RPA-based group insurance claim filing method and device, electronic equipment and medium
By adopting an RPA-based automated method in group insurance claims filing, the problem of low efficiency and error-prone handling of group insurance claims filing is solved, and a more efficient and safe claim filing process is achieved.
Patent Information
- Application Number
- CN202411656563.6
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2024-11-19
- Publication Date
- 2025-03-07
AI Technical Summary
Group insurance claims filing is inefficient, prone to errors, and has high safety risks.
The RPA-based group insurance claims filing method is adopted. By pre-configuring the RPA robot, the information to be filled in to be filled in the medical insurance system is automatically filled in, and the insured information that has been filled in in the medical insurance system is compared with the information in the insurance database. If there is no error, the case will be filed, and if there is any error, the case will be skipped.
It improves the efficiency of group insurance claims filing, reduces costs, reduces manual errors, and enhances the security of the system.
Smart Images

Figure CN119579328A_ABST
Abstract
Description
Technical Field
[0001] The present disclosure relates to the field of computer technology, and in particular to a method, device, electronic device and medium for filing a group insurance claim based on RPA. Background Art
[0002] In the related technology, the case filing of group insurance claims mainly relies on manual input of each user's information into the claims system, and the case filing is realized based on the case filing process of the claims system. There are problems such as low processing efficiency, easy errors and high security risks. Summary of the invention
[0003] The present disclosure provides a method, device, electronic device and medium for filing group insurance claims based on RPA to solve the problems of low processing efficiency and easy errors in filing group insurance claims. By pre-configuring a RAP robot, the information to be filled in the medical insurance system is automatically filled in; the insured information filled in the medical insurance system is compared with the information in the insurance database. If there is no error, the case is filed. If there is an error, the case is skipped and the case is filed continuously. The efficiency of filing group insurance claims is improved, the cost is reduced, and manual errors are reduced.
[0004] The first embodiment of the present disclosure proposes a group insurance claim filing method based on RPA, the method comprising:
[0005] According to the pre-configured data and insurance database, the claim filing materials are entered into the claim system through RPA. The pre-configured data includes the instruction data of RPA operating the claim system, and the insurance database includes the insured information of group insurance.
[0006] Obtain the case number from the insurance database, and generate an accident claim list from the claim system based on the case number;
[0007] The target object in the accident claim list is compared with the corresponding insured person in the insurance database. If the comparison is consistent, the insurance claim for the target object is filed. If the comparison is inconsistent, the filing of the target object is skipped.
[0008] In one embodiment of the present disclosure, before entering the claim filing materials into the claim system through RPA according to the pre-configured data and the insurance database, the following is also included:
[0009] In response to submitting the preconfiguration data, initializing the target program;
[0010] Reads preconfigured data and starts the claims system using the target program.
[0011] In one embodiment of the present disclosure, an accident claim list is generated from a claim system according to the case number, including:
[0012] Get the batch case number from the insurance database;
[0013] In the shared task pool on the claim list page of the claim system, import the accident claim list template based on the batch case number;
[0014] Based on the accident claim list template, the accident claim list is generated through the claim list page, and the accident claim list is entered into the personal task pool of the insurance filer.
[0015] In one embodiment of the present disclosure, before comparing the target object in the accident claim list with the corresponding insured person in the insurance database, the method further includes:
[0016] Determine whether the target object or insured person has the target attribute;
[0017] If it exists, the data of the target object will be compared with that of the insured.
[0018] In one embodiment of the present disclosure, a target object in the accident claim list is compared with the corresponding insured person in the insurance database. If the comparison is consistent, the insurance claim of the target object is filed. If the comparison is inconsistent, the filing of the target object is skipped, including:
[0019] Select the first data column corresponding to the data category of the target object;
[0020] According to the data category, select the second data column of the insured person;
[0021] Data comparison is performed based on the first data column and the second data column. If the comparison is consistent, an insurance claim for the target object is filed. If the comparison is inconsistent, the filing of the target object is skipped and a case is filed for the candidate object, wherein the candidate object is located after the target object in the accident claim list.
[0022] In one embodiment of the present disclosure, after filing an insurance claim for the target object, the following steps are further included:
[0023] Send the target object's filing information to the insurance filer via instant messaging tools or email.
[0024] The second aspect of the present disclosure provides a group insurance claim filing device based on RPA, which includes:
[0025] The input module is used to input claim filing materials into the claim system through RPA based on pre-configured data and the insurance database. The pre-configured data includes the instruction data of RPA operating the claim system, and the insurance database includes the insured information of group insurance.
[0026] A generation module is used to obtain the case number from the insurance database and generate an accident claim list from the claim system based on the case number;
[0027] The comparison module is used to compare the target object in the accident claim list with the corresponding insured person in the insurance database. If the comparison is consistent, the insurance claim for the target object will be filed. If the comparison is inconsistent, the filing of the target object will be skipped.
[0028] The third aspect embodiment of the present disclosure proposes an electronic device, comprising: at least one processor; and a memory communicatively connected to the at least one processor; wherein the memory stores instructions executable by the at least one processor, and the instructions are executed by the at least one processor so that the at least one processor can execute any one of the methods in the first aspect embodiment of the present disclosure.
