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Adjustment method and device for insurance claim settlement

A case and adjustment technology, applied in computing, data processing applications, instruments, etc., can solve problems such as high error rate, affecting the timeliness and accuracy of insurance claims, and long time, so as to improve accuracy, avoid errors, and reduce errors. rate effect

Inactive Publication Date: 2018-02-16
PING AN TECH (SHENZHEN) CO LTD
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  • Abstract
  • Description
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AI Technical Summary

Problems solved by technology

[0005] In view of this, this application provides a method and device for adjusting insurance claims, the main purpose of which is to solve the manual adjustment of insurance claims that takes a long time and has a high error rate, which affects the timeliness of insurance claims and accuracy issues

Method used

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  • Adjustment method and device for insurance claim settlement
  • Adjustment method and device for insurance claim settlement
  • Adjustment method and device for insurance claim settlement

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Embodiment Construction

[0030] Exemplary embodiments of the present disclosure will be described in more detail below with reference to the accompanying drawings. Although exemplary embodiments of the present disclosure are shown in the drawings, it should be understood that the present disclosure may be embodied in various forms and should not be limited by the embodiments set forth herein. Rather, these embodiments are provided for more thorough understanding of the present disclosure and to fully convey the scope of the present disclosure to those skilled in the art.

[0031] The embodiment of the present application provides an insurance claim settlement method, which can automatically calculate the settlement amount for one or more insurance claim settlement cases. While saving manpower, it can also save the time for adjustment review, and can effectively avoid due to Errors caused by manual participation, thereby reducing the error rate.

[0032] like figure 1 As shown, the steps of the adjus...

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Abstract

The invention discloses an adjustment method and device for insurance claim settlement, and the method comprises the steps: obtaining the claim settlement data of a to-be-adjusted insurance claim settlement case; selecting a target business rule to be verified for the to-be-adjusted insurance claim settlement case from pre-recorded business rules; carrying out the adjustment verification of the to-be-adjusted insurance claim settlement case according to the target business rule and the claim settlement data; and carrying out the adjustment of the claim settlement amount of the to-be-adjusted insurance claim settlement case according to the claim settlement data if the adjustment verification of the to-be-adjusted insurance claim settlement case is passed. Therefore, there is no need of manual operation in the whole adjustment verification of the to-be-adjusted insurance claim settlement case, and the method can achieve the automatic adjustment of the claim settlement amount of the to-be-adjusted insurance claim settlement case, thereby saving a large number of manpower resources, saving the adjustment check time, avoiding the errors caused by the manual operation, reducing the error rate, and effectively improving the adjustment check accuracy.

Description

technical field [0001] The application belongs to the technical field of insurance claims, and in particular relates to a method and device for adjusting insurance claims. Background technique [0002] With the improvement of people's living standards, more and more people will invest part of their funds in insurance companies, etc., so that insurance companies need to deal with more and more claims cases, and users need to claim compensation from insurance companies after claims cases occur. At the same time, the insurance company needs to conduct an adjustment audit for each claim case, and obtain the corresponding compensation amount to provide to the user. [0003] At present, when a user applies for an insurance claim, the staff will create an insurance claim case task in the system, and enter the corresponding claim bill into the system, and then a special staff will adjust and review these insurance claim cases entered into the system. Specifically, a dedicated staff...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G06Q40/08
CPCG06Q40/08
Inventor 丁学敏
Owner PING AN TECH (SHENZHEN) CO LTD
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