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Method for Efficient Processing of Insurance Claims

a technology for insurance claims and efficient processing, applied in the field of efficient processing of insurance claims, can solve the problems of property damage insurance claims, existing fast track claims are typically highly vulnerable to inaccuracies and/or inequity, and fast track claims are typically processed without significant information, etc., to achieve the effect of reducing costs, increasing the number of “fast track” loss/casualty claims, and maintaining the integrity of the claim adjusting process

Inactive Publication Date: 2017-10-26
ESTIMATICS IN THE FOURTH DIMENSION
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The technology described in this patent increases the number of fast track loss / casualty claims while reducing costs associated with inspection claims. It improves customer service and satisfaction by speeding up the claims adjusting process. It allows inside adjusters to accurately diagram rooms, structures, and objects by using photographs without the need for physical on-site inspection. The technology also allows field adjusters to inspect more properties during times of higher claims volume and improves safety by reducing the amount of time a field adjustor is required to remain on-site at a damaged location.

Problems solved by technology

However, such fast track claims are typically processed without significant information regarding the property at issue, as well as the nature and extent of the alleged damages.
As a result, such existing fast track claims are typically highly vulnerable to inaccuracies and / or inequities in the claims adjustment process.
Moreover, such fast track claims currently represent a fairly small percentage of property damage insurance claims.
Every on-site inspection has inherent costs, whether such inspection is performed by an insurance company employee or a third-party contractor.
However, such inspection costs can also include other expenses, such as vehicle, fuel, maintenance, vacation and benefit costs, as well as workers compensation insurance.
Physical inspections also expose company and contract adjustors to a risk of personal injury or death, particularly at property locations that have suffered significant damage.
Physical inspections, which are also time consuming and labor intensive, can also substantially delay the claim adjusting process.
Such delay is especially common during times of higher claims volume, such as following extreme weather events or natural disasters when multiple property locations are damaged or destroyed.
This delay can have a detrimental effect on customer service and customer satisfaction.

Method used

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  • Method for Efficient Processing of Insurance Claims
  • Method for Efficient Processing of Insurance Claims
  • Method for Efficient Processing of Insurance Claims

Examples

Experimental program
Comparison scheme
Effect test

first embodiment

[0057]Referring now to the drawings, in a first embodiment FIG. 1 depicts digital image of a photograph of a perspective view of an internal space of a structure 10 that can be diagrammed using the method of the technology disclosed herein. As depicted in FIG. 1, structure 10 generally comprises walls 1, 2 and 3, and ceiling 9. Said structure further includes a brick hearth and fireplace 4, chair 5, rug 6 and doorway 7.

[0058]A base calibration measure is generated by digitally (graphically) drawing a line on said digital image using a computer and software of the technology disclosed herein. By way of illustration, and as depicted in FIG. 1, line100 can be graphically drawn from the floor at the bottom of doorway 7 to the top of doorway 7. Said line 100 is assigned a length dimension—depicted as dimension “B” on FIG. 1—based upon a known standard of the height of doorway 7. For example, said calibration line 100 can be assigned a length dimension of 6′8″ (based on standard doorway h...

second embodiment

[0129]Referring now to FIGS. 14-19, a procedure for developing images into a floor plan of the type that is useful for making damage assessments is illustrated. In FIG. 14, an initial display is provided to the user of the E4thD operating software for use in selecting a particular image data file that has been uploaded to the E4thD computer system (such as a computer system 310, 410, or 510). The user is graphically told to begin “step 1” at a box 800 by clicking on a “photo import” icon 802 that appears in a horizontal button bar, near the top of the display. Once the image data file of interest is selected, that image will appear in the display window in the area 804 on this monitor's display screen.

[0130]In FIG. 15, a “step 2” is indicated at 810, and the user is instructed to now select a “standard object” for use in the calibration procedure. In this example, the user clicks on a “door” icon at 812, which informs the operating software that the standard object will be some type...

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PUM

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Abstract

Rooms, structures, vehicles, and other objects can be accurately diagrammed, often without performing a physical on-site inspection. Photographs of a room, structure, vehicle, or other object are uploaded to a computer having a processor. A base calibration measure is determined for a room, structure, vehicle, object, or component thereof, depicted in the photographs using at least one known dimension for items observable in the photographs. The base calibration measure is then used to determine dimensions of other areas, items, or objects depicted in such photographs, and to create at least one scale diagram of the subject matter of the photographs. Damages areas of the structure / vehicle / object can be assessed from the scale diagram. The scale diagram can then be used to calculate appropriate insurance payment amounts for damage claims.

Description

CROSS REFERENCES TO RELATED APPLICATIONS[0001]This application is a continuation of U.S. patent application Ser. No. 14 / 261,032, filed Apr. 24, 2014, currently pending, which is a continuation-in-part of U.S. patent application Ser. No. 13 / 931,892, filed Jun. 29, 2013, now abandoned.STATEMENTS AS TO THE RIGHTS TO THE INVENTION MADE UNDER FEDERALLY SPONSORED RESEARCH AND DEVELOPMENT[0002]NONEBACKGROUND OF THE INVENTION1.Field of the Invention[0003]The technology disclosed herein relates generally to a system for generating scale diagrams of an area, structure, or object using photographs and is particularly directed to computerized system of the type which uses scale diagrams generated from photographs to efficiently process loss claims including, without limitation, casualty insurance claims.2. Brief Description of the Prior Art[0004]Many insured property damage claims require a physical inspection by at least one adjuster. Such adjusters, who are frequently employees or contractors...

Claims

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Application Information

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IPC IPC(8): G06Q40/08G06Q10/10G06T7/60G06T11/60
CPCG06Q40/08G06Q10/10G06T7/60G06T2207/20096G06T11/60
Inventor THOMAS, DOUGLASTHOMAS, STEVEN D.DUREL, WILLIAM J.
Owner ESTIMATICS IN THE FOURTH DIMENSION