[0029] The fourth aspect embodiment of the present disclosure proposes a non-transitory computer-readable storage medium storing computer instructions, characterized in that the computer instructions are used to enable a computer to execute the method in the first aspect embodiment of the present disclosure.
[0030] The fifth aspect embodiment of the present disclosure proposes a computer program product, characterized in that it includes a computer program, and when the computer program is executed by a processor, it implements any method in the first aspect embodiment of the present disclosure.
[0031] In summary, the RPA-based group insurance claims filing method proposed in this disclosure can achieve the following beneficial effects:
[0032] According to the pre-configured data and insurance database, the claim filing materials are entered into the claim system through RPA. The pre-configured data includes the instruction data of RPA operating the claim system, and the insurance database includes the insured information of group insurance, which realizes the automatic entry of claim filing materials; the case number is obtained from the insurance database, and the accident claim list is generated from the claim system according to the case number, providing a target object list that meets the requirements of the claim system for claim filing; the target object in the accident claim list is compared with the corresponding insured in the insurance database. If the comparison is consistent, the insurance claim of the target object is filed. If the comparison is inconsistent, the filing of the target object is skipped, and the automatic verification of the target object and the insured information and batch claim filing are completed. The filing efficiency is improved, the cost is reduced, and the manual errors are reduced.
[0033] It is to be understood that the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive of the present disclosure. BRIEF DESCRIPTION OF THE DRAWINGS
[0034] The drawings herein are incorporated into and constitute a part of the specification, illustrate embodiments consistent with the present disclosure, and together with the description are used to explain the principles of the present disclosure, and do not constitute improper limitations on the present disclosure.
[0035] Figure 1 This is a flow chart of a method for filing a group insurance claim based on RPA in an embodiment of the present disclosure;
[0036] Figure 2 A flowchart of starting a claims settlement system according to an embodiment of the present disclosure;
[0037] Figure 3 A flowchart of generating an accident claim list from a claim system according to a case number according to an embodiment of the present disclosure;
[0038] Figure 4 This is a flow chart of an embodiment of the present disclosure for determining whether a target object or an insured person has a target attribute;
[0039] Figure 5 A flowchart of data comparison according to an embodiment of the present disclosure;
[0040] Figure 6 This is a flow chart of sending case filing information according to an embodiment of the present disclosure;
[0041] Figure 7 It is a structural schematic diagram of a group insurance claim filing device based on RPA in an embodiment of the present disclosure;
[0042] Figure 8 is a block diagram of an electronic device for implementing the RPA-based group insurance claim filing method disclosed in the present invention according to an exemplary embodiment;
[0043] Fig. 9 It is a schematic diagram of the structure of the chip of the embodiment of the present disclosure. DETAILED DESCRIPTION
[0044] Embodiments of the present disclosure are described in detail below, and examples of the embodiments are shown in the accompanying drawings, wherein the same or similar reference numerals throughout identify the same or similar originals or elements having the same or similar functions. The embodiments described below with reference to the accompanying drawings are exemplary and are intended to be used to explain the present disclosure, and should not be construed as limiting the present disclosure.
[0045] First, a brief introduction to the relevant terms in this disclosure is given:
[0046] Robotic process automation (RPA): In this disclosure, it refers to a technology that uses software robots to automatically perform repetitive and regular tasks. RPA can complete tedious tasks such as data entry, file processing, and information extraction by simulating human operations on computers, thereby improving work efficiency and reducing human errors. The core advantages of RPA lie in its high efficiency and low cost. Software robots can work 24 hours a day without interruption, with execution speed far exceeding manual work, and no large-scale transformation of existing systems is required. Enterprises can flexibly apply RPA to various departments, such as finance, human resources, and customer service, to optimize business processes. In addition, RPA can also be combined with other technologies, such as artificial intelligence, to further enhance its intelligence level and enable it to handle more complex tasks. In this disclosure, RPA robots are used to act as agents for insurance case filers (salesmen) to operate the claims system.
[0047] Group insurance: In this disclosure, it refers to group insurance. It refers to an insurance product provided for a specific group, usually insured by a unit or organization for its members (such as employees, students or members). The main feature of this form of insurance is that it is insured on a group basis, usually with lower premiums and more flexible coverage. The main types of group insurance include life insurance, health insurance and accidental injury insurance, among which life insurance provides death protection for group members, and health insurance covers medical expenses, usually including hospitalization and outpatient services. Accidental injury insurance protects members from injuries or death caused by accidents. Group insurance can not only reduce the cost of individual insurance, but also increase the number of insured persons, thereby enhancing the risk diversification ability of insurance companies.
[0048] In the related technology, text information is extracted through screenshots, screen recordings, and optical character recognition (OCR) technology, and a large model is used to generate a summary table for filing a case. However, this technology has several problems: large models and OCR technology require a large amount of data for training, which is not only costly, but the recognition accuracy of OCR technology may affect the final result; screenshots and screen recording technology will take up a lot of memory resources; and manual processing methods are inefficient. In other words, the related technology has the problem of low efficiency and error-prone claims filing processing.
