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Insurance claim settlement service processing method and device thereof

A business processing and business configuration technology, applied in data processing applications, instruments, finance, etc., can solve the problems of long data entry, long entry time, low efficiency of claims processing, etc., and achieve the effect of improving business processing efficiency

Pending Publication Date: 2021-02-02
TAIKANG LIFE INSURANCE CO LTD +1
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0006] An embodiment of the present invention provides a method for processing insurance claim settlement business, which is used to solve the technical problem of low efficiency of claim settlement business processing due to the long time-consuming data entry of various paper documents in the existing insurance claim settlement business system. The method includes: obtaining case information and claim business configuration information of pending claims; synchronizing the case information and claim business configuration information of pending claims to the process outsourcing system, wherein the process outsourcing system is used to input the pending claims according to the synchronized case information The case data of the case, and according to the synchronous claims business configuration information, perform data preprocessing operations on the entered case data. The case data includes: image files of various paper documents and corresponding business data; the process outsourcing system is received in an asynchronous manner The returned image files and business data; according to the image files and corresponding business data of the pending claim cases returned by the process outsourcing system, the claim settlement business process is carried out for the claim cases
[0007] The embodiment of the present invention also provides an insurance claim settlement business processing device, which is used to solve the technical problem of low efficiency in claim settlement business processing due to the long time-consuming data entry of various paper documents in the existing insurance claim settlement business system , the device includes: a claim case information acquisition module, used to obtain case information and claim business configuration information of pending claim cases; a process outsourcing data sending module, used to synchronize case information of pending claim cases and claim business configuration information to the process outsourcing system, wherein the process outsourcing system is used to enter the case data of the pending claim settlement, and perform data preprocessing operations on the entered case data according to the synchronized claim settlement business configuration information. The case data includes: image files of various paper documents and Corresponding business data; the process outsourcing data receiving module is used to receive image files and business data returned by the process outsourcing system in an asynchronous manner; the claim settlement business processing module is used to return image files and corresponding Business data, perform claim settlement business processing for claim settlement cases
[0008] The embodiment of the present invention also provides a computer device, which is used to solve the technical problem of low efficiency of claim settlement business processing due to the long time-consuming data entry of various paper documents in the existing insurance claim settlement business system. The device includes a memory, a processor, and a computer program stored on the memory and operable on the processor. When the processor executes the computer program, the above-mentioned insurance claim settlement business processing method is realized.

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  • Insurance claim settlement service processing method and device thereof
  • Insurance claim settlement service processing method and device thereof
  • Insurance claim settlement service processing method and device thereof

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Embodiment Construction

[0019] In order to make the purpose, technical solutions and advantages of the embodiments of the present invention more clear, the embodiments of the present invention will be further described in detail below in conjunction with the accompanying drawings. Here, the exemplary embodiments and descriptions of the present invention are used to explain the present invention, but not to limit the present invention.

[0020] figure 1 Shown is an insurance claim settlement business system architecture provided in the embodiment of the present invention, such as figure 1 As shown, it includes: process outsourcing system 10 (i.e. BPO system) and claim settlement business system 20 (i.e. EBA system); wherein, process outsourcing system 10 is used to enter case data of cases to be settled, and execute data processing on the entered case data The pre-processing operation is to synchronize the pre-processed case data to the claim settlement business system, so that the claim settlement b...

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Abstract

The invention discloses an insurance claim settlement service processing method and a device, and the method comprises the steps: enabling a claim settlement service system to synchronize the case information of a to-be-claimed case and claim settlement service configuration information to a flow outsourcing system, inputting image files and corresponding business data of various paper files of the to-be-claimed case by the process outsourcing system according to the synchronized case information, and performing data preprocessing operation on the input case data of the to-be-claimed case according to the synchronized claim business configuration information; and returning the image file of the to-be-claimed case and the corresponding service data to the claim settlement service system inan asynchronous mode so that the claim settlement service system executes claim settlement service processing on the to-be-claim settlement case according to the received case data. The case data input work is executed on the process outsourcing system, so that the claim settlement service system only executes claim settlement business processing on the input case data, and the business processingefficiency can be greatly improved.

Description

technical field [0001] The invention relates to the field of computer internet, in particular to a method and device for processing insurance claim settlement business. Background technique [0002] This section is intended to provide a background or context to embodiments of the invention that are recited in the claims. The descriptions herein are not admitted to be prior art by inclusion in this section. [0003] With the improvement of social living standards and the enhancement of insurance awareness, more and more people begin to purchase insurance products provided by major insurance companies. How to provide better insurance services so that people can quickly get claims is the core competitiveness of major insurance companies. [0004] In the process of claim settlement cases in the traditional insurance industry, insurance companies often need to spend a lot of manpower and material resources to deal with data collection, scanning and entry of certificates or docu...

Claims

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Application Information

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IPC IPC(8): G06Q40/08G06Q10/10
CPCG06Q40/08G06Q10/1095
Inventor 范昕张绪勇
Owner TAIKANG LIFE INSURANCE CO LTD
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