Component based interface to handle tasks during claim processing

CAFC
  • US 7,013,284 B2
  • Filed: 05/04/1999
  • Issued: 03/14/2006
  • Est. Priority Date: 05/04/1999
  • Status: Expired due to Fees
First Claim
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1. A system for generating tasks to be performed in an insurance organization, the system comprising:

  • an insurance transaction database for storing information related to an insurance transaction, the insurance transaction database comprising a claim folder containing the information related to the insurance transaction decomposed into a plurality of levels from the group comprising a policy level, a claim level, a participant level and a line level, wherein the plurality of levels reflects a policy, the information related to the insurance transaction, claimants and an insured person in a structured format;

    a task library database for storing rules for determining tasks to be completed upon an occurrence of an event;

    a client component in communication with the insurance transaction database configured for providing information relating to the insurance transaction, said client component enabling access by an assigned claim handler to a plurality of tasks that achieve an insurance related goal upon completion; and

    a server component in communication with the client component, the transaction database and the task library database, the server component including an event processor, a task engine and a task assistant;

    wherein the event processor is triggered by application events associated with a change in the information, and sends an event trigger to the task engine;

    wherein in response to the event trigger, the task engine identifies rules in the task library database associated with the event and applies the information to the identified rules to determine the tasks to be completed, and populates on a task assistant the determined tasks to be completed, wherein the task assistant transmits the determined tasks to the client component.

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