WORK MANAGEMENT WITH CLAIMS/PRIORITY ASSIGNMENT AND DYNAMIC WORK ALLOCATION
First Claim
1. A system for claims work management by claims and priority assignment and dynamic work allocation, the system comprising:
- a computing platform having a memory and at least one processor in communication with the memory;
a plurality of claims input channels each configured to communicate one or more of a plurality of claims of varying types and priorities;
a centralized claims work management module stored in the memory, executable by the processor, and configured to cause the processor to;
receive the plurality of claims from the plurality of claims input channels;
determine the type and priority of each of the received plurality of claims;
determine a profile of work for one or more claims based on the determined type and priority of each of the one or more claims;
create at least one group profile and at least one user profile including associating each of the at least one group profiles with at least one of a plurality of claim types and associating each of the at least one user profiles with at least one of the plurality of claim types; and
in automatic response to determining the profile of work for the one or more claims, dynamically allocate each of the plurality of claims to at least one group profile and at least one user profile within the at least one group profile.
1 Assignment
0 Petitions
Accused Products
Abstract
A work management system for claims/priority assignment and dynamic work allocation has a module configured to cause the processor to receive the plurality of claims from the plurality of claims input channels; determine the type and priority of each of the received plurality of claims; determine a profile of work for one or more claims based on the determined type and priority of each of the one or more claims; create at least one group profile and at least one user profile including associating each of the at least one group profiles and user profiles with at least one of a plurality of claim types; and in automatic response to determining the profile of work for the one or more claims, dynamically allocate each of the plurality of claims to at least one group profile and at least one user profile within the at least one group profile.
6 Citations
19 Claims
-
1. A system for claims work management by claims and priority assignment and dynamic work allocation, the system comprising:
-
a computing platform having a memory and at least one processor in communication with the memory; a plurality of claims input channels each configured to communicate one or more of a plurality of claims of varying types and priorities; a centralized claims work management module stored in the memory, executable by the processor, and configured to cause the processor to; receive the plurality of claims from the plurality of claims input channels; determine the type and priority of each of the received plurality of claims; determine a profile of work for one or more claims based on the determined type and priority of each of the one or more claims; create at least one group profile and at least one user profile including associating each of the at least one group profiles with at least one of a plurality of claim types and associating each of the at least one user profiles with at least one of the plurality of claim types; and in automatic response to determining the profile of work for the one or more claims, dynamically allocate each of the plurality of claims to at least one group profile and at least one user profile within the at least one group profile. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
-
-
10. A method for claims work management by claims and priority assignment and dynamic work allocation, the method comprising:
-
receiving, by a processor of a computing platform executing a centralized claims work management module stored in a memory of the computing platform, a plurality of claims from a plurality of claims input channels each configured to communicate one or more of the plurality of claims of varying types and priorities; determining, by the processor executing the centralized claims work management module, the type and priority of each of the received plurality of claims; determining, by the processor executing the centralized claims work management module, a profile of work for one or more claims based on the determined type and priority of each of the one or more claims; creating, by the processor executing the centralized claims work management module, at least one group profile and at least one user profile including associating each of the at least one group profiles with at least one of a plurality of claim types and associating each of the at least one user profiles with at least one of the plurality of claim types; and in automatic response to determining the profile of work for the one or more claims, dynamically allocating, by the processor executing the centralized claims work management module, each of the plurality of claims to at least one group and at least one user within the at least one group. - View Dependent Claims (11, 12, 13, 14, 15, 16, 17, 18)
-
-
19. A computer program product for claims work management by claims caching and dynamic work allocation, the computer program product comprising:
a non-transitory computer-readable medium comprising; a first set of codes for causing a computer to receive a plurality of claims from the a plurality of claims input channels; a second set of codes for causing a computer to determine the type and priority of each of the received plurality of claims; a third set of codes for causing a computer to determine a profile of work for one or more claims based on the determined type and priority of each of the one or more claims; a fourth set of codes for causing a computer to create a plurality of claims cache tables based on the profiles of work, each cache table comprising one or more of the plurality of claims; and a fifth set of codes for causing a computer to, in automatic response to determining the profile of work for the one or more claims, dynamically allocate each of the plurality of claims to at least one group and at least one user within the at least one group.
Specification