CN107871283A - The processing method and processing device of settlement of insurance claim - Google Patents
The processing method and processing device of settlement of insurance claim Download PDFInfo
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- CN107871283A CN107871283A CN201610852041.2A CN201610852041A CN107871283A CN 107871283 A CN107871283 A CN 107871283A CN 201610852041 A CN201610852041 A CN 201610852041A CN 107871283 A CN107871283 A CN 107871283A
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Abstract
The present invention relates to a kind of processing method and processing device of settlement of insurance claim, the processing method of the settlement of insurance claim includes：The database script that configuration Claims Resolution rule performs in database of settling a claim, and establish the log sheet of the Claims Resolution rule；Based on the database script operation Claims Resolution rule, the postrun implementing result of the Claims Resolution rule is obtained, and the implementing result is preserved into the log sheet；The implementing result preserved in the log sheet is analyzed according to default analysis rule, with analyze the Claims Resolution rule whether operation exception；If so, the abnormity prompt information that then generation is checked for user, and/or, send the abnormity prompt information to predetermined terminal.Present invention deployment is simple, simplifies the configuration of system and can improve stability, and computing is more succinct.
Description
Technical field
The present invention relates to settlement of insurance claim technical field, more particularly to a kind of processing method and processing device of settlement of insurance claim.
Background technology
At present, in insurance field, insurance company is in order to prevent and evade the various risks in settlement of insurance claim, it will usually is directed to
The a variety of Claims Resolution rules of settlement of insurance claim business development.However, although the existing regular operation system of Claims Resolution can be to a certain extent
The abnormal conditions of monitoring Claims Resolution rule operation, but rule of settling a claim is generally complicated and changeable so that needed in regular operation system of settling a claim
More deployment and configuration are done, stability is poor, and running is more numerous and diverse.
The content of the invention
It is an object of the invention to provide a kind of processing method and processing device of settlement of insurance claim, it is intended to solves Claims Resolution rule running
The problem of system deployment and more configuration.
To achieve the above object, the present invention provides a kind of processing method of settlement of insurance claim, the processing side of the settlement of insurance claim
Method includes：
S1, the database script that configuration Claims Resolution rule performs in database of settling a claim, and establish the day of the Claims Resolution rule
Will table；
S2, based on the database script operation Claims Resolution rule, the acquisition Claims Resolution rule is postrun to perform knot
Fruit, and the implementing result is preserved into the log sheet；
S3, the implementing result preserved in the log sheet is analyzed according to default analysis rule, advised with analyzing the Claims Resolution
Then whether operation exception；
S4, if so, the abnormity prompt information that then generation is checked for user, and/or, send the exception to predetermined terminal and carry
Awake information.
Preferably, the step S2 includes：
S21, the regular managing detailed catalogue and business datum of the Claims Resolution rule definition are obtained based on the database script；
S22, the business datum is compared with the corresponding regular managing detailed catalogue, obtains comparison result as institute
Implementing result is stated, and the implementing result is preserved into the log sheet.
Preferably, the database script obtains the regular detailed of the Claims Resolution rule definition by the interface of preset kind
Information and business datum, the interface of the preset kind include select interfaces, procedure/function interfaces and java
Interface.
Preferably, the step S3 includes：
The Claims Resolution rate in preset time, Claims Resolution volume are obtained based on the implementing result preserved in the log sheet and is effectively protected
Dangerous number of services accounts for the Claims Resolution ratio of all insurance in force number of services settled a claim；
If the Claims Resolution rate is more than default Claims Resolution rate, it is determined that the Claims Resolution rule performs exception；
If the Claims Resolution volume is more than the first default Claims Resolution volume, it is determined that the Claims Resolution rule performs exception；
If the Claims Resolution ratio that the Claims Resolution volume is more than the second default Claims Resolution volume is more than preset ratio, it is determined that the Claims Resolution rule
Exception is then performed, wherein, the described first default Claims Resolution volume is more than the described second default Claims Resolution volume.