[0049] This disclosure aims to solve the problems of low processing efficiency and easy errors in group insurance claim filing, making group insurance claim filing more efficient and accurate. RPA robots replace manual mouse clicks and keyboard input operations to automatically complete the submission and review of claim materials, so as to realize quick group insurance claim filing.
[0050] The method proposed in this paper is applied to the RPA-based group insurance claim filing task, which can be widely used in the insurance industry, especially in the field of claims processing and customer service. By automating the claims filing process, RPA technology can significantly improve work efficiency, reduce manual intervention, and reduce error rates. Specific application scenarios include:
[0051] Claim application processing: automatically input claim materials, generate accident claim lists, and perform data comparison to ensure the accuracy and consistency of information, thereby speeding up claim review.
[0052] Data management: Through integration with insurance databases, RPA can update insured information in real time to ensure the timeliness and integrity of data.
[0053] Customer communication: After a claim is filed, the insurance filer will be automatically notified via instant messaging tools or email to improve customer experience and satisfaction.
[0054] Compliance monitoring: RPA can automatically record each operation step and provide detailed operation logs for subsequent audits and compliance checks.
[0055] In summary, the solution not only improves the efficiency of claims settlement, but also optimizes the customer service process, enabling insurance companies to better cope with market competition and customer needs. In the embodiments of the present disclosure, the application scenarios are not limited.
[0056] The RPA-based group insurance claims filing method provided by the present invention is introduced in detail below with reference to the accompanying drawings.
[0057] Figure 1 Flowchart of a method for filing a group insurance claim based on RPA according to an embodiment of the present disclosure, which is applied to an RPA robot. Figure 1 In the embodiment shown, the RPA-based group insurance claim filing method includes:
[0058] Step 101: Enter the claim filing materials into the claim system through RPA according to the pre-configured data and the insurance database. The pre-configured data includes the instruction data for RPA to operate the claim system, and the insurance database includes the insured information of the group insurance.
[0059] Preconfigured data refers to the various operations that need to be completed in the claims system for the RPA robot to file a claim for any insured person in group insurance, including simulated mouse clicks or keyboard inputs and other operation instructions. The insurance database refers to the database or table file in the core system of the insurance company that stores the insured person information and policy information of group insurance. The claims system refers to the system used by the insurance company to process claims for the insured. Claim filing materials include but are not limited to the insured person's identity documents, the signed insurance policy information, and various certification materials, including medical certification materials such as hospital diagnosis sheets, detailed expense receipts, and examination reports, or accident certificates or other supporting documents. The preconfigured data provides the RPA robot with operational guidance for completing the entire process of claim filing, and the insurance database provides the RPA robot with the user information to be filed; the RPA robot automatically enters the claim filing materials into the claims system according to the operational guidance.
[0060] Step 102, obtain the case number from the insurance database, and generate an accident claim list from the claim system according to the case number.
[0061] The case number refers to the batch case number of the current group insurance saved in the insurance database. The accident claim list refers to the list of insured persons who apply for claims and meet the requirements of the claims system, which is selected by the claims system from the data entered into the insurance database. The case number of the current group insurance is obtained from the insurance database, and the accident claim list is generated in the claims system according to the case number. Optionally, the accident claim list is an Excel spreadsheet file containing all the insured persons in the group insurance.
[0062] Step 103, compare the target object in the accident claim list with the corresponding insured person in the insurance database. If the comparison is consistent, the insurance claim for the target object is filed. If the comparison is inconsistent, the filing of the target object is skipped.
[0063] The target object refers to any person who applies for a claim in the accident claim list. The insured in this disclosure refers to the person covered by the group insurance. The data of the target object and the insured are compared. If the data of the two are consistent, then the insurance claim business of the target object is filed. If the data are inconsistent, then the filing of the current target object is skipped and the filing of the subsequent object is processed.
[0064] In summary, according to the RPA-based group insurance claim filing method proposed in this disclosure, the claim filing materials are entered into the claim system through RPA according to the pre-configured data and the insurance database. The pre-configured data includes the instruction data for RPA to operate the claim system, and the insurance database includes the insured information of the group insurance, thereby realizing the automatic entry of claim filing materials; obtaining the case number from the insurance database, and generating an accident claim list from the claim system according to the case number, providing a target object list that meets the requirements of the claim system for claim filing; comparing the target object in the accident claim list with the corresponding insured in the insurance database, if the comparison is consistent, then the insurance claim of the target object is filed, if the comparison is inconsistent, then the filing of the target object is skipped, thus completing the automatic verification of the target object and the insured information and batch claim filing. This improves the filing efficiency, reduces costs, and reduces manual errors.
[0065] Figure 2 The present invention is a flowchart of starting a claims settlement system according to an embodiment of the present invention. Figure 2 Yes Figure 1 The previous instructions for step 101 are based on Figure 2 The embodiment shown comprises the following steps:
[0066] Step 201 , in response to submitting pre-configuration data, initializing the target program.
[0067] The target program refers to a piece of code or program used to start a specified application or program in a computer. Before the RPA robot enters the claim filing materials into the claims system, in response to the user submitting pre-configured data, the RPA robot initializes the target program and provides the target program with the path of the application or script to be opened.
