CN108335215A - Case Claims Resolution method, server and computer readable storage medium - Google Patents

Case Claims Resolution method, server and computer readable storage medium Download PDF

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Publication number
CN108335215A
CN108335215A CN201710497417.7A CN201710497417A CN108335215A CN 108335215 A CN108335215 A CN 108335215A CN 201710497417 A CN201710497417 A CN 201710497417A CN 108335215 A CN108335215 A CN 108335215A
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China
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resolution
case
investigator
declaration form
compensation
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侯彦茹
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Ping An Technology Shenzhen Co Ltd
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Ping An Technology Shenzhen Co Ltd
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Priority to CN201710497417.7A priority Critical patent/CN108335215A/en
Priority to PCT/CN2018/082622 priority patent/WO2019001087A1/en
Publication of CN108335215A publication Critical patent/CN108335215A/en
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    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06QINFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q40/00Finance; Insurance; Tax strategies; Processing of corporate or income taxes
    • G06Q40/08Insurance

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  • Accounting & Taxation (AREA)
  • Finance (AREA)
  • Engineering & Computer Science (AREA)
  • Development Economics (AREA)
  • Economics (AREA)
  • Marketing (AREA)
  • Strategic Management (AREA)
  • Technology Law (AREA)
  • Physics & Mathematics (AREA)
  • General Business, Economics & Management (AREA)
  • General Physics & Mathematics (AREA)
  • Theoretical Computer Science (AREA)
  • Financial Or Insurance-Related Operations Such As Payment And Settlement (AREA)

Abstract

The invention discloses a kind of case Claims Resolution method, this method includes:When receiving the Claims Resolution application of investigator's input, corresponds to configuration Claims Resolution case and generate survey tasks and be handed down to the investigator;The survey report that the investigator is submitted based on the survey tasks is received, the Claims Resolution case and the survey report are submitted into audit node;When receiving the compensation instruction of the audit node feeding back, according to the compensation compensated instruction and carry out the Claims Resolution case.The invention also discloses a kind of server, computer readable storage mediums.The time that client expends in flow is greatly saved in the present invention, shortens the Claims Resolution period.

