First Notice Of Loss reporting with integrated claim processing

• US 20100049552A1
• Filed: 03/13/2009
• Published: 02/25/2010
• Est. Priority Date: 03/14/2008
• Status: Abandoned Application

• Current Assignee: Enservio Incorporated (Solera Holdings Incorporated)
• Original Assignee: Enservio Incorporated (Solera Holdings Incorporated)
• Inventors: McNeill, Jon, Straughan, Jerry S. JR., Fini, Jim
• Application Number:
  US12/381,665
• Publication Number:
  US 20100049552A1
• Time in Patent Office: Days
• US Class Current: 705/4
• CPC Class Codes: G06Q 40/00 Finance; Insurance; Tax strategies; Processing of corporate or income taxes
• CPC Class Codes: G06Q 40/08 Insurance

Abstract

In one general aspect, an insurance claim processing method is disclosed. It includes establishing a communication session over a communication link between a first location for a first insured and a claim processing location, and receiving a first notice of loss communication from the first location at the claim processing location during the communication session over the communication link. It also includes receiving item identification information about a series of different items affected by the loss from the first location at the claim processing location through the communication link, and accessing insurance valuation information about the items at the claim processing location during the communication session.

Claims

1. An insurance claim processing method, comprising:

establishing a communication session over a communication link between a first location for a first insured and a claim processing location,

receiving a first notice of loss communication from the first location at the claim processing location during the communication session over the communication link, wherein the notice of loss message is a first communication to report a loss that includes information that identifies a policy and the nature of the loss,

receiving item identification information about a series of different items affected by the loss from the first location at the claim processing location through the communication link during the communication session, and

accessing insurance valuation information about the items at the claim processing location during the communication session.

3. The method of claim 1 further including the step of accessing a series of prompts optimized for fraud detection.

4. The memory of claim 3 wherein the prompts are derived from a statistical analysis of fraud claim data.

5. The method of claim 1 further including the step of accessing a series of prompts optimized for item identification.

6. The method of claim 1 further including the step of accessing a series of prompts optimized for fraud detection and item identification.

7. The method of claim 6 wherein the series is dynamically issued based on responses to earlier prompts.

8. The method of claim 1 further including the step of accessing a series of prompts relating to items not listed by the insured.

9. The method of claim 1 wherein the step of establishing establishes a telephonic communication and wherein the prompts are accessed at the claim processing location.

10. The method of claim 1 wherein the step of establishing establishes a web-based communication and wherein the prompts are web-based.

11. The method of claim 1 further including the step of changing the communication session for valuation of specialized contents.

12. The method of claim 11 wherein the step of changing includes transferring the communication session.

13. The method of claim 1 wherein the step of establishing establishes a communication link that is capable of voice and data communication and wherein the step of receiving item information includes receiving a voice description of the insured item and an image of at least one item.

14. The method of claim 1 further including the step of compiling a list of item valuations accessed in the step of accessing.

15. The method of claim 1 wherein the step of compiling inserts live links to external data sources for at least some of the items.

16. The method of claim 1 further including steps of simultaneously establishing one or more further communication links between at least a second location for a second insured and the claim processing location, and further including further steps of receiving a notice of loss communication, receiving item identification information, assessing insurance valuation information, and transmitting an acknowledgement for each of the further communications.

17. The method of claim 1 further including the step of accessing policy coverage information at the claim processing location during the communication session.

18. The method of claim 1 further including the step of initiating a settlement payment transaction during the communication session.

19. The method of claim 1 further including the step of initiating an item replacement transaction with a third party during the communication session.

20. The method of claim 1 further including the step of initiating an item refurbishment transaction with a third party during the communication session.

2. The method of claim further including the step of transmitting an acknowledgement about the insurance valuation information from the claim processing location to the first location during the communication session.