[0068] Step 202, read the pre-configured data, and start the claims system using the target program.
[0069] Based on the preconfigured data submitted by the user, the RPA robot reads the preconfigured data and starts the claims system using the target program.
[0070] In one possible implementation of this embodiment, the user submits pre-configured data, the RPA robot reads the pre-configured data, and uses the target program to open the browser program under the specified path, and opens the link to the claims system to enter the claims system.
[0071] In this embodiment, before entering information into the claims system, the claims system is opened through the target program, thereby improving the startup efficiency of the claims system.
[0072] Figure 3 The present invention is a flowchart of an embodiment of the present invention for generating an accident claim list from a claim system according to a case number. Figure 3 Yes Figure 1 Further explanation of step 102 is based on Figure 3 The embodiment shown comprises the following steps:
[0073] Step 301, obtain the batch case number from the insurance database.
[0074] The batch case number refers to the number set by the insurance company for group insurance. Different insured units or companies correspond to different batch case numbers. Query the batch case number currently to be processed from the insurance database.
[0075] Step 302, in the shared task pool in the claim list page of the claim system, import the accident claim list template based on the batch case number.
[0076] The claim list page refers to the page that displays the insured information of the current group insurance to be filed in the claims system. The accident claim list template refers to a form with specified content to be filled in according to the preset verification rules. The shared task pool refers to the data of a batch of group insurances currently to be processed selected in the insurance database. In the claim list page of the claims system, according to the group insurance information displayed in the shared task pool, the accident claim list template is imported into the claims system using the batch case number.
[0077] Step 303, based on the accident claim list template, generate an accident claim list through the claim list page, and enter the accident claim list into the personal task pool of the insurance filer.
[0078] The personal task pool refers to the group insurance that the current insurance case filer is responsible for filing, which is a part of the group insurance data assigned to the insurance case filer in the shared task pool. According to the accident claim list template that has been imported into the claims system, the accident claim list is generated through the group insurance data on the claim list page.
[0079] In this embodiment, the RPA robot uses the accident claim list template according to the case number to write the group insurance data from the claims system into the accident claim list template, forming an accident claim list, and providing a target object list that meets the requirements of the claims system for claim filing.
[0080] Figure 4 The present invention is a flowchart of an embodiment of the present invention for determining whether a target object or an insured person has a target attribute. Figure 4 Yes Figure 1 The specific description before step 103 is based on Figure 4 The embodiment shown comprises the following steps:
[0081] Step 401, determine whether the target object or the insured person has the target attribute.
[0082] The target attribute refers to the data that the claims system must verify when applying for the insured's claim according to the signed insurance policy agreement. Before comparing the target object and the insured's data, it is necessary to first determine whether the target object or the insured has the target attribute. If the target attribute does not exist, it means that the claim material data is incorrect and does not meet the claim filing requirements.
[0083] Step 402: If it exists, then compare the data of the target object with the insured.
[0084] If the target object or the insured person has the target attribute, it means that the target object in the accident claim list and the corresponding insured person in the insurance database both meet the data items required for claim filing, and further data comparison can be performed.
[0085] In this embodiment, checking the target attributes before comparing the data between the target object and the insured helps to improve the accuracy of claim filing and avoid errors caused by manual operations.
[0086] Figure 5 The present invention is a flowchart of a data comparison according to an embodiment of the present invention. Figure 5 Yes Figure 1 The specific description of step 103 is based on Figure 5 The embodiment shown comprises the following steps:
[0087] Step 501: Select a first data column corresponding to the data category of a target object.
[0088] The first data column refers to the data corresponding to the specified data category of the target object in the accident claim list. Optionally, the data category includes the identity information, insurance amount, insurance channel, etc. of the target object.
[0089] Step 502, selecting the second data column of the insured person according to the data category.
[0090] The second data column refers to the data stored in the data category of the insured in the insurance database.
[0091] Step 503, perform data comparison based on the first data column and the second data column. If the comparison is consistent, file an insurance claim for the target object. If the comparison is inconsistent, skip the filing of the target object and file a case for the candidate object. In the accident claim list, the candidate object is located after the target object.
[0092] Candidate objects refer to objects that are located after the target object in the accident claim list. Data comparison is performed based on the data in the first data column and the second data column based on the data category. If the comparison is consistent, the insurance claim for the target object is filed to confirm that the insurance claim filing is successful; if the comparison is inconsistent, the current filing for the target object is skipped and the candidate object is filed. This ensures that the filing of claims for other users will not be affected by incorrect data of some users. This improves the efficiency of filing, avoids errors caused by manual processing, and reduces the cost of filing.
[0093] Figure 6 The present invention is a flowchart of sending case filing information according to an embodiment of the present invention. Figure 6 Yes Figure 5 The specific description after step 503 is based on Figure 6 The embodiment shown comprises the following steps:
[0094] Step 601, sending the case filing information of the target object to the insurance case filer via instant messaging tools or emails.
