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64results about How to "Improve claims efficiency" patented technology

Automobile insurance claim settlement method and system

The embodiments of the present invention disclose an automobile insurance claim settlement method and system. The method includes the following steps that: the case information of a reported case is received, a survey task is assigned according to a preset dispatching rule; uploaded survey information is received, an OCR technology is adopted to identify driving certificate, driving license and license plate information contained in the survey information; uploaded survey result and loss assessment information is received, a speech recognition technology is adopted to convert speech information into a text; risk control information is calculated by using a preset risk rule model according to the survey information and the case information, and improved case information is received; the case information is sent to a review end for reviewing the case information; and after the case passes review, the case information is transcribed to a corresponding insurance company system. According to the automobile insurance claim settlement method and system provided by the embodiments of the present invention, the scientific level and efficiency of insurance claim settlement are improved through intelligent dispatching, intelligent image recognition, intelligent speed and intelligent loss assessment; the full-process early warning and troubleshooting of the insurance claim settlement are realized through an intelligent risk control system; case frauds and leakage risks are reduced; and case quality can be improved.
Owner:民太安财产保险公估股份有限公司

Claim settlement flow identification method and device, server and storage medium

The invention relates to a claim settlement flow identification method and device, a server and a storage medium. The claim settlement flow identification method comprises the steps of receiving claimsettlement requests sent by a plurality of client terminals, wherein the claim settlement request carries claim settlement data, and the claim settlement data comprises a client identifier and an insurance place; acquiring a rule table, wherein the rule table records claim settlement rules corresponding to the plurality of client identifiers; querying corresponding claim settlement rules in the rule table according to the client identifiers; if the claim settlement data conforms to the claim settlement rules, generating a claim settlement case by using the claim settlement data; acquiring a flow table, wherein the flow table records claim settlement flows corresponding to the plurality of insurance places; querying the corresponding claim settlement flow in the flow table according to theinsurance place carried in the claim settlement request, and sending the claim settlement case to a corresponding claim settlement terminal according to the claim settlement flow. According to the method, the claim settlement flow applicable to the current client can be identified from various claim settlement flows, and the claim settlement efficiency is improved.
Owner:PING AN TECH (SHENZHEN) CO LTD

Insurance claim settlement method and device, computer equipment and storage medium

PendingCN109859059AImprove risk management and control capabilitiesImprove claims efficiencyFinanceRisk ControlControl data
The invention discloses an insurance claim settlement method and device, computer equipment and a storage medium, and the method comprises the steps: obtaining an insurance claim settlement request which comprises claim settlement information; inputting the claim settlement information into a preset risk control data calculation model for calculation to obtain claim settlement risk control data, the claim settlement risk control data comprising K claim settlement factors and a claim settlement risk coefficient corresponding to each claim settlement factor, and K being a positive integer; calculating to obtain a risk control score value corresponding to the claim settlement information by adopting a calculation formula; if the risk control score value is smaller than a score threshold value, determining an insurance corresponding to the claim settlement information as a to-be-claimed insurance; and performing claim settlement on the to-be-claimed insurance according to the claim settlement risk control data of the to-be-claimed insurance. According to the insurance claim settlement method, the insurance claim settlement efficiency is improved while the risk management and control capability of insurance claim settlement is ensured.
Owner:ONE CONNECT SMART TECH CO LTD SHENZHEN

Insurance policy data processing method and device, medium and electronic device

The embodiment of the invention relates to the technical field of computers, and provides an insurance policy data processing method and device, a medium and an electronic device. The method comprises: receiving an insurance policy calling request sent by a first server, judging whether the insurance policy calling request corresponds to multiple insurance policy types, and enabling the multiple insurance policy types to be insurance types with the number of insurance policies generated in unit time greater than a preset threshold value; if the insurance policy calling request corresponds to the insurance types of the insurance policies, obtaining a plurality of insurance policies according to the insurance policy calling request; and integrating the plurality of insurance policies to forman equivalent insurance policy, and sending the equivalent insurance policy to the first server to complete insurance policy processing of the plurality of insurance policies. According to the technical scheme provided by the embodiment of the invention, the problem of low insurance policy processing efficiency caused by data transmission of a large amount of insurance policy data between serverscan be solved, the claim settlement efficiency of an insurance company can be improved, and meanwhile, the claim settlement experience of a client is improved.
Owner:TAIKANG LIFE INSURANCE CO LTD