21. A computer-based insurance claim processing apparatus, comprising:

at least one policy selection control,

at least one loss claim initiation control responsive to user actuation to initiate a claim record for a policy selected using the policy selection control, and

at least one item valuation information access control operative to access valuation information for a claim and associate the information with a claim record initiated by the claim initiation control.

22. The apparatus of claim 21 further including a communication terminal operative to maintain communication link with an insured.

23. The apparatus of claim 21 further including policy coverage logic responsive to the claim initiation control and at least one policy coverage confirmation indicator responsive to the policy coverage logic.

24. The apparatus of claim 21 further including prompting logic operative to issue a series of prompts optimized for item identification.

25. The apparatus of claim 21 further including prompting logic operative to issue a series of prompts optimized for fraud detection.

26. The apparatus of claim 21 further including prompting logic operative to issue a series of prompts optimized for item identification and fraud detection.

27. The apparatus of claim 26 wherein the prompting logic dynamically issues prompts based on responses to earlier prompts.

28. The apparatus of claim 21 wherein the policy selection control, the loss claim initiation control, and the item valuation control are presented in a browser.

29. The apparatus of claim 21 wherein the policy selection control, the loss claim initiation control, and the item valuation control are presented in a call center terminal.

30. A computer-based insurance claim processing apparatus, comprising:

means for establishing a communication session over a communication link between a first location for a first insured and a claim processing location,

means for receiving a first notice of loss communication from the first location at the claim processing location during the communication session over the communication link, wherein the notice of loss message is a first communication to report a loss that includes information that identifies a policy and the nature of the loss,

means for receiving item identification information about a series of different items affected by the loss from the first location at the claim processing location through the communication link during the communication session, and

means for accessing insurance valuation information about the items at the claim processing location during the communication session.

31. An insurance claim processing method, comprising:

storing a series of prompt records each including prompt text that prompts for information related to a contents loss,

statistically processing stored historical claim loss information, and

ordering the prompts according to statistical information derived in the step of statistically processing.

32. The method of claim 31 further including a step of statistically processing stored item valuation information and wherein the step of ordering also orders the prompts according to statistical information derived in the step of statistically processing stored valuation information.

33. The method of claim 31 wherein the step of ordering operates in real time based on replies to earlier prompts.

34. A computer-based insurance claim processing apparatus, comprising:

storage for a series of prompt records each including prompt text that prompts for information related to a contents loss,

a statistical processor responsive to stored historical claim loss information, and

ordering logic operative to order the prompts stored in the storage according to statistical information derived from the statistical processor.

35. The apparatus of claim 34 wherein the ordering logic is operative in real time based on replies to earlier prompts.

36. A computer-based insurance claim processing apparatus, comprising:

means for storing a series of prompt records each including prompt text that prompts for information related to a contents loss,

means for statistically processing stored historical claim loss information, and

means for ordering the prompts according to statistical information derived by the means for statistically processing.

37. An insurance claim processing method, comprising:

receiving an item identification,

prompting for valuation for the item received in the item identification in response to the step of receiving an item identification,

receiving a response to the step of prompting, and

automatically determining, based on a response received in the step of responding, whether to prompt for further item valuation information or to prompt for fraud detection.

38. The method of claim 37 wherein the step of automatically determining is based on a step of accessing stored information for the identified item.

39. A computer-based insurance claim processing apparatus, comprising:

prompting logic operative to prompt for valuation for an identified item, and

determination logic operative to automatically determine, based on a response received for prompts from the prompting logic, whether the prompting logic should prompt for further item valuation information or should prompt for fraud detection.

40. The apparatus of claim 39 further including item information storage and wherein the determination logic is responsive to stored information for the identified item.

41. A computer-based insurance claim processing apparatus, comprising:

means for receiving an item identification,

means for prompting for valuation for the item received in the item identification in response to the means for receiving an item identification,

means for receiving a response to the means for prompting, and

means for automatically determining, based on a response received by the means for receiving a response, whether to prompt for further item valuation information or to prompt for fraud detection.