[0095] After the RPA robot completes the claim filing of the target object in the claims system, in order to promptly notify the insurance filing personnel that the claim of the target object has been successfully filed, it sends the filing information of the target object to the insurance filing personnel through instant messaging tools such as WeChat, DingTalk, or emails, assisting the insurance filing personnel to understand the progress of group insurance claims processing.
[0096] In one implementation of the present disclosure,
[0097] First, manually configure the specified configuration table information and data source table in advance, configure the information recipient, run the RPA program, start the browser through the program path, read the configuration table content, and run the medical insurance system to complete the program initialization.
[0098] Secondly, click on Medical Insurance Claim, click on Batch Claim, click on Case Acceptance to enter the PICC Life Insurance Medical Insurance System; click on Add, click on Case Acceptance, enter the policy number and case acceptance information and save, enter the claim video and audio data upload, return to the PICC Life Insurance Medical Insurance System after uploading, click Submit entry to complete the data entry.
[0099] Next, sort the list template and the source data table, and obtain the batch case number in the "Outpatient" Sheet page of the source data table; enter the core system-Medical Insurance Claims-Batch Claims-Claim List Management Interface, and query according to the batch case number in the public task pool to import the template list. Click the "Excel Download" button to view the task results, enter all the data from the public to the personal, and submit all the data for review in the personal task pool to complete the template upload.
[0100] Furthermore, in the audit interface-public task pool, query according to the batch case number, click the "Audit" button, select all data, and click the "Submit Settlement" button. In the audit interface-personal task pool, query according to the batch case number, click the "Audit" button, and select the display column in the accident list. The data in the accident list is compared with the data in the source data table "Outpatient", "Inpatient", and "Maternity" Sheet pages (process if there are three Sheet pages, and skip if there are none) to realize data audit.
[0101] Finally, send it through WeChat or email interface, and the recipient is the recipient filled in the information recipient file when the recipient is initialized.
[0102] The disclosed embodiment proposes a group insurance claim filing method based on RPA. According to pre-configured data and insurance database, the claim filing materials are entered into the claim system through RPA. The pre-configured data includes instruction data for RPA to operate the claim system, and the insurance database includes the insured information of group insurance, so as to realize the automatic entry of claim filing materials; the case number is obtained from the insurance database, and the accident claim list is generated from the claim system according to the case number, so as to provide a target object list that meets the requirements of the claim system for claim filing; the target object in the accident claim list is compared with the corresponding insured in the insurance database. If the comparison is consistent, the insurance claim of the target object is filed. If the comparison is inconsistent, the filing of the target object is skipped, so as to complete the automatic verification of the target object and the insured information and batch claim filing. The filing efficiency is improved, the cost is reduced, and the manual errors are reduced.
[0103] Corresponding to the methods provided in the above-mentioned embodiments, the present disclosure also provides a group insurance claims filing device based on RPA. Since the device provided in the embodiments of the present disclosure corresponds to the methods provided in the above-mentioned embodiments, the implementation method of the method is also applicable to the device provided in this embodiment and will not be described in detail in this embodiment.
[0104] Figure 7 FIG. 7 is a schematic diagram of a group insurance claim filing device 700 based on RPA according to an embodiment of the present disclosure. Figure 7 As shown in the figure, the RPA-based group insurance claims filing device includes:
[0105] An input module 710 is used to input claim filing materials into the claim system through RPA according to pre-configured data and an insurance database. The pre-configured data includes instruction data for RPA to operate the claim system, and the insurance database includes information on the insured of group insurance.
[0106] A generating module 720 is used to obtain a case number from an insurance database and generate an accident claim list from a claim system according to the case number;
[0107] The comparison module 730 is used to compare the target object in the accident claim list with the corresponding insured person in the insurance database. If the comparison is consistent, the insurance claim for the target object is filed. If the comparison is inconsistent, the filing of the target object is skipped.
[0108] In some embodiments, before the input module 710 inputs the claim filing materials into the claim system through RPA according to the pre-configured data and the insurance database, it is also used to:
[0109] In response to submitting the preconfiguration data, initializing the target program;
[0110] Reads preconfigured data and starts the claims system using the target program.
[0111] In some embodiments, the generation module 720 is used to:
[0112] Get the batch case number from the insurance database;
[0113] In the shared task pool on the claim list page of the claim system, import the accident claim list template based on the batch case number;
[0114] Based on the accident claim list template, the accident claim list is generated through the claim list page, and the accident claim list is entered into the personal task pool of the insurance filer.
[0115] In some embodiments, before comparing the target object in the accident claim list with the corresponding insured person in the insurance database, the comparison module 730 is further used to:
[0116] Determine whether the target object or insured person has the target attribute;
[0117] If it exists, the data of the target object will be compared with that of the insured.
[0118] In some embodiments, the comparison module 730 is used to:
[0119] Select the first data column corresponding to the data category of the target object;
[0120] According to the data category, select the second data column of the insured person;
[0121] Data comparison is performed based on the first data column and the second data column. If the comparison is consistent, an insurance claim for the target object is filed. If the comparison is inconsistent, the filing of the target object is skipped and a case is filed for the candidate object, wherein the candidate object is located after the target object in the accident claim list.
