Method for optimizing automated management of third party insurance claim processing and devices thereof

Patent metadata

Field	Value
Publication number	US-10817948-B2
Application number	US-201514630241-A
Country	US
Kind code	B2
Filing date	Feb 24, 2015
Priority date	Feb 24, 2015
Publication date	Oct 27, 2020
Grant date	Oct 27, 2020

Abstract

This technology optimizes management of third party insurance claim processing includes retrieving third party claim data associated with a selected third party claim and from an automatic integration with at least one additional insurance claim application initiated based on the selection of the third party claim. One or more customized claim management operations are executed based on the selected third party claim and at least a portion of the retrieved third party claim data. At least a portion of a customized hierarchical claim management graphical user interface system is generated based on at least a portion of the retrieved third party claim data and the executed one or more customized claim management operations. The customized hierarchical claim management graphical user interface system includes an initial dashboard graphical user interface comprising a plurality of interactive panels and a plurality of specialized third-party claim management graphical user interfaces nested beneath the initial dashboard graphical user interface.

First claim

What is claimed is:

1. A method comprising:
retrieving, by a computing apparatus, claim data associated with one of a plurality of claims from one or more storage databases;
customizing, by the computing apparatus, a configuration of at least a portion of a hierarchical claim management graphical user interface system comprising an initial dashboard graphical user interface comprising a plurality of interactive panels and a plurality of specialized third-party claim management graphical user interfaces nested beneath the initial dashboard graphical user interface based on at least a portion of the claim data associated with the one of the claims;
executing, by the computing apparatus, integration of at least one additional claims processing application with the hierarchical claim management graphical user interface system based on one or more parameters related to the one of the plurality of claims to process the one of the plurality of claims; and
providing, by the computing apparatus, computer executable instructions for at least a portion of the hierarchical claim management graphical user interface system.

2. The method as set forth in claim 1 wherein the customizing the configuration further comprises customizing the plurality of interactive panels to comprise two or more of:
an adjuster case status panel comprising one or more of a number of assigned claims, a status of the assigned claims, or a list of recently reviewed claims;
a monetary overview panel comprising one or more of a demand amount, offer range, or a current offer;
a contact information panel comprising contact data for one or more of an insured, a claimant, or an attorney;
a claim map panel comprising a map of one or more of an accident scene, a claimant address, an insured address, an attorney office address, or an insurance provider address; or
a diary notes panel comprising one or more of adjuster notes, nurse notes, or key notes with a record of a date and time of each entry.

3. The method as set forth in claim 2 further comprising:
executing, by the computing apparatus, one or more claim management operations based on the one of the plurality of claims and one or more of at least a portion of the retrieved claim data or one or more received data inputs from an adjuster computing device;
wherein one of the one or more of claim management operations further comprise recording, by the computing apparatus, one or more status flag designations received from the adjustment computing device with an entry in the one of the plurality of specialized third-party claim management graphical user interfaces associated with the interactive diary notes panel.

4. The method as set forth in claim 2 wherein the retrieving claim data further comprises:
retrieving, by the computing apparatus, one or more of a monetary range of pain and suffering or percentage of claimant liability and an insured liability via the automatic configuration to integrate with at least one additional insurance claim application; and
updating, by the computing apparatus, the offer range in the initial dashboard graphical user interface and the one of the plurality of specialized third-party claim management graphical user interfaces associated with the monetary overview panel based on the retrieved one or more of a monetary range of pain and suffering or the percentage of claimant liability and an insured liability.

5. The method as set forth in claim 1 wherein the customizing the configuration further comprises nesting one or more sub-specialized third-party claim management graphical user interfaces nested below the at least one of the specialized third-party claim management graphical user interfaces.

6. The method as set forth in claim 5 wherein one of the one or more sub-specialized third-party claim management graphical user interfaces provides a recovery amount for each of the received one or more treatments based on a current position of one or more interactive treatment sliders along the timeline with a referenced expected recovery data and further comprising:
receiving, by the computing apparatus, an adjustment data input indicating a change of position of one of the one or more interactive treatment sliders along the timeline for each of the received one or more treatments in the one of the one or more sub-specialized third-party claim management graphical user interfaces;
recalculating, by the computing apparatus, the recovery amount for each of the received one or more treatments based on the changed position of the one of the one or more interactive treatment sliders; and
updating, by the computing apparatus, the one of the one or more sub-specialized third-party claim management graphical user interfaces based on the recalculation of the recovery amount for each of the received one or more treatments.

7. The method as set forth in claim 6 further comprising:
providing, by the computing apparatus, one or more guidelines for the received one or more treatments for the one of the plurality of claims;
receiving, by the computing apparatus, a selection of one of the one or more guidelines; and
updating, by the computing apparatus, the position of the one of the one or more interactive treatment sliders and the recovery amounts in the one or more sub-specialized third-party claim management graphical user interfaces based on the selected one of the one or more guidelines.

8. The method as set forth in claim 7 further comprising enabling, by the computing apparatus, entry of at least one new rule for selection for the updating the position of the one of the one or more interactive treatment sliders and the recovery amounts in the one or more sub-specialized third-party claim management graphical user interfaces.

9. The method as set forth in claim 5 wherein one of the one or more sub-specialized third-party claim management graphical user interfaces provides a current charged and an initial percentage rating against one or more benchmarks based on a current position of a charged amount slider and further comprising:
receiving, by the computing apparatus, an adjustment of the charged amount slider;
determining, by the computing apparatus, an updated percentage rating against the one or more benchmarks based on the adjusted position of the charged amount slider; and
updating, by the claim management computing apparatus, the one of the one or more sub-specialized third-party claim management graphical user interfaces based on the determination of the updated percentage rating against the one or more benchmarks.

10. The method as set forth in claim 5 further comprising capturing, by the computing apparatus, one or more snapshots of at least negotiation notes at a recorded point in time for the one of the plurality of claims, wherein one of the one or more sub-specialized third-party claim management graphical user interfaces provides the captured one or more snapshots.

11. The method as set forth in claim 5 wherein one of the one or more sub-specialized third-party claim management graphical user interfaces provides a negotiation worksheet comprising one or more degree of difficulty fields and one or more corresponding modifiable text fields relating to notes favoring claimant, notes which are neutral, and notes not favoring claimant and further comprising:
receiving, by the computing apparatus, one or more edits to one of the one or more degree of difficulty fields or one of the one or more corresponding modifiable text fields; and
recording, by the computing apparatus, the one or more edits to one of the one or more degree of difficulty fields or one of the one or more corresponding modifiable text fields in the one of the one o

Assignees

• Mitchell Int Inc

Inventors

• Dinamani Vidya
• Viswanathan Ajit
• Walker William

Classifications

• G06Q10/10

  Office automation; Time management · CPC title

• G06Q40/08 Primary

  Insurance · CPC title