To achieve the above object, the present invention also provides a kind of processing unit of settlement of insurance claim, the processing of the settlement of insurance claim
Device includes：
Configuration module, for the database script that configuration Claims Resolution rule performs in database of settling a claim, and establish the reason
Pay for the log sheet of rule；
Module is run, for based on the database script operation Claims Resolution rule, obtaining the Claims Resolution rule operation
Implementing result afterwards, and the implementing result is preserved into the log sheet；
Analysis module, for analyzing the implementing result preserved in the log sheet according to default analysis rule, with analysis
It is described Claims Resolution rule whether operation exception；
Prompting module, for if so, the abnormity prompt information that then generation is checked for user, and/or, sent to predetermined terminal
The abnormity prompt information.
Preferably, the operation module includes：
First acquisition unit, for obtaining the regular managing detailed catalogue of the Claims Resolution rule definition based on the database script
And business datum；
Comparing unit, for the business datum to be compared with the corresponding regular managing detailed catalogue, obtain and compare
As a result the implementing result is used as, and the implementing result is preserved into the log sheet.
Preferably, the database script obtains the regular detailed of the Claims Resolution rule definition by the interface of preset kind
Information and business datum, the interface of the preset kind include select interfaces, procedure/function interfaces and java
Interface.
Preferably, the analysis module includes：
Second acquisition unit, for obtaining the Claims Resolution in preset time based on the implementing result preserved in the log sheet
Rate, Claims Resolution volume and insurance in force number of services account for the Claims Resolution ratio of all insurance in force number of services settled a claim；
First anomaly analysis unit, if being more than default Claims Resolution rate for the Claims Resolution rate, it is determined that the Claims Resolution rule is held
Row is abnormal；
Second anomaly analysis unit, if being more than the first default Claims Resolution volume for the Claims Resolution volume, it is determined that the Claims Resolution rule
Then perform exception；
3rd anomaly analysis unit, if being more than the Claims Resolution ratio of the second default Claims Resolution volume more than default for the Claims Resolution volume
Ratio, it is determined that the Claims Resolution rule performs exception, wherein, the described first default Claims Resolution volume is more than the described second default Claims Resolution
Volume.
The beneficial effects of the invention are as follows：The present invention is configured with the database pin that Claims Resolution rule performs in database of settling a claim
This, so as to based on the database script operation Claims Resolution rule configured in Claims Resolution database, and by postrun implementing result
Be stored in Claims Resolution database in the log sheet established, monitoring Claims Resolution rule whether operation exception when, can be in log sheet
Implementing result analyzed, if settling a claim regular operation exception, may remind the user that, Claims Resolution database of the invention is only matched somebody with somebody
Put database script that Claims Resolution rule performs and establish log sheet can be achieved monitoring Claims Resolution rule whether operation exception, deployment is simple
It is single, simplify the configuration of system and stability can be improved, and computing is more succinct.
Brief description of the drawings
Fig. 1 is the schematic flow sheet of the embodiment of processing method one of settlement of insurance claim of the present invention；
Fig. 2 is the schematic flow sheet of step S2 shown in Fig. 1；
Fig. 3 is the structural representation of the embodiment of processing unit one of settlement of insurance claim of the present invention；
Fig. 4 is the structural representation of operation module shown in Fig. 3.
Embodiment
The principle and feature of the present invention are described below in conjunction with accompanying drawing, the given examples are served only to explain the present invention, and
It is non-to be used to limit the scope of the present invention.
As shown in figure 1, Fig. 1 is the schematic flow sheet of the embodiment of processing method one of settlement of insurance claim of the present invention, insurance reason
The processing method of compensation comprises the following steps：
Step S1, the database script that configuration Claims Resolution rule performs in database of settling a claim, and establish the Claims Resolution rule
Log sheet；
In the present embodiment, the database script that Claims Resolution rule performs, database script can be configured in database of settling a claim
Support some specific interfaces to realize the decision logic of Claims Resolution rule, and the daily record of Claims Resolution rule is established in database of settling a claim
Table, the log sheet of Claims Resolution rule are used for the execution state and implementing result for preserving Claims Resolution rule.
