Patent application number | Description | Published |
20090254379 | COMPUTER SYSTEM FOR APPLYING PREDICTIVE MODEL TO DETERMINATE AND INDETERMINATE DATA - A computer system includes a data storage module. The computer system also includes an indeterminate data capture module. The data storage module receives, stores, and provides access to both determinate data and indeterminate data that was captured by the indeterminate data capture module. The computer system also includes a computer processor and a program memory. The computer processor executes programmed instructions and stores and retrieves the data stored in the data storage module. The data stored in the data storage module is related to historical claim transactions and current claim transactions. A predictive model component is coupled to the data storage module, and determines whether to refer a current claim transaction to an investigation unit. A model training component is coupled to the computer processor and functions to train the predictive model. | 10-08-2009 |
20110015948 | COMPUTER SYSTEM FOR ANALYZING CLAIMS FILES TO IDENTIFY PREMIUM FRAUD - A computer system includes a data storage module. The data storage module receives, stores, and provides access to both aggregate claims file data and insurance policy data. The computer system also includes a computer processor and a program memory. The computer processor executes programmed instructions and stores and retrieves the data stored in the data storage module. A text mining component is coupled to the data storage module, and analyzes unstructured text in the aggregate claims file data to detect indicators of possible premium fraud. A routing module in the computer system routes for investigation insurance policies that correspond to the claim files in which indicators of possible premium fraud were detected. | 01-20-2011 |
20110022416 | SYSTEM AND METHOD TO PROVIDE INSURANCE QUOTE - A method includes a data storage device for receiving, storing, and providing access to building characteristic information, a computer processor for executing program instructions and for retrieving the building characteristic information and hazard information from the data storage device, a memory, coupled to the computer processor, for storing program instructions for execution by the computer processor, a quoting system and a validation engine. | 01-27-2011 |
20110137672 | SYSTEM AND METHOD USING A PREDICTIVE MODEL FOR NURSE INTERVENTION PROGRAM DECISIONS - According to some embodiments, historical claim data may be stored in a computer storage unit. The historical claim data may be used to train and verify a predictive model, the predictive model being associated with an evaluation of claim transactions to determine whether to refer each claim transactions to a nurse intervention program. Data for current claim transactions may be processed, and the trained and verified predictive model may be applied to the data for the current claim transactions to generate a respective output for each of the current claim transactions. Some of the current claim transactions may be selectively routed to a case management center associated with the nurse intervention program based on the outputs generated by the predictive model. | 06-09-2011 |
20120022894 | SYSTEMS AND METHODS FOR ADMINISTERING EXTENDED ABSENCE INSURANCE - A computer receives rating information relating to proposed issuance of an insurance policy endorsement. The rating information relates to a proposed insured that employs a number of employees. The computer processes the rating information to generate a premium amount to be charged for the insurance policy endorsement. The endorsement is then issued. The endorsement may provide reimbursement to the insured for losses incurred by the insured arising from absence from work by one or more of the employees. | 01-26-2012 |
20120290330 | SYSTEM AND METHOD FOR WEB-BASED INDUSTRIAL CLASSIFICATION - Systems and methods are disclosed herein for determining an insurance evaluation based on an industrial classification. The system includes a content processor, a computerized predictive model, and a business logic processor. The content processor retrieves content from a website related to an entity seeking an insurance policy and extracts data from the website content. The computerized predictive model accepts the data extracted from the website content from the content processor, processes the extracted data, and outputs data indicative of at least one industrial classification associated with the entity. The business logic processor determines an insurance evaluation of the entity based on its industrial classification(s). | 11-15-2012 |
20130346097 | COMPUTER SYSTEM AND METHOD FOR PROCESSING DATA RELATING TO NURSE INTERVENTION PROGRAM DECISIONS - According to some embodiments, historical claim data may be stored in a computer storage unit. The historical claim data may be used to train and verify a predictive model, the predictive model being associated with an evaluation of claim transactions to determine whether to refer each claim transactions to a nurse intervention program. Data for current claim transactions may be processed, and the trained and verified predictive model may be applied to the data for the current claim transactions to generate a respective output for each of the current claim transactions. Some of the current claim transactions may be selectively routed to a case management center associated with the nurse intervention program based on the outputs generated by the predictive model. | 12-26-2013 |
20140288977 | Systems and Methods for Administering Work Absence Insurance - A computer receives rating information relating to proposed issuance of an insurance policy endorsement. The rating information relates to a proposed insured that employs a number of employees. The computer processes the rating information to generate a premium amount to be charged for the insurance policy endorsement. The endorsement is then issued. The endorsement may provide reimbursement to the insured for losses incurred by the insured arising from absence from work by one or more of the employees. | 09-25-2014 |