COMPLAINT TRACKING, IMAGING AND PROCESSING SYSTEM
First Claim
Patent Images
1. An insurance complaint document processing system adapted for communication with a Department of Insurance, comprising:
- a communication device to receive and transmit complaint documents via a communication network;
a processor coupled to the communication device for processing complaint related information; and
a storage device in communication with said processor and storing instructions adapted to be executed by said processor to;
process an insurance complaint document into an electronic image format;
store the insurance complaint document electronic image;
validate the complaint document with an insurance policy identifier,resolve complaint document redundancies associated with at least one insurance policy identifier into a consolidated complaint record;
process the consolidated complaint record for resolution; and
transmit complaint resolution progress information to the Department of Insurance via the communication device.
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Abstract
The present invention relates to an insurance complaint document management and processing system that interfaces with a state Department of Insurance. According to some embodiments, an insurance complaint document is received at a document conversion system. The received document may be converted to a document image may be automatically matched to insurance policy information. It may then be arranged to provide the document image and the insurance policy information for resolution.
15 Citations
20 Claims
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1. An insurance complaint document processing system adapted for communication with a Department of Insurance, comprising:
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a communication device to receive and transmit complaint documents via a communication network; a processor coupled to the communication device for processing complaint related information; and a storage device in communication with said processor and storing instructions adapted to be executed by said processor to; process an insurance complaint document into an electronic image format; store the insurance complaint document electronic image; validate the complaint document with an insurance policy identifier, resolve complaint document redundancies associated with at least one insurance policy identifier into a consolidated complaint record; process the consolidated complaint record for resolution; and transmit complaint resolution progress information to the Department of Insurance via the communication device. - View Dependent Claims (2, 3, 4, 5, 8)
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6. An integrated insurance complaint document management and processing system for managing and processing regulatory agency complaints, comprising:
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a complaint document conversion sub-system to;
(i) receive an insurance complaint document from a remote device, (ii) convert the received insurance complaint document to a document image, (iii) assign document identification data to the document image and (iv) store the document identification data;an automated validation sub-system to;
(i) receive the document image and document identification data from the document conversion system, and (ii) match the document image with insurance policy information from an insurance policy database; anda complaint redundancy sub-system to;
(i) receive the insurance policy information associated with the document image from the automated validation engine, (ii) resolve for redundancies related to the insurance policy and (iii) consolidate redundancies related to the insurance policy. - View Dependent Claims (7, 9, 10, 11)
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12. A computer-readable medium storing instructions adapted to be executed by a processor to perform an insurance complaint document processing method in a complaint document system, said method comprising:
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receiving an insurance complaint document image and associated document identification data from a document conversion sub-system via a communication device, validating the document identification data with indicia indicative of an insurance policy in a policy validation sub-system; resolving redundancies between two or more complaint document images and the insurance policy in a redundancy review sub-system; transmitting an indication of the insurance complaint document image along with the indicia indicative of the insurance policy to a state Department of Insurance in a complaint resolution sub-system; and displaying the insurance complaint document image on a terminal device in the complaint resolution sub-system. - View Dependent Claims (13, 14, 15, 16, 17, 18, 19, 20)
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Specification