Interactive Insurance Claim Interface

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Solution Overview

Problem

The process of submitting an insurance claim is often stressful and prone to errors due to unfamiliarity with the process, and traditional systems face challenges in managing incomplete or abandoned claims, leading to delays and loss of information.

Innovation Solution

A mobile application that guides users through the claim process, allowing customer service representatives to interact with users' mobile devices to collect and verify information, with features like image recognition and periodic data transfer to streamline the submission process.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If users complete the claim process independently through a mobile application, then user convenience and accessibility are improved, but data accuracy and completeness may deteriorate due to user errors and unfamiliarity with the process

Engineering Contradiction:
Improveuser convenienceVSAvoiddata accuracy
Core Design Contradiction:
Ease of operationVSManufacturing precision

Solution Approach 1:

A customer service representative acts as an intermediary between the user and the claim processing system. The representative views the user's mobile device screen, guides the user through the process, and enters data on behalf of the user, combining the accessibility of mobile self-service with the accuracy of professional assistance.

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The system creates a visual copy of the mobile device screen on the customer service representative's computer, allowing the representative to see exactly what the user sees and guide them through the process without requiring the user to navigate complex interfaces independently.

Inventive Principle:
Principle #26Copying

2Adaptability or versatility

If users can start claims at any time without agent assistance, then accessibility and user control are improved, but claim completion rates may deteriorate due to abandonment during stressful periods

Engineering Contradiction:
ImproveaccessibilityVSAvoidclaim completion rate
Core Design Contradiction:
Adaptability or versatilityVSReliability

Solution Approach 1:

The system allows users to preliminarily start the claim process and capture initial information independently when convenient, then pause and later resume with assistance from a customer service representative who can help complete the process during a subsequent scheduled interaction.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The customer service representative serves as a mediator who can intervene when users struggle with the process, providing guidance and support to ensure completion while maintaining the flexibility of asynchronous communication.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Measurement precision

If the system captures real-time data from mobile devices, then data freshness and accuracy are improved, but system complexity and resource requirements may deteriorate

Engineering Contradiction:
Improvedata freshnessVSAvoidsystem complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

Instead of implementing complex real-time synchronization protocols, the system creates periodic visual copies of the mobile device screen and transmits them to the representative's computer, achieving real-time data capture through a relatively simple screen capture and transmission mechanism.

Inventive Principle:
Principle #26Copying

Data Source

PatentUS12141877B1Simplified interactive user interface
Publication Date: 2024.11.12 UNITED SERVICES AUTOMOBILE ASSOCIATION (USAA)
  • US12141877B1 patent drawing
  • US12141877B1 patent drawing
  • US12141877B1 patent drawing

AI summary

Techniques for cooperative document generation include methods, one of the methods includes receiving, from a mobile device, a request to start an insurance claim, the mobile device including an application configured to guide the user through the claim process. The method includes establishing a session between a computer and the mobile device. The method includes displaying images of the user interface of the mobile device. The method includes receiving information concerning the insurance claim from the mobile device, the information provided by the user in response to prompts provided on the mobile device. The method includes displaying the information on the computer. The method includes enabling the customer service representative to alter the information or request additional information be provided. The method includes adding the information to a data record regarding the insurance claim in response to an indication that the customer service representative has verified the information.