Description

Case Claims Resolution method, server and computer readable storage medium
Technical field
The present invention relates to assurance technology field more particularly to a kind of case Claims Resolution method, server and computer-readable deposit Storage media.
Background technology
Currently, the Claims Resolution of insurance business be all reporter propose Claims Resolution application after, the staff of insurance company is at the ends PC Accept Claims Resolution case, the relevant information of reporting a case to the security authorities of typing.
Then, case is issued case investigating system by acceptance and hearing of a case system, then by case investigating system assign investigator into Row case is investigated.After the completion of investigator investigates, need survey report to auditor, it after the approval could be by auditor Row reparation.
By multiple steps such as acceptance and hearing of a case, distribution investigator, investigator's investigation, audits, lead to the Claims Resolution of Claims Resolution case Flow is complicated, progress is slow, and the period is very very long.Especially when major accident occurs, it may occur however that warrantee's much-needed money, but Be Claims Resolution flow more slowly can not timely payment the case where.
Invention content
The main purpose of the present invention is to provide a kind of case Claims Resolution method, server and computer readable storage medium, Aim to solve the problem that the technical problem of settlement of insurance claim period length.
To achieve the above object, the present invention provides a kind of case Claims Resolution method, and the case Claims Resolution method includes following step Suddenly:
When receiving the Claims Resolution application of investigator's input, corresponding configuration Claims Resolution case and generate survey tasks be handed down to it is described Investigator;
The survey report that the investigator is submitted based on the survey tasks is received, by the Claims Resolution case and the investigation Audit node is submitted in report;
When receiving the compensation instruction of the audit node feeding back, the progress Claims Resolution case is instructed according to described compensate It compensates.
Preferably, described when receiving the Claims Resolution application of investigator's input, it corresponds to configuration Claims Resolution case and generates investigation and appoint Business the step of being handed down to the investigator includes:
When receiving the Claims Resolution application of investigator's input, the warrantee's identity carried in Claims Resolution application is obtained;
According to whole declaration forms of warrantee described in warrantee's identity finder, configuration declaration form list supplies the investigation person It selects;
The declaration form that the investigator is selected based on the declaration form list, corresponding configuration Claims Resolution case are obtained, and generates investigation The investigator is given in mission dispatching.
Preferably, the declaration form for obtaining the investigator and being selected based on the declaration form list, corresponding configuration Claims Resolution case, And it generates the step of survey tasks are handed down to the investigator and includes:
When receiving the declaration form that the investigator is selected based on the declaration form list, show the clause of the selected declaration form with It is selective;
The declaration form and clause of investigator's selection, corresponding configuration Claims Resolution case are obtained, and generates survey tasks and is handed down to The investigator.
Preferably, whole declaration forms according to warrantee described in warrantee's identity finder, configuration declaration form list supply The step of investigator selection includes:
According to whole declaration forms of warrantee described in warrantee's identity finder;
The declaration form within insurance period is filtered out in whole declaration forms of the warrantee, declaration form list is configured to and supplies the tune Person is looked into select.
Preferably, described when receiving the compensation instruction of the audit node feeding back, it is instructed according to the compensation and carries out institute State Claims Resolution case compensation the step of include:
Receive it is described audit node feeding back compensation instruction when, according to compensations instruction obtain compensation Payment Amount and by Benefit is acknowledged a debt family;
Using e-payment, by the compensation transfer of payment to beneficiary's account.
Preferably, described when receiving the compensation instruction of the audit node feeding back, it is instructed according to the compensation and carries out institute State Claims Resolution case compensation the step of include:
When receiving the compensation instruction of the audit node feeding back, the determining declaration form by auditing of instruction is compensated according to described And clause;
The amount of money for compensating money is obtained according to the clause by audit, and is obtained bound in the declaration form by audit Beneficiary's account;
Using e-payment, by the compensation transfer of payment to beneficiary's account.
Preferably, described when receiving the Claims Resolution application of investigator's input, it corresponds to configuration Claims Resolution case and generates investigation and appoint Business the step of being handed down to the investigator includes:
When receiving the Claims Resolution application of investigator's input, judge whether the investigator there is Claims Resolution to accept permission;
If there is the investigator Claims Resolution to accept permission, corresponding configuration Claims Resolution case is applied for according to the Claims Resolution and is generated Survey tasks are handed down to the investigator.
Preferably, the survey report for receiving the investigator and being submitted based on the survey tasks, by the Claims Resolution case After part and the survey report submit to the step of audit node, further include:
It is sold back to a grain-producing area the survey tasks.
In addition, to achieve the above object, the present invention also provides a kind of server, the server includes:Memory, processing The case Claims Resolution program that device and being stored in can be run on the memory and on the processor, the case are settled a claim program quilt The processor realizes the step of case Claims Resolution method as described in any one of the above embodiments when executing.
In addition, to achieve the above object, it is described computer-readable the present invention also provides a kind of computer readable storage medium Case Claims Resolution program is stored on storage medium, the case Claims Resolution program is realized when being executed by processor such as any of the above-described institute The step of case Claims Resolution method stated.
A kind of case Claims Resolution method that the embodiment of the present invention proposes, server and computer readable storage medium, by When receiving the Claims Resolution application of investigator's input, corresponds to configuration Claims Resolution case and generate survey tasks and be handed down to this investigator, by adjusting Look into people report a case to the security authorities and case investigation;Then, receive the survey report submitted based on survey tasks of investigator, the case that will settle a claim and Survey report submits to audit node, is audited by audit node, ensures the authenticity of Claims Resolution, prevents insurance fraud;It is careful receiving When the compensation instruction of core node feeding back, the compensation for carrying out Claims Resolution case is instructed according to compensating.Client is saved in the present invention to report a case to the security authorities, And insurance company accepts, distributes the flow of investigator, investigator can directly lift Claims Resolution application, carry out Claims Resolution and put on record, work as tune People is looked into complete to investigate and after the audit by auditing node, can directly compensate client, relative to traditional Claims Resolution flow The time that client expends in flow is greatly saved, shortens the Claims Resolution period so that client can quickly take compensation money, especially It is when major accident occurs;Also, by the management and control for auditing node, reduces the risk of fraud of Claims Resolution, ensured that insurance is public The interests of department, hereby it is achieved that the two-win of client and insurance company.
