Insurance claim capitation and predictive payment modeling
First Claim
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1. A system for efficiently using computing resources to process insurance claims, comprising:
- a processor;
a non-transitory computer-readable medium storing instructions that, when executed by the processor, cause the system to;
receive, via a communication network, data that comprises information about a vehicle and vehicle sensor data generated by a sensor device of the vehicle;
determine a cost of repair of the vehicle based on one or more loss attributes that correspond to the data;
predict, based on one or more factors of a customer associated with the vehicle, whether the customer associated with the vehicle is likely to allow an insurance company to manage repair of the vehicle; and
transmit a payment to a repair facility responsive to a determination that the customer has accepted an offer transmitted to the customer, wherein the offer is transmitted upon a prediction that the customer will let the insurance company manage the repair and wherein the payment includes an amount based on the cost of repair.
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Abstract
A claim-based capitation model is proposed for handling vehicle repair insurance claims. Rather than determining a detailed estimate of the expected actual cost of repair, the estimate may be determined using a simpler model. For example, the insurance company and a repair facility may agree to following a predictive payment model in which the insurance company pays a fixed predicted capitated amount of money for each repair claim, regardless of the amount of repair work that will be needed. Alternatively, the insurance company may pre-pay a fixed capitated amount for a predicted number of future insurance claims.
9 Citations
20 Claims
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1. A system for efficiently using computing resources to process insurance claims, comprising:
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a processor; a non-transitory computer-readable medium storing instructions that, when executed by the processor, cause the system to; receive, via a communication network, data that comprises information about a vehicle and vehicle sensor data generated by a sensor device of the vehicle; determine a cost of repair of the vehicle based on one or more loss attributes that correspond to the data; predict, based on one or more factors of a customer associated with the vehicle, whether the customer associated with the vehicle is likely to allow an insurance company to manage repair of the vehicle; and transmit a payment to a repair facility responsive to a determination that the customer has accepted an offer transmitted to the customer, wherein the offer is transmitted upon a prediction that the customer will let the insurance company manage the repair and wherein the payment includes an amount based on the cost of repair. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. An apparatus for efficiently using computing resources to process insurance claims, comprising:
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a processor; a non-transitory computer-readable medium storing instructions that, when executed by the processor, cause the apparatus to; receive, via a communication network, vehicle sensor data that comprises information about a vehicle, wherein the vehicle sensor data is generated by a sensor device of the vehicle; determine a cost of repair of the vehicle based on one or more loss attributes that correspond to the vehicle sensor data; transmit, after a prediction that a customer associated with the vehicle is likely to allow an insurance company to manage repair of the vehicle, an offer to repair the vehicle to the customer; and transmit a payment to a repair facility responsive to a determination that the customer has accepted the offer, wherein the payment corresponds to the cost of repair. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18, 19, 20)
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Specification