at the processing unit the service providers based on the service provider performance rating; and

(e) providing by the processing unit a recommendation of a service provider based on the sorted service providers,

wherein providing a recommendation of a service provider in (e) further comprises;

(i) identifying at the processing unit at least one case attribute for the first notice of loss;

(ii) querying by the processing unit historical claim case files to identify desirable case outcomes for historical cases having the same at least one case attribute;

(iii) determining by the processing unit a historical recommended service provider based on the query in (ii); and

(iv) providing a recommendation of a service provider based on the service provider performance rating and the historical recommended service provider.

2. The method of claim 1, further comprising:

(f) receiving at the processing unit a selection of a service provider from the customer.

3. The method of claim 2, further comprising:

(g) providing by the processing unit a service request to the selected service provider'"'"'s scheduling system.

4. The method of claim 1, wherein the sorting in (d) is further based on availability of the service providers.

5. The method of claim 1, wherein the determining in (c) is done in response to (b) and is done in substantially real time.

6. The method of claim 1, wherein the configuring in (b) further comprises:

(i) determining at the processing unit service provider preferences for providing service.

7. The method of claim 1, wherein the local market is configured based on at least one criterion selected from the group consisting of geographic attributes, specific capabilities, equipment, training, specialization, manufacturing authorization, compliance with licensing requirements, price, affiliation with associations, service provider preferences, contractual agreements to provide a volume of service requests, and availability to perform within a specified timeframe.

8. The method of claim 1, wherein the determining in (c) further comprises:

(i) determining at the processing unit an aggregate service provider performance rating with a weighted formula.

9. The method of claim 1, wherein the providing of the recommendation in (e) comprises:

(i) causing by the processing unit a display of a first service provider with the highest performance rating; and

(ii) in response to receiving, at the processing unit, a rejection of the first service provider, causing by the processing unit a display of a second service provider with the second highest performance rating.

10. The method of claim 1, further comprising:

(f) providing feedback to a first service provider regarding the first service provider'"'"'s performance rating relative to each service provider in the local market.

11. The method of claim 1, wherein the configuring a local market based on customer geographic data in (b) further comprises:

(i) determining at the processing unit a distance between a customer-specified location and each service provider; and

(ii) configuring the local market based on selecting the service providers that are located within an area defined by a circle whose center is the customer-specified location and whose radius is a specified distance.

12. A computer-readable medium having computer-executable instructions that when executed cause a computing device to perform a method of recommending a service provider to an insurance customer, comprising:

(a) receiving at a processing unit a first notice of loss from the customer, the first notice of loss including customer geographic data and service requirements data;

(b) configuring at the processing unit a local market based on the customer geographic data and the service requirements data, wherein the configuring comprises determining at the processing unit whether the customer'"'"'s policy requires use of a particular service provider;

(c) determining at the processing unit a service provider performance rating for each service provider in the local market;

(d) sorting at the processing unit the service providers based on the service provider performance rating; and

(e) providing by the processing unit a recommendation of a service provider based on the sorted service providers,

wherein providing a recommendation of a service provider in (e) further comprises;

(i) identifying at the processing unit at least one case attribute for the first notice of loss;

(ii) querying by the processing unit historical claim case files to identify desirable case outcomes for historical cases having the same at least one case attribute;

(iii) determining by the processing unit a historical recommended service provider based on the query in (ii); and

(iv) providing a recommendation of a service provider based on the service provider performance rating and the historical recommended service provider.

13. The method of claim 12, further comprising:

(f) providing feedback to a first service provider regarding the first service provider'"'"'s performance rating relative to each service provider in the local market.

14. The method of claim 12, wherein the configuring a local market based on customer geographic data in (b) further comprises:

(i) determining at the processing unit a distance between a customer-specified location and each service provider; and

(ii) configuring the local market based on selecting the service providers that are located within an area defined by a circle whose center is the customer-specified location and whose radius is a specified distance.