Method, a device and a server for settling claims of commercial insurance

InactiveCN109272411ASimplify the claims processReduce pressure on medical expensesFinancePaymentUser needs
The invention provides a method, a device and a server for settling claims of commercial insurance, wherein, the method is applied to a commercial insurance service platform. The method comprises thefollowing steps of: receiving authorization information of a user through a user terminal; screening out the hospitalization information of the user from the hospitalization information of the patientuploaded by the medical institution in a preset time according to the authorization information, and sending the screening information to the commercial insurance company to judge whether the user needs to pay the compensation in advance, and if so, according to the hospitalization information, the expense list and the insurance liability information of the purchased insurance product, paying thecompensation in advance; receiving settlement information from medical institutions to enable commercial insurance companies to settle claims and obtain payment; receiving indemnity fee and feedbackto medical institution for settlement of discharge fee to complete indemnity. The invention enables the user to obtain the prepaid compensation money during hospitalization and settle the compensationexpense in real time after discharge, simplifies the compensation flow of the commercial insurance, improves the compensation efficiency and lightens the pressure on the user to seek medical treatment.
Owner:汇保医联(天津)信息科技有限公司

Vehicle insurance claim settlement identification method and device based on picture identification, computer equipment and storage medium

The embodiment of the invention discloses a vehicle insurance claim settlement identification method and device based on picture identification, computer equipment and a storage medium. The method isapplied to the field of prediction models in intelligent decisions. The method comprises the following steps: collecting training pictures from a preset database and constructing a training sample according to the training pictures; based on the training sample, training a preset convolutional neural network model by adopting a forward propagation and back propagation combined mode to obtain a trained convolutional neural network model; and if a claim settlement request uploaded by a user is received, inputting a claim settlement picture in the claim settlement request into the trained convolutional neural network model for prediction so as to output a claim settlement probability corresponding to the claim settlement picture, thereby judging whether claim settlement can be performed or not, generating a claim settlement estimated amount, and sending the claim settlement estimated amount to the user. By implementing the method provided by the embodiment of the invention, the effects ofimproving the claim settlement efficiency, saving human resources and effectively identifying insurance fraud can be achieved.
Owner:PING AN TECH (SHENZHEN) CO LTD

Method, device and system for determining claim settlement data of accident vehicle

The invention discloses a method for determining the claim settlement data of an accident vehicle, and the method comprises the steps of carrying out the analysis of an obtained image of a current damaged part of the accident vehicle, and determining the damage degree information of the current damaged part; and determining maintenance claim settlement data and replacement claim settlement data corresponding to the damage degree information of the current damaged part according to a preset corresponding relation among the damage degree information of the damaged part of the vehicle, the maintenance claim settlement data and the replacement claim settlement data and the damage degree information of the current damaged part, and obtaining the claim settlement data of the accident vehicle according to the maintenance claim settlement data and the replacement claim settlement data. With the adoption of the method for determining the claim settlement data of the accident vehicle, the corresponding claim settlement data can be rapidly and accurately determined in a manner of carrying out real-time data analysis on the damage degree information, so that the tedious operation steps are reduced, and the claim settlement efficiency aiming at the road vehicle accident is improved.
Owner:PEOPLE'S INSURANCE COMPANY OF CHINA

Mobile phone insurance claim settlement method applied to intelligent detection terminal

The invention provides a mobile phone insurance claim settlement method applied to a mobile phone detection terminal. The mobile phone insurance claim settlement method comprises the following steps of underwriting: checking whether a mobile phone applying for claim settlement purchases insurance on the terminal or not and checking the instant state of an insurance policy; checking and identification detection: checking whether a mobile phone screen is replaced or not, identifying whether the mobile phone is unpacked or not in the claim settlement process, and detecting whether liquid crystalleaks or not and whether the screen is broken or not; claim settlement: confirming related information and data of the mobile phone and the insurance applicant to be submitted to an insurance companyto apply for claim settlement, and calling express delivery repair; and sending back: sending back the maintained mobile phone to a client to complete claim settlement and update the mobile phone order state. According to the method, the labor cost of an insurance company is greatly saved, the time of a user is saved, the problem that mobile phone claim settlement insurance is difficult to underwrite is avoided, the loophole of deceiving fees during mobile phone insurance is blocked, the mood risk is prevented, convenient experience and affordable mobile phone broken screen insurance right protection are brought to the user, and the method has wide market significance and values.
Owner:广州绿怡信息科技有限公司

