Claims settlement decision method, device, computer device and storage medium

Abstract

The present application relates to data processing techniques, and provides a claim settlement decision method, apparatus, computer device, and storage medium. The method comprises the following steps: obtaining injury condition data of the injured person to be compensated, and obtaining corresponding anatomical position information according to the injury condition data; Acquiring a lesion corpusset associated with the anatomical part information from a pre-established semantic network, and transmitting a first option information set to a terminal according to the lesion corpus set; Receiving a first selection result sent by the terminal, searching a corresponding injury severity corpus set from the semantic network according to the first selection result, and sending a second option information set to the terminal according to the injury severity corpus set; Receiving a second selection result returned by the terminal, and obtaining target matching data from the first selection result and the second selection result according to the anatomical part information; The preset claim data corresponding to the target matching data is obtained, the target decision data is obtained according to the preset claim data, and the target decision data is sent to the terminal.

Description

technical field [0001] The present application relates to the technical field of commercial insurance claims, in particular to a claim decision-making method, device, computer equipment and storage medium. Background technique [0002] With the continuous improvement of the informatization level of commercial insurance business, the need to improve the professionalism of insurance claims business and the accuracy of compensation is becoming more and more urgent. [0003] In traditional technology, commercial insurance claims, such as personal injury claims in car accidents, often require a large number of medical professionals or non-medical professionals who have received a certain degree of professional training to arrive at the scene of the car accident for on-site investigation, underwriting and claim verification. However, due to the high requirements for the medical literacy of claimants, commercial insurance companies need to spend a lot of manpower and material resou...

AI Technical Summary

Problems solved by technology

However, due to this method, due to the high medical literacy requirements of claimants, commercial insurance companies need to spend a lot of manpower and material resources on relevant training in the early stage, resulting in high costs for commercial claims; It is necessary to judge the injury of the injured and then choose a claim settlement plan according to the injury. The whole process takes a lot of time, resulting in low efficiency

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