Wherein it is possible to further establish rule list in database of settling a claim, configuration Claims Resolution rule performs in the rule list
Database script and establish Claims Resolution rule log sheet, utilize the rule list integrate Claims Resolution rule perform database script
And the log sheet of Claims Resolution rule, so that when operation Claims Resolution is regular, the fortune of Claims Resolution rule can be realized by only transferring the rule list
OK, it is easy to operate.
Step S2, based on the database script operation Claims Resolution rule, the acquisition Claims Resolution rule is postrun to be held
Row result, and the implementing result is preserved into the log sheet；
In the present embodiment, Claims Resolution rule is operationally what the database script based on aforementioned arrangements was run, i.e., by this
Database script, the logic content of Claims Resolution rule and the business datum of correlation can be got, based on the logic content to business
Data are verified, and obtain the postrun implementing result of Claims Resolution rule, then implementing result can be stored in Claims Resolution rule
In log sheet.
The present embodiment can in real time or periodically monitor the running situation of Claims Resolution rule, after Claims Resolution rule operation,
Corresponding implementing result can be stored in the log sheet of Claims Resolution rule.
Implementing result can arrange according to corresponding run time in the log sheet of Claims Resolution rule, and implementing result includes reason
Pay for object, volume of settling a claim, the information such as whether Claims Resolution is effective.
Step S3, the implementing result preserved in the log sheet is analyzed according to default analysis rule, to analyze the reason
Pay for rule whether operation exception；
Step S4, if so, the abnormity prompt information that then generation is checked for user, and/or, sent to predetermined terminal described different
Normal prompting message.
In the present embodiment, the implementing result in the log sheet of Claims Resolution rule can be analyzed in real time or regularly, example
Claims Resolution volume, Claims Resolution rate are such as obtained according to implementing result, whether then analyze the Claims Resolution volume in preset time no more than default
The amount of money, whether Claims Resolution rate is not higher than default ratio etc..
If the volume of Claims Resolution is too high, or Claims Resolution rate is too high, then can analyze the Claims Resolution rule and operation exception occur, instead
It, if Claims Resolution volume and Claims Resolution rate fluctuate in corresponding appropriate scope, can analyze the Claims Resolution rule and run
Normally.
In the present embodiment, if settling a claim regular operation exception, corresponding abnormity prompt information can be generated, for user
Checked, the abnormity prompt information be, for example, " Claims Resolution volume be * * * " or " Claims Resolution rate is * * * " etc., and/or, can be to user
The predetermined terminal held sends abnormity prompt information, to remind user in time.Certainly, if settling a claim regular normal operation, no
Need to remind user.
Compared with prior art, the present embodiment is configured with the database script that Claims Resolution rule performs in database of settling a claim,
So as to regular based on the database script operation Claims Resolution configured in Claims Resolution database, and postrun implementing result is preserved
In the log sheet established in database of settling a claim, monitoring Claims Resolution rule whether operation exception when, can be to holding in log sheet
Row result is analyzed, if settling a claim regular operation exception, may remind the user that, the Claims Resolution database of the present embodiment only configures
Database script that Claims Resolution rule performs and establish log sheet can be achieved monitoring Claims Resolution rule whether operation exception, deployment is simple
It is single, simplify the configuration of system and stability can be improved, and computing is more succinct.
In a preferred embodiment, as shown in Fig. 2 on the basis of above-mentioned Fig. 1 embodiment, above-mentioned steps S2 bags
Include：
S21, the regular managing detailed catalogue and business datum of the Claims Resolution rule definition are obtained based on the database script；
S22, the business datum is compared with the corresponding regular managing detailed catalogue, obtains comparison result as institute
Implementing result is stated, and the implementing result is preserved into the log sheet.
In the present embodiment, database script obtains the regular managing detailed catalogue of Claims Resolution rule definition by the interface of preset kind
And business datum, wherein, regular managing detailed catalogue information such as including judging content, judging symbol, judgment value and attribute information,
Attribute information includes Claims Resolution volume scope etc. corresponding to the item that can be settled a claim, the item that can not be settled a claim, each item settled a claim.