[0122] In some embodiments, after filing an insurance claim for the target object, the comparison module 730 is further used to:
[0123] Send the target object's filing information to the insurance filer via instant messaging tools or email.
[0124] In summary, through the RPA-based group insurance claim filing device, according to the pre-configured data and insurance database, the claim filing materials are entered into the claim system through RPA. The pre-configured data includes the instruction data for RPA to operate the claim system, and the insurance database includes the insured information of the group insurance; the case number is obtained from the insurance database, and the accident claim list is generated from the claim system according to the case number; the target object in the accident claim list is compared with the corresponding insured in the insurance database. If the comparison is consistent, the insurance claim of the target object is filed. If the comparison is inconsistent, the filing of the target object is skipped. This device solves the problems of low processing efficiency and easy errors in group insurance claim filing, improves the processing efficiency of claim filing, and reduces manual errors.
[0125] In the above embodiments provided by the present disclosure, the methods and devices provided by the embodiments of the present disclosure are introduced. In order to implement the functions in the methods provided by the above embodiments of the present disclosure, the electronic device may include a hardware structure and a software module, and implement the above functions in the form of a hardware structure, a software module, or a hardware structure plus a software module. One of the above functions may be executed in the form of a hardware structure, a software module, or a hardware structure plus a software module.
[0126] Figure 8 It is a block diagram of an electronic device 800 for implementing the above-mentioned RPA-based group insurance claim filing method according to an exemplary embodiment.
[0127] For example, the electronic device 800 may be a mobile phone, a computer, a messaging device, a game console, a tablet device, a medical device, a fitness device, a personal digital assistant, etc.
[0128] Reference Figure 8 , the electronic device 800 may include one or more of the following components: a processing component 802 , a memory 804 , a power component 806 , a multimedia component 808 , an audio component 810 , an input / output (I / O) interface 812 , a sensor component 814 , and a communication component 816 .
[0129] The processing component 802 generally controls the overall operation of the electronic device 800, such as operations associated with display, phone calls, data communications, camera operations, and recording operations. The processing component 802 may include one or more processors 820 to execute instructions to complete all or part of the steps of the above-mentioned method. In addition, the processing component 802 may include one or more modules to facilitate the interaction between the processing component 802 and other components. For example, the processing component 802 may include a multimedia module to facilitate the interaction between the multimedia component 808 and the processing component 802.
[0130] The memory 804 is configured to store various types of data to support operations on the electronic device 600. Examples of such data include instructions for any application or method operating on the electronic device 800, contact data, phone book data, messages, pictures, videos, etc. The memory 804 can be implemented by any type of volatile or non-volatile storage device or a combination thereof, such as static random access memory (SRAM), electrically erasable programmable read-only memory (EEPROM), erasable programmable read-only memory (EPROM), programmable read-only memory (PROM), read-only memory (ROM), magnetic memory, flash memory, magnetic disk or optical disk.
[0131] The power supply component 806 provides power to the various components of the electronic device 800. The power supply component 806 may include a power management system, one or more power supplies, and other components associated with generating, managing, and distributing power to the electronic device 800.
[0132] The multimedia component 808 includes a screen that provides an output interface between the electronic device 800 and the user. In some embodiments, the screen may include a liquid crystal display (LCD) and a touch panel (TP). If the screen includes a touch panel, the screen may be implemented as a touch screen to receive input signals from the user. The touch panel includes one or more touch sensors to sense touch, slide, and gestures on the touch panel. The touch sensor may not only sense the boundaries of the touch or slide action, but also detect the duration and pressure associated with the touch or slide operation. In some embodiments, the multimedia component 808 includes a front camera and / or a rear camera. When the electronic device 800 is in an operating mode, such as a shooting mode or a video mode, the front camera and / or the rear camera may receive external multimedia data. Each front camera and rear camera may be a fixed optical lens system or have a focal length and optical zoom capability.
[0133] The audio component 810 is configured to output and / or input audio signals. For example, the audio component 810 includes a microphone (MIC), and when the electronic device 800 is in an operating mode, such as a call mode, a recording mode, and a voice recognition mode, the microphone is configured to receive an external audio signal. The received audio signal can be further stored in the memory 804 or sent via the communication component 816. In some embodiments, the audio component 810 also includes a speaker for outputting audio signals.
[0134] I / O interface 812 provides an interface between processing component 802 and peripheral interface modules, such as keyboards, click wheels, buttons, etc. These buttons may include but are not limited to: a home button, a volume button, a start button, and a lock button.
[0135] The sensor assembly 814 includes one or more sensors for providing various aspects of status assessment for the electronic device 800. For example, the sensor assembly 814 can detect the open / closed state of the electronic device 800, the relative positioning of components, such as the display and keypad of the electronic device 800, and the sensor assembly 814 can also detect the position change of the electronic device 800 or a component of the electronic device 800, the presence or absence of contact between the user and the electronic device 800, the orientation or acceleration / deceleration of the electronic device 800, and the temperature change of the electronic device 800. The sensor assembly 814 may include a proximity sensor configured to detect the presence of nearby objects without any physical contact. The sensor assembly 814 may also include an optical sensor, such as a CMOS or CCD image sensor, for use in imaging applications. In some embodiments, the sensor assembly 814 may also include an accelerometer, a gyroscope sensor, a magnetic sensor, a pressure sensor, or a temperature sensor.
