Displaying likelihood values for use in settlement

• US 7,991,630 B2
• Filed: 06/06/2008
• Issued: 08/02/2011
• Est. Priority Date: 01/18/2008
• Status: Active Grant

• Current Assignee: Computer Sciences Corporation (DXC Technology Company)
• Original Assignee: Computer Sciences Corporation (DXC Technology Company)
• Inventors: Henry, Scott, Dulock, Scott, Scalet, Frank, Watters, Clifton
• Primary Examiner(s): Kalinowski; Alexander
• Assistant Examiner(s): Vyas; Abhishek
• Application Number:
  US12/135,009
• Publication Number:
  US 20090187432A1
• Time in Patent Office: 1,152 Days
• Field of Search: 705/4
• US Class Current: 705/4
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G06Q 50/188 Electronic negotiation

Abstract

Likelihood values are determined for one or more closed claims that match an open claim. The likelihood values are displayed as a function of an amount (e.g., general damages amount). The graph may be an x-y graph in which the x-axis is amount and the y-axis is likelihood value. The graph may include a likelihood curve. A band to corresponding a most likely range of amounts is indicated on the graph.

Claims

1. A computer-implemented method for displaying amounts for use in settling insurance claims, comprising:

identifying, by a computer system, one or more closed claims that match an open claim based on one or more characteristics of the open claim;

determining, by the computer system, a likelihood value associated with at least one of the matching closed claims, wherein the likelihood value is a numerical value whose magnitude reflects the likelihood that a monetary amount associated with a closed claim represents an appropriate monetary amount for settling an open claim,

wherein the higher the numerical value, the more likely that the monetary amount associated with the closed claim represents an appropriate monetary amount for settling the open claim, and wherein the lower the numerical value, the less likely that the monetary amount associated with the closed claim represents an appropriate monetary amount for settling the open claim;

displaying, on an x-y graph on a display of the computer system, the likelihood value associated with at least one of the matching closed claims as a function of monetary amount;

wherein the likelihood value is displayed on the y-axis and the monetary amount is displayed on the x-axis; and

displaying, by the computer system, one or more amounts for use in settling the open claim on the display of the insurance claims processing system, at least one of the amounts being based at least in part on an amount for at least one of the matching closed claims associated with at least one displayed likelihood value.

2. The method of claim 1, wherein displaying the likelihood value associated with at least one of the matching closed claims comprises displaying a likelihood curve.

3. The method of claim 1, wherein the displayed amounts are adjusted general damages amounts.

4. The method of claim 1, wherein determining a likelihood value associated with at least one of the matching closed claims includes determining a likelihood value associated with each of two or more closed claims.

5. The method of claim 4, wherein displaying at least one likelihood value comprises displaying at least two likelihood values associated with two or more of the matching closed claims.

6. The method of claim 5, wherein displaying at least two likelihood values comprises displaying a graph of at least two of the likelihood values as a function of monetary amount.

7. The method of claim 1, further comprising displaying one or more ranges of amounts for the open claim as a band in the x-y graph.

8. The method of claim 7, wherein, wherein the band comprises at least one delineator indicating an upper limit of a dollar amount for the band or a delineator indicating a lower limit of a dollar amount for the band.

9. The method of claim 7, wherein at least one of the one or more displayed ranges of amounts is a most likely range, wherein the most likely range is displayed as a band in the x-y graph, wherein the band comprises at least one delineator indicating an upper limit of a dollar amount for the band or a delineator indicating a lower limit of a dollar amount for the band.

10. The method of claim 7, wherein the band for at least one of the ranges comprises a delineator indicating a lower limit of a dollar amount, wherein the band corresponds to about the top quartile of the likelihood curve for the matching closed claims.

11. The method of claim 7, further comprising displaying a summary of amounts for at least one of the one or more ranges.

12. The method of claim 1, wherein the at least one likelihood value is displayed in a first display mode, the method further comprising:

receiving an input from a user selecting to select a second display mode; and

displaying a representative value for the open claim in the second display mode.

13. The method of claim 12, wherein the representative value is determined from a sum of least squares for values for two or more of the matching closed claims.

16. The method of claim 1, wherein determining the likelihood value at least one of the matching closed claims comprises performing a maximum likelihood estimation.

17. The method of claim 1, wherein determining the likelihood value at least one of the matching closed claims comprises performing a kernel density estimation.

14. A system, comprising:

a processor;

a memory coupled to the processor and configured to store program instructions executable by the processor to implement;

identifying one or more closed claims that match an open claim based on one or more characteristics of the open claim;

determining a likelihood value associated with at least one of the matching closed claims,

wherein the likelihood value is a numerical value whose magnitude reflects the likelihood that a monetary amount associated with a closed claim represents an appropriate monetary amount for settling an open claim, wherein the higher the numerical value, the more likely that the monetary amount associated with the closed claim represents an appropriate monetary amount for settling the open claim, and

wherein the lower the numerical value, the less likely that the monetary amount associated with the closed claim represents an appropriate monetary amount for settling the open claim;

displaying, on an x-y graph on a display of the computer system, the likelihood value associated with at least one of the matching closed claims as a function of monetary amount;

wherein the likelihood value is displayed on the y-axis and the monetary amount is displayed on the x-axis; and

displaying one or more amounts for use in settling the open claim, at least one of the amounts being based at least in part on an amount for at least one of the matching closed claims associated with at least one displayed likelihood value.

15. A tangible, computer readable medium comprising program instructions, wherein the program instructions are computer-executable to implement:

identifying one or more closed claims that match an open claim based on one or more characteristics of the open claim;

determining a likelihood value associated with at least one of the matching closed claims,

wherein the likelihood value is a numerical value whose magnitude reflects the likelihood that a monetary amount associated with a closed claim represents an appropriate monetary amount for settling an open claim, wherein the higher the numerical value, the more likely that the monetary amount associated with the closed claim represents an appropriate monetary amount for settling the open claim, and

wherein the lower the numerical value, the less likely that the monetary amount associated with the closed claim represents an appropriate monetary amount for settling the open claim;

displaying, on an x-y graph on a display of the computer system, the likelihood value associated with at least one of the matching closed claims as a function of monetary amount;

wherein the likelihood value is displayed on the y-axis and the monetary amount is displayed on the x-axis; and

displaying one or more amounts for use in settling the open claim, at least one of the amounts being based at least in part on an amount for at least one of the matching closed claims associated with at least one displayed likelihood value.