"Method And Apparatus For Automated Insurance Processing"
Abstract:
In one embodiment of the present invention, information about a customer is entered into an electronic system. In one embodiment, the customer is part of a low margin market. In one embodiment, the customer"s medical record comprises the customer"s pharmaceutical records. In one embodiment, additional information (e.g., MIB, MVR, and /or Rx) is automatically requested about the customer from electronic databases using the information entered into the system about the customer. In one embodiment, information about a customer is scored. In another embodiment, certain information conditions are flagged. In one embodiment, if the customer meets the criteria for automatic policy denial, the customer is automatically denied a policy. In one embodiment, when certain customer information is entered, the customer"s information is automatically sent to a human for review.
Specification
METHOD AMP APPARATUS FOR AUTOMATED INSURANCE PROCESSING
RELATED APPLICATION INFORMATION
This application claims the benefit of United States Provisional Patent Application, serial number 60/494,689, filed August 13, 2003, entitled, 'Method and Apparatus for Automated Insurance Processing," the disclosure of which is hereby incorporated by reference.
BACKGROUND OF THE INVENTION 1. FIELD OF THE INVENTION
2. BACKGROUND ART
fa the typical insurance buying process, a custonMr fills out a form which is transmitted in paper fbxm to members of an insurance company 1hat determine whether the insurance can be issued. In some systems, the customer can fill out a form online (e.g., via the world wide web). However, the online form is still printed out and sent to a person who makes the determination of whether to issue a policy or not Thus, even healthy customers who desire immediate coverage (e.g., for life insurance) who engage in no risky behavior must wait days before knowing whether they are insured.
Alternatively, an insurer could issue insurance to everyone regardless of the risk involved. However, the premium would be much higher for non-risky customers, and thus, those customers would likeiy seek out other insurers. The above delays, difficulties and inefficiencies cause some portions of the potential insurance market
e.g., the middle market) to have a very low or even negative rate of return on investment of time, effort and capital of insurers or reinsurers.
SUMMARY OF THE INVENTION
Embodiments of the present invention are directed to a method and apparatus for automated insurance processing. In one embodiment of the present invention, information about a customer is entered into an electronic system. In one embodiment, the customer (due td the customer's traits, desired insurance/reinsurance product, or other factors) is part of a low-margin market. A low-margin market is a portion of the insurance (or reinsurance) market wherein the expected profit from insuring (reinsuring) an entity within that portion is small relative to the cost of insuring an entity within Hat portion (ag., payout expectations, overhead involved in devqfcn«ug business wife the entity, etc.). Hereinafter "insurance" and "reinsurance" and xefarted tenns wiD be osed iataFchangeabiy unless specifically indicated odxrwise.
to one embodiinait, the ctomer enters the infbnnatioa. In another
einbodkucat, an mgonnceagmt cotes (faemfi In still another embodiment,
the nrihmuifion is entered by a mini party flat is privy to a mail system), to erne embodiment, the customer receives an offered rate based apon the information entered about (he customer.
In one embodiment, the customer's information is submitted by «n online servkx(e.g online banidng)iised by the costoiDer. When me customer logs into me online service, the customer is notified of the offeodmsurance product and rate. In one embodiment, by submitting the electronic application, the customer is agreeing to the offered rate, hi another embodiment, if additional information collected about a customer alters the offered rate, the customer is automatically notified of the new rate (e.g., via e-mail, web site, automated phone call, etc). In one embodiment, me customer must agree to the new rate, if any, before a policy can issue. In another embodiment, if the new rate is lower, the customer's submission at the old rate constitutes acceptance at the lower rate as well.
In one embodiment, the information about the customer is used to determine whether the customer meets the criteria for automatic policy denial. If the customer meets the criteria for automatic policy denial, the customer is automatically denied a
policy. In one embodiment, the customer's information is compared to more than one insurer's approval/denial criteria. In one embodiment, two entities (e.g., an insurer and a re-insurer) partition financial obligations with regard to a policy issued automatically. In one embodiment, when certain customer information is entered (e.g., one of a range of scores or one or more flags are associated with the customer information), the customer's information is automatically sent to a human for review. The human can review the information and request additional information from the customer and/or electronic databases or issue or deny a policy.
Figure 11 illustrates the process of automatically insuring a customer in a low-margin market in accordance with one non-limiting embodiment of the present invention. At block 1100, information about a customer who is part of a low-margin market is entered into an electronic system. The customer may be aware or unaware tfart bis or her iofbcmrtian is being catered. AtblocklllO, itisdetaminediismga noting system based upon information collected about the customer wheflier to automatically offer a policy to the customer. If a policy is not automatically offered to the customer, at block 1120, it if determined using a scaring system based upon iniaimdino collected about the easterner whether to automatically reject the customer.
