Mobile Damage Assessment Feedback Loop for Claims Processing

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Solution Overview

Problem

Conventional insurance claims processing is complex, time-consuming, and lacks efficient options for pre-claim advice, often requiring multiple actors and extensive documentation, leading to delays in claim settlement.

Innovation Solution

A streamlined process using a mobile device to transmit data, such as images and video, to an enhanced claims processing server for automated analysis and settlement of insurance claims, allowing for real-time damage assessment and cost estimation, with features like data annotation and user instructions for capturing additional data.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If conventional claims processing uses multiple claims adjusters and extensive paperwork, then comprehensive damage analysis is achieved, but processing time increases significantly

Engineering Contradiction:
Improvedamage analysis comprehensivenessVSAvoidclaim settlement time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent replaces the mechanical system of manual document review and human adjuster analysis with an optical/digital system using mobile device cameras to capture images, which are then automatically processed by image recognition algorithms and machine learning models to extract damage information, eliminating the need for physical paperwork and manual measurement

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The system enables self-service by allowing policyholders to independently capture damage images using their mobile devices and submit claims without requiring multiple adjusters to physically inspect the damage, with the automated system performing the analysis that previously required human experts

Inventive Principle:
Principle #25Self-service

2Reliability

If conventional claims processing requires multiple actors and extensive documentation, then accurate claim assessment is achieved, but process complexity increases

Engineering Contradiction:
Improveclaim assessment accuracyVSAvoidclaims processing system complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The mobile device application serves multiple functions: capturing damage images, automatically extracting damage information through image recognition, generating claims documentation, and communicating with the insurance system, replacing multiple specialized tools and processes with a single multi-functional platform

Inventive Principle:
Principle #6Universality (Multi-functionality)

Solution Approach 2:

The patent introduces an automated image processing system and machine learning algorithms as intermediaries between the damage scene and the claims assessment, eliminating the need for multiple human adjusters to directly examine the damage while maintaining assessment accuracy through algorithmic analysis

Inventive Principle:
Principle #24Intermediary (Mediator)

3Loss of information

If conventional claims processing uses traditional documentation methods, then complete claim records are maintained, but data transmission efficiency decreases

Engineering Contradiction:
Improveclaim information completenessVSAvoiddata transmission speed
Core Design Contradiction:
Loss of informationVSProductivity

Solution Approach 1:

The patent replaces mechanical document handling and physical file transmission with digital image capture and electronic data transmission, where damage information is captured as images and transmitted instantly through communication networks, eliminating the time required for physical document movement while preserving complete claim records

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Data Source

PatentUS11625791B1Feedback loop in mobile damage assessment and claims processing
Publication Date: 2023.04.11 ALLSTATE INSURANCE COMPANY
  • US11625791B1 patent drawing
  • US11625791B1 patent drawing
  • US11625791B1 patent drawing

AI summary

Systems and methods provide for an automated system for analyzing damage to process claims associated with an insured item, such as a vehicle. An enhanced claims processing server may analyze damage associated with the insured item using photos/video transmitted to the server from a user device (e.g., a mobile device). The enhanced claims processing server may submit a signal that locks one or more portions of an application on the mobile device used to submit the photos/videos. The mobile device may receive feedback from the server regarding the acceptability of submitted photos/video. The photos may further be annotated using, for example, a touch screen display. An estimate, such as a cost estimate, may be determined for the damage associated with the insured item based on the photos and/or annotations.