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Electronic device, insurance case claim examination method and computer readable storage medium

An electronic device and case technology, applied in the field of electronic devices and computer-readable storage media, can solve the problems of increasing the company's claim settlement operating costs, poor customer experience, manual review, etc., to improve review efficiency, reduce claim settlement operating costs, The effect of enhancing the experience

Active Publication Date: 2018-02-09
PING AN TECH (SHENZHEN) CO LTD
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  • Abstract
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AI Technical Summary

Problems solved by technology

This will cause a large number of pending insurance claim cases to be reviewed manually, the efficiency of the review is relatively low, the customer experience effect is not good, and it also increases the company's claim settlement operating costs

Method used

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  • Electronic device, insurance case claim examination method and computer readable storage medium
  • Electronic device, insurance case claim examination method and computer readable storage medium
  • Electronic device, insurance case claim examination method and computer readable storage medium

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Embodiment Construction

[0050] In order to make the object, technical solution and advantages of the present invention clearer, the present invention will be further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described here are only used to explain the present invention, not to limit the present invention. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.

[0051] It should be noted that the descriptions involving "first", "second", etc. in the present invention are only for descriptive purposes, and should not be understood as indicating or implying their relative importance or implicitly indicating the number of indicated technical features . Thus, the features defined as "first" and "second" may explicitly or implicitly include at least one...

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Abstract

The invention discloses a case examination method. According to the method, a case determined as the case under insurance claim for manual examination by a claim examination system is calculated by calling a pre-trained claim examination rule model to preliminarily calculate the probability value of equivalence of the first claim amount through manual examination and the second claim amount through automatic examination of the claim examination system of the insurance claim case automatically, and the size of the calculated probability value and the preset probability threshold is compared sothat whether the insurance claim case is transferred to the claim examination system for automatic examination is judged. A part of cases of the manual examination cases can be transferred to the system for automatic examination so that the examination efficiency can be enhanced, the user experience can be enhanced and the operation cost of formula examination can be saved.

Description

technical field [0001] The invention relates to the field of insurance claim settlement review, in particular to an electronic device, an insurance claim settlement review method and a computer-readable storage medium. Background technique [0002] At present, in order to control the number and amount of insurance compensation cases, in line with the principle of prudent handling, when signing an insurance contract, the insurance company usually stipulates various indicators of the compensation cases based on business experience. After the case, the claims review system usually judges whether all the indicators of the pending insurance payment case meet the regulations, and when all the indicators meet the regulations, the claims review system automatically reviews and adjusts the compensation amount. If the claim review system judges that a certain indicator in the pending insurance payment case does not meet the requirements of the contract, it will issue a warning to remi...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G06Q40/08
CPCG06Q40/08
Inventor 王恩贵项同德杨辛未张旭
Owner PING AN TECH (SHENZHEN) CO LTD
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