In the present embodiment, the interface of preset kind includes but is not limited to select interfaces, procedure/function connects
Mouth and java interfaces.Wherein, select interfaces and procedure/function interfaces are used for the rule for obtaining Claims Resolution rule definition
Then managing detailed catalogue and corresponding business datum；Java interfaces are used for resolution rules managing detailed catalogue, and by business datum with it is corresponding
Parsing after regular managing detailed catalogue and attribute information be compared, with to Claims Resolution rule verify, then, with comparison result
As implementing result, implementing result is preserved into regular log sheet of settling a claim.For example, in the related example of vehicle insurance Claims Resolution, industry
Data of being engaged in are, for example, that car falls paint event, apllied Claims Resolution volume is 10,000 RMB, and Claims Resolution database is obtaining these business datums
Afterwards, it is compared with corresponding regular managing detailed catalogue：Compare car and fall whether paint event is the item that can be settled a claim, if can
The item of Claims Resolution, then Claims Resolution volume scope corresponding to acquisition, the Claims Resolution volume of application is compared with the Claims Resolution volume scope, if Shen
Claims Resolution volume please is in the range of the Claims Resolution volume, then the car falls the Claims Resolution of paint event effectively, otherwise Claims Resolution failure.Finally these are compared
As a result (item that includes whether to settle a claim, the Claims Resolution volume of application and the information such as whether come into force) is stored in reason as implementing result
Pay in regular log sheet.
For the present embodiment when operation Claims Resolution is regular, the database script based on aforementioned arrangements can get Claims Resolution rule definition
Regular managing detailed catalogue and business datum, then business datum is compared and can obtained with corresponding regular managing detailed catalogue
It is more succinct to the implementing result of Claims Resolution rule, calculating process.
In a preferred embodiment, on the basis of above-mentioned Fig. 1 embodiment, above-mentioned steps S3 includes：
The Claims Resolution rate in preset time, Claims Resolution volume are obtained based on the implementing result preserved in the log sheet and is effectively protected
Dangerous number of services accounts for the Claims Resolution ratio of all insurance in force number of services settled a claim；
If the Claims Resolution rate is more than default Claims Resolution rate, it is determined that the Claims Resolution rule performs exception；
If the Claims Resolution volume is more than the first default Claims Resolution volume, it is determined that the Claims Resolution rule performs exception；
If the Claims Resolution ratio that the Claims Resolution volume is more than the second default Claims Resolution volume is more than preset ratio, it is determined that the Claims Resolution rule
Exception is then performed, wherein, the described first default Claims Resolution volume is more than the described second default Claims Resolution volume.
In the present embodiment, in the implementing result preserved in log sheet, Claims Resolution object, reason according to included by implementing result
Compensation volume, whether effective etc. the information of Claims Resolution are counted, calculate the Claims Resolution rate in preset time, the Claims Resolution volume in preset time and
Insurance in force number of services accounts for all Claims Resolution ratios of insurance in force number of services settled a claim etc., wherein preset time for example
It can be one week.
For Claims Resolution rate, if the Claims Resolution rate in preset time is more than default Claims Resolution rate, such as the Claims Resolution rate of week age
More than 0.5%, it is determined that Claims Resolution rule performs exception, wherein, Claims Resolution rate refers to the insurance in force number of services settled a claim
Account for the ratio of all insurance in force number of services；For volume of settling a claim, if the Claims Resolution volume in preset time is more than the first default reason
Compensation volume, such as the Claims Resolution volume of week age are more than 5,000 ten thousand RMB, it is determined that Claims Resolution rule performs exception；For insurance in force
Number of services accounts for the Claims Resolution ratio of all insurance in force number of services settled a claim, if Claims Resolution volume is more than the second default Claims Resolution
The Claims Resolution ratio that the Claims Resolution ratio of volume is more than in preset ratio, such as week age more than 2,000 RMB is more than 50%, it is determined that
Claims Resolution rule performs exception.
As shown in figure 3, Fig. 3 is the structural representation of the embodiment of processing unit one of settlement of insurance claim of the present invention, insurance reason
The processing unit of compensation includes：
Configuration module 101, for the database script that configuration Claims Resolution rule performs in database of settling a claim, and described in foundation
The log sheet for rule of settling a claim；
Being run in the present embodiment, in the processing unit of settlement of insurance claim has Claims Resolution database, can match somebody with somebody in database of settling a claim
The database script that Claims Resolution rule performs is put, database script supports some specific interfaces to realize that the judgement of Claims Resolution rule is patrolled
Collect, and the log sheet of Claims Resolution rule is established in database of settling a claim, the log sheet of Claims Resolution rule is for preserving Claims Resolution rule
Execution state and implementing result.
