This invention relates to the field of insurance
data processing and claims management technology, and discloses an insurance claims
configuration system and method based on event
perception and dual-track rule execution. This invention achieves unified access to multi-
source data by pre-setting a standardized
perception entry point covering all insurance claims scenarios, and constructs a
configuration management layer that supports business entities in independently configuring
perception scenarios, rule conditions, and dual-track execution methods. It combines a
rule engine unit and a
large model skill unit to execute structured and unstructured rule judgments respectively. When the judgment result meets the trigger conditions, customized
data extraction and management actions are automatically executed. This solves the problems of traditional claims management systems, such as difficulty in meeting personalized needs, excessively long
demand response cycles, wasted
functional development resources, suppressed enthusiasm of management entities, and lagging functional iteration. It improves the flexibility and business response speed of claims management, reduces
system development and maintenance costs, fully leverages the management initiative of
business personnel, and maximizes the value of claims management.