[0136] The communication component 816 is configured to facilitate wired or wireless communication between the electronic device 800 and other devices. The electronic device 800 can access a wireless network based on a communication standard, such as WiFi, 2G or 3G, 4G LTE, 5G NR (NewRadio) or a combination thereof. In an exemplary embodiment, the communication component 816 receives a broadcast signal or broadcast-related information from an external broadcast management system via a broadcast channel. In an exemplary embodiment, the communication component 816 also includes a near field communication (NFC) module to facilitate short-range communication. For example, the NFC module can be implemented based on radio frequency identification (RFID) technology, infrared data association (IrDA) technology, ultra-wideband (UWB) technology, Bluetooth (BT) technology and other technologies.
[0137] In an exemplary embodiment, the electronic device 800 may be implemented by one or more application-specific integrated circuits (ASICs), digital signal processors (DSPs), digital signal processing devices (DSPDs), programmable logic devices (PLDs), field programmable gate arrays (FPGAs), controllers, microcontrollers, microprocessors, or other electronic components to perform the above methods.
[0138] In an exemplary embodiment, a non-transitory computer-readable storage medium including instructions is also provided, such as a memory 804 including instructions, and the above instructions can be executed by the processor 820 of the electronic device 800 to complete the above method. For example, the non-transitory computer-readable storage medium can be a ROM, a random access memory (RAM), a CD-ROM, a magnetic tape, a floppy disk, an optical data storage device, etc.
[0139] An embodiment of the present disclosure also proposes a non-transitory computer-readable storage medium storing computer instructions, wherein the computer instructions are used to enable a computer to execute the RPA-based group insurance claim filing method described in the above embodiment of the present disclosure.
[0140] An embodiment of the present disclosure further proposes a computer program product, including a computer program, which, when executed by a processor, implements the RPA-based group insurance claims filing method described in the above embodiment of the present disclosure.
[0141] Fig. 9 It is a structural schematic diagram of a chip 900 for implementing the above-mentioned RPA-based group insurance claim filing method according to an exemplary embodiment.
[0142] Reference Fig. 9 The chip 900 includes at least one communication interface 901 and a processor 902; the communication interface 901 is used to receive a signal input to the chip 900 or a signal output from the chip 900, and the processor 902 communicates with the communication interface 901 and implements the RPA-based group insurance claim filing method described in the above embodiment through logic circuits or execution code instructions.
[0143] It should be noted that the terms "first", "second", etc. in the specification and claims of the present disclosure and the above-mentioned drawings are used to distinguish similar objects, and are not necessarily used to describe a specific order or sequence. It should be understood that the data used in this way can be interchanged where appropriate, so that the embodiments of the present disclosure described herein can be implemented in an order other than those illustrated or described herein. The embodiments described in the following exemplary embodiments do not represent all embodiments consistent with the present disclosure. Instead, they are merely examples of devices and methods consistent with some aspects of the present disclosure as detailed in the appended claims.
[0144] In the description of this specification, the description with reference to the terms "one embodiment", "some embodiments", "illustrative embodiments", "examples", "specific examples" or "some examples" etc. means that the specific features, structures, materials or characteristics described in conjunction with the embodiments or examples are included in at least one embodiment or example of the present disclosure. In this specification, the schematic representations of the above terms do not necessarily refer to the same embodiment or example. Moreover, the specific features, structures, materials or characteristics described may be combined in any one or more embodiments or examples in a suitable manner.
[0145] Any process or method description in a flowchart or otherwise described herein may be understood to represent a module, segment or portion of code that includes one or more executable instructions for implementing the steps of a specific logical function or process, and the scope of the preferred embodiments of the present disclosure includes alternative implementations in which functions may not be performed in the order shown or discussed, including performing functions in a substantially simultaneous manner or in the reverse order depending on the functions involved, which should be understood by those skilled in the art to which the embodiments of the present disclosure belong.
[0146] The logic and / or steps represented in the flowchart or otherwise described herein, for example, can be considered as an ordered list of executable instructions for implementing logical functions, and can be embodied in any computer-readable medium for use by an instruction execution system, device or apparatus (such as a computer-based system, a system including a processing module, or other system that can fetch instructions from an instruction execution system, device or apparatus and execute instructions), or in combination with these instruction execution systems, devices or apparatuses. For the purposes of this specification, "computer-readable medium" can be any device that can contain, store, communicate, propagate or transmit a program for use by an instruction execution system, device or apparatus, or in combination with these instruction execution systems, devices or apparatuses. More specific examples of computer-readable media (a non-exhaustive list) include the following: an electrical connection with one or more wires (control method), a portable computer disk box (magnetic device), a random access memory (RAM), a read-only memory (ROM), an erasable and programmable read-only memory (EPROM or flash memory), a fiber optic device, and a portable compact disk read-only memory (CDROM). In addition, the computer-readable medium may even be paper or other suitable medium on which the program is printed, since the program may be obtained electronically, for example, by optically scanning the paper or other medium and then editing, interpreting or otherwise processing in a suitable manner if necessary, and then stored in a computer memory.