Wherein it is possible to further establish rule list in database of settling a claim, configuration Claims Resolution rule performs in the rule list
Database script and establish Claims Resolution rule log sheet, utilize the rule list integrate Claims Resolution rule perform database script
And the log sheet of Claims Resolution rule, so that when operation Claims Resolution is regular, the fortune of Claims Resolution rule can be realized by only transferring the rule list
OK, it is easy to operate.
Module 102 is run, for based on the database script operation Claims Resolution rule, obtaining the Claims Resolution rule fortune
Implementing result after row, and the implementing result is preserved into the log sheet；
In the present embodiment, Claims Resolution rule is operationally what the database script based on aforementioned arrangements was run, i.e., by this
Database script, the logic content of Claims Resolution rule and the business datum of correlation can be got, based on the logic content to business
Data are verified, and obtain the postrun implementing result of Claims Resolution rule, then implementing result can be stored in Claims Resolution rule
In log sheet.
The present embodiment can in real time or periodically monitor the running situation of Claims Resolution rule, after Claims Resolution rule operation,
Corresponding implementing result can be stored in the log sheet of Claims Resolution rule.
Implementing result can arrange according to corresponding run time in the log sheet of Claims Resolution rule, and implementing result includes reason
Pay for object, volume of settling a claim, the information such as whether Claims Resolution is effective.
Analysis module 103, for analyzing the implementing result preserved in the log sheet according to default analysis rule, to divide
Analyse it is described Claims Resolution rule whether operation exception；
Prompting module 104, for if so, the abnormity prompt information that then generation is checked for user, and/or, to predetermined terminal
Send the abnormity prompt information.
In the present embodiment, Claims Resolution rule is operationally what the database script based on aforementioned arrangements was run, i.e., by this
Database script, the logic content of Claims Resolution rule and the business datum of correlation can be got, based on the logic content to business
Data are verified, and obtain the postrun implementing result of Claims Resolution rule, then implementing result can be stored in Claims Resolution rule
In log sheet.
The present embodiment can in real time or periodically monitor the running situation of Claims Resolution rule, after Claims Resolution rule operation,
Corresponding implementing result can be stored in the log sheet of Claims Resolution rule.
Implementing result can arrange according to corresponding run time in the log sheet of Claims Resolution rule, and implementing result includes reason
Pay for object, volume of settling a claim, the information such as whether Claims Resolution is effective.
In a preferred embodiment, as shown in figure 4, on the basis of above-mentioned Fig. 3 embodiment, above-mentioned operation module
102 include：
First acquisition unit 1021, the rule for obtaining the Claims Resolution rule definition based on the database script are detailed
Information and business datum；
Comparing unit 1022, for the business datum to be compared with the corresponding regular managing detailed catalogue, obtain
Comparison result is preserved into the log sheet as the implementing result, and by the implementing result.
In the present embodiment, database script obtains the regular managing detailed catalogue of Claims Resolution rule definition by the interface of preset kind
And business datum, wherein, regular managing detailed catalogue information such as including judging content, judging symbol, judgment value and attribute information,
Attribute information includes Claims Resolution volume scope etc. corresponding to the item that can be settled a claim, the item that can not be settled a claim, each item settled a claim.
