An intelligent auditing method for human injury claim order

A manual review and order technology, applied in data processing applications, instruments, finance, etc., can solve the problem of spending a lot of time, and achieve the effect of increasing efforts, protecting legitimate rights and interests, and reducing the probability of fraudulent insurance

Inactive Publication Date: 2019-01-18
医倍思特(北京)医疗信息技术有限公司
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Insurance claim settlement is a very complicated process, which not only takes a lot of time, but also requires staff and insured persons to hand over a large amount of information

Method used

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Examples

Experimental program
Comparison scheme
Effect test

Embodiment

[0022] Embodiment: an intelligent review method for personal injury claim orders, mainly including:

[0023] S1: Review of insured person information

[0024] When the insured person makes a claim for personal injury, the real-name authentication is carried out; the background service platform of the insurance company conducts online authentication, and scans the ID card to verify the identity information of the insured person; the background service platform of the insurance company identifies the information to be verified according to the stored information database and judgment; if the identity information of the insured person passes, the policy number and report information will be activated automatically, and the claim order review will be scheduled; if the identity information of the insured person fails, the policy number and accident report information will be further verified and activated online. Reservation for claim order review after activation;

[0025] S2: vi...

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PUM

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Abstract

The invention discloses an intelligent auditing method for a human injury claim order, which mainly comprises the following steps: S1, auditing the information of an insurer; S2: virtualizing insuredperson information; S3: auditing claim documents; The on-line audit method avoids the tedious auditing process, effectively saves time for the claim settlement process, effectively increases the flexibility of claim settlement processing, and can effectively improve the satisfaction degree of customers. At the same time, automatic audit, manual audit, online supervision, declaration platform, reporting platform can effectively achieve good compensation, no random compensation, the regulatory efforts are effectively increased, not only can the legitimate rights and interests of insured effectively protected, but also the vital interests of insurance companies are ensured.

Description

technical field [0001] The invention relates to the technical field of insurance claims, in particular to an intelligent review method for personal injury claims orders. Background technique [0002] Insurance claim settlement means that when an insured accident occurs in the subject matter of insurance and the property of the insured is damaged or the life of the insured is damaged, or other insured accidents stipulated in the policy need to pay insurance money, the insurance company shall perform the compensation or compensation according to the contract. The act of payment liability is a work that directly embodies insurance functions and fulfills insurance responsibilities. [0003] Simply put, insurance claim settlement is the behavior of the insurer to deal with the claims made by the insured after the occurrence of a risk accident on the subject matter of insurance. In insurance business, insurance claims settlement is the concrete embodiment of insurance compensatio...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G06Q40/08G06Q10/10
CPCG06Q10/103G06Q40/08
Inventor 冯韩
Owner 医倍思特(北京)医疗信息技术有限公司
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