[0147] It should be understood that the various parts of the embodiments of the present disclosure can be implemented by hardware, software, firmware or a combination thereof. In the above embodiments, multiple steps or methods can be implemented by software or firmware stored in a memory and executed by a suitable instruction execution system. For example, if implemented by hardware, as in another embodiment, it can be implemented by any one of the following technologies known in the art or their combination: a discrete logic circuit having a logic gate circuit for implementing a logic function for a data signal, a dedicated integrated circuit having a suitable combination of logic gate circuits, a programmable gate array (PGA), a field programmable gate array (FPGA), etc.
[0148] A person skilled in the art may understand that all or part of the steps in the method for implementing the above-mentioned embodiment may be completed by instructing related hardware through a program, and the program may be stored in a computer-readable storage medium, which, when executed, includes one or a combination of the steps of the method embodiment.
[0149] In addition, each functional unit in each embodiment of the present disclosure may be integrated into a processing module, or each unit may exist physically separately, or two or more units may be integrated into one module. The above-mentioned integrated module may be implemented in the form of hardware or in the form of a software functional module. If the integrated module is implemented in the form of a software functional module and sold or used as an independent product, it may also be stored in a computer-readable storage medium. The above-mentioned storage medium may be a read-only memory, a disk or an optical disk, etc.
[0150] Although the embodiments of the present disclosure have been shown and described above, it is to be understood that the above embodiments are exemplary and are not to be construed as limitations of the present disclosure. A person skilled in the art may make changes, modifications, substitutions and variations to the above embodiments within the scope of the present disclosure.
Claims
1. A group insurance claim filing method based on RPA, characterized in that: The method comprises: According to the pre-configured data and the insurance database, the claim filing materials are input into the claim system through the RPA, wherein the pre-configured data includes the instruction data of the RPA operating the claim system, and the insurance database includes the insured information of the group insurance; Obtaining a case number from an insurance database, and generating an accident claim list from the claim system according to the case number; The target object in the accident claim list is compared with the corresponding insured person in the insurance database. If the comparison is consistent, the insurance claim for the target object is filed. If the comparison is inconsistent, the filing of the target object is skipped.
2. The method according to claim 1, characterized in that Before entering the claim filing materials into the claim system through RPA according to the pre-configured data and the insurance database, it also includes: In response to submitting the pre-configuration data, initializing the target program; The preconfiguration data is read, and the claims settlement system is started using the target program.
3. The method according to claim 1, characterized in that: Generating an accident claim list from the claim system according to the case number includes: Obtaining a batch case number from the insurance database; In the shared task pool in the claim list page of the claim system, based on the batch case number, an accident claim list template is imported; Based on the accident claim list template, the accident claim list is generated through the claim list page, and the accident claim list is entered into the personal task pool of the insurance filer.
4. The method according to claim 1, characterized in that: Before comparing the target object in the accident claim list with the corresponding insured person in the insurance database, the method further includes: Determining whether the target object or the insured person has a target attribute; If so, data comparison will be performed between the target object and the insured person.
5. The method according to claim 1, characterized in that The target object in the accident claim list is compared with the corresponding insured person in the insurance database. If the comparison is consistent, the insurance claim of the target object is filed. If the comparison is inconsistent, the filing of the target object is skipped, including: Selecting a first data column corresponding to the data category of the target object; Selecting a second data column of the insured person according to the data category; A data comparison is performed based on the first data column and the second data column. If the comparison is consistent, an insurance claim for the target object is filed. If the comparison is inconsistent, the filing of the target object is skipped and a case is filed for a candidate object, wherein the candidate object is located after the target object in the accident claim list.
6. The method according to claim 5, characterized in that After filing the insurance claim for the target object, the method further includes: Send the insurance filing information of the target object to the insurance filing person through instant messaging tools or emails.
7. A group insurance claim filing device based on RPA, characterized in that: The device comprises: An input module, used to input claim filing materials into the claim system through RPA according to pre-configured data and an insurance database, wherein the pre-configured data includes instruction data of the RPA operating the claim system, and the insurance database includes information of the insured of the group insurance; A generating module, used for obtaining a case number from an insurance database, and generating an accident claim list from the claim system according to the case number; The comparison module is used to compare the target object in the accident claim list with the corresponding insured person in the insurance database. If the comparison is consistent, the insurance claim for the target object is filed. If the comparison is inconsistent, the filing of the target object is skipped.
8. An electronic device, characterized in that: include: at least one processor; as well as a memory communicatively connected to the at least one processor; wherein, The memory stores instructions that can be executed by the at least one processor, and the instructions are executed by the at least one processor to enable the at least one processor to perform the method according to any one of claims 1 to 6.
9. A non-transitory computer-readable storage medium storing computer instructions, characterized in that: The computer instructions are used to cause the computer to execute the method according to any one of claims 1-6.
10. A computer program product, characterized in that The invention comprises a computer program which, when executed by a processor, implements the method according to any one of claims 1 to 6.