If the customer is automatically rqected, at block 1130, no policy is issued. If the customer is not automatically rejected, at block 1140, the case is automatically brought to the attention of a human insurance decision maker. At block 1150, the human insurance maker decides whether to issue a policy. If a policy is not offered, the process continues at block 1130. If a policy is offered automatically or by the human decision maker, at block 1160, it is determined whether the customer accepts the policy. If the customer does not accept the policy, the process continues at block 1130. If the customer accepts the policy, at block 1170, payment is arranged and the policy is issued.
Embodiment of Computer Execution Environment (Hardware)
An embodiment of the invention can be implemented as computer software in the form of computer readable program code executed in a general purpose computing environment such as environment 1200 illustrated in Figure 12. A keyboard 1210 and .mouse 1211 are coupled to a system bus 121 8. The keyboard and mouse are for introducing user input to the computer system and communicating that user input to central processing unit (CPU) 1213. Other suitable input devices may be used in addition to, or in place of, the mouse 1211 and keyboard 1210. I/O (input/output) unit 1219 coupled to bi-directional system bus 1218 represents such I/O elements as a
i
printer, A/V (audio/video) 1/0, etc.
Computer 1201 may include a communication interface 1220 coupled to bus
1218. Communication interface 1220 provides a two-way data communication
coqjinviaanetw
Documents
Application Documents
| # |
Name |
Date |
| 1 |
1277-DELNP-2006-Form-13-(09-03-2006).pdf |
2006-03-09 |
| 1 |
1277-DELNP-2006_EXAMREPORT.pdf |
2016-06-30 |
| 2 |
1277-delnp-2006-pct-306.pdf |
2011-08-21 |
| 2 |
1277-delnp-2006-abstract.pdf |
2011-08-21 |
| 3 |
1277-delnp-2006-form-5.pdf |
2011-08-21 |
| 3 |
1277-delnp-2006-assignment.pdf |
2011-08-21 |
| 4 |
1277-delnp-2006-form-3.pdf |
2011-08-21 |
| 4 |
1277-delnp-2006-claims.pdf |
2011-08-21 |
| 5 |
1277-delnp-2006-form-26.pdf |
2011-08-21 |
| 5 |
1277-delnp-2006-correspondence-others.pdf |
2011-08-21 |
| 6 |
1277-delnp-2006-form-2.pdf |
2011-08-21 |
| 6 |
1277-delnp-2006-correspondence-po.pdf |
2011-08-21 |
| 7 |
1277-delnp-2006-form-13.pdf |
2011-08-21 |
| 7 |
1277-delnp-2006-description (complete).pdf |
2011-08-21 |
| 8 |
1277-delnp-2006-form-1.pdf |
2011-08-21 |
| 8 |
1277-delnp-2006-drawings.pdf |
2011-08-21 |
| 9 |
1277-delnp-2006-form-1.pdf |
2011-08-21 |
| 9 |
1277-delnp-2006-drawings.pdf |
2011-08-21 |
| 10 |
1277-delnp-2006-description (complete).pdf |
2011-08-21 |
| 10 |
1277-delnp-2006-form-13.pdf |
2011-08-21 |
| 11 |
1277-delnp-2006-form-2.pdf |
2011-08-21 |
| 11 |
1277-delnp-2006-correspondence-po.pdf |
2011-08-21 |
| 12 |
1277-delnp-2006-form-26.pdf |
2011-08-21 |
| 12 |
1277-delnp-2006-correspondence-others.pdf |
2011-08-21 |
| 13 |
1277-delnp-2006-form-3.pdf |
2011-08-21 |
| 13 |
1277-delnp-2006-claims.pdf |
2011-08-21 |
| 14 |
1277-delnp-2006-form-5.pdf |
2011-08-21 |
| 14 |
1277-delnp-2006-assignment.pdf |
2011-08-21 |
| 15 |
1277-delnp-2006-pct-306.pdf |
2011-08-21 |
| 15 |
1277-delnp-2006-abstract.pdf |
2011-08-21 |
| 16 |
1277-DELNP-2006_EXAMREPORT.pdf |
2016-06-30 |
| 16 |
1277-DELNP-2006-Form-13-(09-03-2006).pdf |
2006-03-09 |