In the present embodiment, the interface of preset kind includes but is not limited to select interfaces, procedure/function connects
Mouth and java interfaces.Wherein, select interfaces and procedure/function interfaces are used for the rule for obtaining Claims Resolution rule definition
Then managing detailed catalogue and corresponding business datum；Java interfaces are used for resolution rules managing detailed catalogue, and by business datum with it is corresponding
Parsing after regular managing detailed catalogue and attribute information be compared, with to Claims Resolution rule verify, then, with comparison result
As implementing result, implementing result is preserved into regular log sheet of settling a claim.For example, in the related example of vehicle insurance Claims Resolution, industry
Data of being engaged in are, for example, that car falls paint event, apllied Claims Resolution volume is 10,000 RMB, and Claims Resolution database is obtaining these business datums
Afterwards, it is compared with corresponding regular managing detailed catalogue：Compare car and fall whether paint event is the item that can be settled a claim, if can
The item of Claims Resolution, then Claims Resolution volume scope corresponding to acquisition, the Claims Resolution volume of application is compared with the Claims Resolution volume scope, if Shen
Claims Resolution volume please is in the range of the Claims Resolution volume, then the car falls the Claims Resolution of paint event effectively, otherwise Claims Resolution failure.Finally these are compared
As a result (item that includes whether to settle a claim, the Claims Resolution volume of application and the information such as whether come into force) is stored in reason as implementing result
Pay in regular log sheet.
For the present embodiment when operation Claims Resolution is regular, the database script based on aforementioned arrangements can get Claims Resolution rule definition
Regular managing detailed catalogue and business datum, then business datum is compared and can obtained with corresponding regular managing detailed catalogue
It is more succinct to the implementing result of Claims Resolution rule, calculating process.
In a preferred embodiment, on the basis of above-mentioned Fig. 3 embodiment, analysis module 103 includes：
Second acquisition unit, for obtaining the Claims Resolution in preset time based on the implementing result preserved in the log sheet
Rate, Claims Resolution volume and insurance in force number of services account for the Claims Resolution ratio of all insurance in force number of services settled a claim；
First anomaly analysis unit, if being more than default Claims Resolution rate for the Claims Resolution rate, it is determined that the Claims Resolution rule is held
Row is abnormal；
Second anomaly analysis unit, if being more than the first default Claims Resolution volume for the Claims Resolution volume, it is determined that the Claims Resolution rule
Then perform exception；
3rd anomaly analysis unit, if being more than the Claims Resolution ratio of the second default Claims Resolution volume more than default for the Claims Resolution volume
Ratio, it is determined that the Claims Resolution rule performs exception, wherein, the described first default Claims Resolution volume is more than the described second default Claims Resolution
Volume.
In the present embodiment, in the implementing result preserved in log sheet, Claims Resolution object, reason according to included by implementing result
Compensation volume, whether effective etc. the information of Claims Resolution are counted, calculate the Claims Resolution rate in preset time, the Claims Resolution volume in preset time and
Insurance in force number of services accounts for all Claims Resolution ratios of insurance in force number of services settled a claim etc., wherein preset time for example
It can be one week.
For Claims Resolution rate, if the Claims Resolution rate in preset time is more than default Claims Resolution rate, such as the Claims Resolution rate of week age
More than 0.5%, it is determined that Claims Resolution rule performs exception, wherein, Claims Resolution rate refers to the insurance in force number of services settled a claim
Account for the ratio of all insurance in force number of services；For volume of settling a claim, if the Claims Resolution volume in preset time is more than the first default reason
Compensation volume, such as the Claims Resolution volume of week age are more than 5,000 ten thousand RMB, it is determined that Claims Resolution rule performs exception；For insurance in force
Number of services accounts for the Claims Resolution ratio of all insurance in force number of services settled a claim, if Claims Resolution volume is more than the second default Claims Resolution
The Claims Resolution ratio that the Claims Resolution ratio of volume is more than in preset ratio, such as week age more than 2,000 RMB is more than 50%, it is determined that
Claims Resolution rule performs exception.
The foregoing is only presently preferred embodiments of the present invention, be not intended to limit the invention, it is all the present invention spirit and
Within principle, any modification, equivalent substitution and improvements made etc., it should be included in the scope of the protection.
Claims (8)
1. a kind of processing method of settlement of insurance claim, it is characterised in that the processing method of the settlement of insurance claim includes：
S1, the database script that configuration Claims Resolution rule performs in database of settling a claim, and establish the log sheet of the Claims Resolution rule；
S2, based on the database script operation Claims Resolution rule, the postrun implementing result of the Claims Resolution rule is obtained, and
The implementing result is preserved into the log sheet；
S3, the implementing result preserved in the log sheet is analyzed according to default analysis rule, be to analyze the Claims Resolution rule
No operation exception；
S4, if so, the abnormity prompt information that then generation is checked for user, and/or, send the abnormity prompt to predetermined terminal and believe
Breath.