Medical insurance claim settlement processing method, device and system based on block chain and storage medium

The invention relates to a medical insurance claim settlement processing method, device and system based on a block chain and a storage medium. The method comprises the following steps: receiving a first claim settlement verification request containing a first object identifier, wherein the first object identifier is used for identifying the first claim settlement object; obtaining a first insurance electronic contract corresponding to the first object identifier from a target blockchain account book; wherein the target blockchain account book is a blockchain account book shared with the insurance institution node; performing claim settlement verification on the first claim settlement object according to the first insurance electronic contract; and when the claim settlement verification ispassed, sending a first claim settlement request to the insurance institution node, so that the insurance institution node allocates a corresponding claim settlement fund according to the first claimsettlement request. According to the scheme, the medical institution node can automatically complete the treatment of the claim settlement object, thereby effectively reducing the verification time of the medical insurance, and improving the claim settlement efficiency of the medical insurance.
Owner:TENCENT TECH (SHENZHEN) CO LTD

Insurance service claim settlement method and device, computer device and storage medium

PendingCN110210981AImprove review accuracyStrong anti-fraudFinanceSurvey PersonnelBusiness process
The invention provides an insurance service claim settlement method and device, a computer device and a computer readable storage medium. The insurance service claim settlement method comprises the following steps: carrying out role definition on a plurality of booking parties, and configuring ownership information for a user contained in each booking party; receiving a claim settlement order, andobtaining insurance position information of the claim settlement order; generating a survey request according to the insurance position information, and assigning the survey request to survey personnel corresponding to the insurance position information; receiving survey information of the claim settlement order, and determining a preliminary loss assessment result according to the survey information; and auditing the preliminary loss assessment result according to a preset auditing rule to obtain a final loss assessment project and a final loss assessment amount corresponding to the claim settlement order. The invention relates to an insurance service process optimization technology, which can integrate a plurality of insurance service parties into the same platform and facilitate sharing, management and order tracking of insurance claim settlement related data.
Owner:ONE CONNECT SMART TECH CO LTD SHENZHEN

Intelligent claim settlement method and device, computer equipment and storage medium

The embodiment of the invention discloses an intelligent claim settlement method and device, computer equipment and a storage medium. The method comprises the steps of obtaining historical claim settlement data from a preset database and preprocessing the historical claim settlement data; selecting feature data from the preprocessed historical claim data; carrying out dimension reduction processing on the feature data by using a preset algorithm; using a clustering algorithm to perform clustering analysis on all the feature data after dimension reduction so as to divide all the feature data into different categories; making a corresponding claim settlement rule according to the divided various types of characteristic data; and if the claim settlement request is received, calculating the similarity between the current claim settlement data and each type of historical claim settlement data according to the current claim settlement data in the claim settlement request, carrying out classification identification on the current claim settlement data through the calculated similarity, and obtaining a corresponding claim settlement rule as a claim settlement result of the claim settlementrequest by using a classification identification result. The invention provides the intelligent claim settlement method based on the classification model, and the claim settlement efficiency is improved.
Owner:PING AN TECH (SHENZHEN) CO LTD

Insurance data processing method and device

ActiveCN108510141ARealize automatic claims settlementImprove claims efficiencyFinancePayment architecturePaymentComputer engineering
The invention relates to an insurance data processing method and device. The insurance data processing method comprises the steps that a terminal obtains an input insurance policy number and obtains corresponding scene information according to the insurance policy number, wherein the scene information comprises a plurality of responsibility attributes and responsibility attribute values corresponding to the responsibility attributes; the terminal obtains an input responsibility attribute value, obtains a matched responsibility attribute in the scene information according to the input responsibility attribute value and compares the input responsibility attribute value with the responsibility attribute value corresponding to the obtained responsibility attribute; if the input responsibilityattribute value is the same as the responsibility attribute value of the obtained responsibility attribute, claim payment rule data corresponding to pre-stored scene information is read; and the claimpayment rule data is processed to obtain a claim payment value, a claim payment instruction is generated, and the claim payment instruction is sent to a payment platform. The insurance data processing method improves the medical insurance claim settlement efficiency and improves the claim settlement accuracy. Correspondingly, the invention further provides an insurance data processing device, computer equipment and a computer readable storage medium.
Owner:PING AN TECH (SHENZHEN) CO LTD

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

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.
Owner:深圳平安医疗健康科技服务有限公司
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