2. the processing method of settlement of insurance claim according to claim 1, it is characterised in that the step S2 includes：
S21, the regular managing detailed catalogue and business datum of the Claims Resolution rule definition are obtained based on the database script；
S22, the business datum is compared with the corresponding regular managing detailed catalogue, obtains and held described in comparison result conduct
Row result, and the implementing result is preserved into the log sheet.
3. the processing method of settlement of insurance claim according to claim 2, it is characterised in that the database script passes through default
The interface of type, which obtains the regular managing detailed catalogue of the Claims Resolution rule definition and business datum, the interface of the preset kind, to be included
Select interfaces, procedure/function interfaces and java interfaces.
4. the processing method of the settlement of insurance claim according to any one of claims 1 to 3, it is characterised in that the step S3 bags
Include：
Claims Resolution rate, Claims Resolution volume and insurance in force industry in preset time is obtained based on the implementing result preserved in the log sheet
Business quantity accounts for the Claims Resolution ratio of all insurance in force number of services settled a claim；
If the Claims Resolution rate is more than default Claims Resolution rate, it is determined that the Claims Resolution rule performs exception；
If the Claims Resolution volume is more than the first default Claims Resolution volume, it is determined that the Claims Resolution rule performs exception；
If the Claims Resolution ratio that the Claims Resolution volume is more than the second default Claims Resolution volume is more than preset ratio, it is determined that the Claims Resolution rule is held
Row is abnormal, wherein, the described first default Claims Resolution volume is more than the described second default Claims Resolution volume.
5. a kind of processing unit of settlement of insurance claim, it is characterised in that the processing unit of the settlement of insurance claim includes：
Configuration module, for the database script that configuration Claims Resolution rule performs in database of settling a claim, and establish the Claims Resolution rule
Log sheet then；
Module is run, for based on the database script operation Claims Resolution rule, it is postrun to obtain the Claims Resolution rule
Implementing result, and the implementing result is preserved into the log sheet；
Analysis module, for analyzing the implementing result preserved in the log sheet according to default analysis rule, with described in analysis
Claims Resolution rule whether operation exception；
Prompting module, for if so, the abnormity prompt information that then generation is checked for user, and/or, send to predetermined terminal described in
Abnormity prompt information.
6. the processing unit of settlement of insurance claim according to claim 5, it is characterised in that the operation module includes：
First acquisition unit, for obtaining the regular managing detailed catalogue and industry of the Claims Resolution rule definition based on the database script
Business data；
Comparing unit, for the business datum to be compared with the corresponding regular managing detailed catalogue, obtain comparison result
Preserved as the implementing result, and by the implementing result into the log sheet.
7. the processing unit of settlement of insurance claim according to claim 6, it is characterised in that the database script passes through default
The interface of type, which obtains the regular managing detailed catalogue of the Claims Resolution rule definition and business datum, the interface of the preset kind, to be included
Select interfaces, procedure/function interfaces and java interfaces.
8. the processing unit of the settlement of insurance claim according to any one of claim 5 to 7, it is characterised in that the analysis module
Including：
Second acquisition unit, for obtaining the Claims Resolution rate in preset time, reason based on the implementing result preserved in the log sheet
Compensation volume and insurance in force number of services account for the Claims Resolution ratio of all insurance in force number of services settled a claim；
First anomaly analysis unit, if being more than default Claims Resolution rate for the Claims Resolution rate, it is determined that the Claims Resolution rule performs different
Often；
Second anomaly analysis unit, if being more than the first default Claims Resolution volume for the Claims Resolution volume, it is determined that the Claims Resolution rule is held
Row is abnormal；
3rd anomaly analysis unit, if the Claims Resolution ratio for being more than the second default Claims Resolution volume for the Claims Resolution volume is more than default ratio
Example, it is determined that the Claims Resolution rule performs exception, wherein, the described first default Claims Resolution volume is more than the described second default Claims Resolution volume.
Priority Applications (1)
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