Description of the drawings
Fig. 1 is that the terminal for the hardware running environment that the embodiment of the present invention is related to sets structural schematic diagram;
Fig. 2 is the flow diagram of case of the present invention Claims Resolution method first embodiment;
Fig. 3 is in Fig. 2 when receiving the Claims Resolution application of investigator's input, and corresponding configuration Claims Resolution case simultaneously generates survey tasks The refinement flow diagram for the step of being handed down to the investigator;
Fig. 4 is in Fig. 2 when receiving the compensation instruction of the audit node feeding back, according to compensation instruction progress The refinement flow diagram of the step of compensation for case of settling a claim;
Fig. 5 is the flow diagram of case of the present invention Claims Resolution method second embodiment;
Fig. 6 is the flow diagram of case of the present invention Claims Resolution method 3rd embodiment;
Fig. 7 is the flow diagram of case of the present invention Claims Resolution method fourth embodiment;
Fig. 8 is the flow diagram of case of the present invention Claims Resolution the 5th embodiment of method.
The embodiments will be further described with reference to the accompanying drawings for the realization, the function and the advantages of the object of the present invention.
Specific implementation mode
It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, it is not intended to limit the present invention.
As shown in Figure 1, the terminal structure schematic diagram for the hardware running environment that Fig. 1, which is the embodiment of the present invention, to be related to.
Server of the embodiment of the present invention can be the terminal devices such as PC.
As shown in Figure 1, the terminal may include:Processor 1001, such as CPU, communication bus 1002, user interface 1003, memory 1004.Wherein, communication bus 1002 is for realizing the connection communication between these components.User interface 1003 May include display screen (Display), input unit such as keyboard (Keyboard), optional user interface 1003 can also wrap Include standard wireline interface and wireless interface.Memory 1004 can be high-speed RAM memory, can also be stable memory (non-volatile memory), such as magnetic disk storage.Memory 1004 optionally can also be independently of aforementioned processor 1001 storage device.
Optionally, terminal can also include camera, RF (Radio Frequency, radio frequency) circuit, sensor, audio Circuit, WiFi module etc..
It, can be with it will be understood by those skilled in the art that terminal structure shown in Fig. 1 does not constitute the restriction to server Including than illustrating more or fewer components, either combining certain components or different components arrangement.
As shown in Figure 1, as may include that operating system, network are logical in a kind of memory 1004 of computer storage media Believe module, Subscriber Interface Module SIM and case Claims Resolution program.
In terminal shown in Fig. 1, user interface 1003 is mainly used for connecting client (user terminal), is carried out with client Data communicate;And processor 1001 can be used for calling the case Claims Resolution program stored in memory 1004, and execute following behaviour Make:
When receiving the Claims Resolution application of investigator's input, corresponding configuration Claims Resolution case and generate survey tasks be handed down to it is described Investigator;
The survey report that the investigator is submitted based on the survey tasks is received, by the Claims Resolution case and the investigation Audit node is submitted in report;
When receiving the compensation instruction of the audit node feeding back, the progress Claims Resolution case is instructed according to described compensate It compensates.
Further, processor 1001 can call the case Claims Resolution program stored in memory 1004, also execute following Operation:
When receiving the Claims Resolution application of investigator's input, the warrantee's identity carried in Claims Resolution application is obtained;
According to whole declaration forms of warrantee described in warrantee's identity finder, configuration declaration form list supplies the investigation person It selects;
The declaration form that the investigator is selected based on the declaration form list, corresponding configuration Claims Resolution case are obtained, and generates investigation The investigator is given in mission dispatching.
Further, processor 1001 can call the case Claims Resolution program stored in memory 1004, also execute following Operation:
When receiving the declaration form that the investigator is selected based on the declaration form list, show the clause of the selected declaration form with It is selective;
The declaration form and clause of investigator's selection, corresponding configuration Claims Resolution case are obtained, and generates survey tasks and is handed down to The investigator.
Further, processor 1001 can call the case Claims Resolution program stored in memory 1004, also execute following Operation:
According to whole declaration forms of warrantee described in warrantee's identity finder;
The declaration form within insurance period is filtered out in whole declaration forms of the warrantee, declaration form list is configured to and supplies the tune Person is looked into select.
Further, processor 1001 can call the case Claims Resolution program stored in memory 1004, also execute following Operation:
Receive it is described audit node feeding back compensation instruction when, according to compensations instruction obtain compensation Payment Amount and by Benefit is acknowledged a debt family;
Using e-payment, by the compensation transfer of payment to beneficiary's account.
Further, processor 1001 can call the case Claims Resolution program stored in memory 1004, also execute following Operation:
When receiving the compensation instruction of the audit node feeding back, the determining declaration form by auditing of instruction is compensated according to described And clause;
The amount of money for compensating money is obtained according to the clause by audit, and is obtained bound in the declaration form by audit Beneficiary's account;
Using e-payment, by the compensation transfer of payment to beneficiary's account.
Further, processor 1001 can call the case Claims Resolution program stored in memory 1004, also execute following Operation:
When receiving the Claims Resolution application of investigator's input, judge whether the investigator there is Claims Resolution to accept permission;
If there is the investigator Claims Resolution to accept permission, corresponding configuration Claims Resolution case is applied for according to the Claims Resolution and is generated Survey tasks are handed down to the investigator.
Further, processor 1001 can call the case Claims Resolution program stored in memory 1004, also execute following Operation:
It is sold back to a grain-producing area the survey tasks.
The specific embodiment of server of the present invention and following case Claims Resolution each embodiment of method are essentially identical, do not go to live in the household of one's in-laws on getting married herein It states.
With reference to Fig. 2, case Claims Resolution method first embodiment of the present invention provides a kind of case Claims Resolution method, the case Claims Resolution Method includes:
Step S10, when receiving the Claims Resolution application of investigator's input, corresponding configuration Claims Resolution case simultaneously generates under survey tasks Issue the investigator.
Investigator can directly lift Claims Resolution application in the present embodiment, and case can be proceeded by by reporting a case to the security authorities without reporter Claims Resolution progress is accelerated in investigation.
Specifically, as a kind of application scenarios, when major accident occurs, such as a chain of traffic accident, fire disaster etc., due to The condition of a disaster is serious and the fact has been fully proved, and in order to make client receive compensation money as early as possible, investigator obtains client's after reaching the scene of the accident Identity and accident situation access Claims Resolution system using server, the declaration form application of client are selected to settle a claim, input Claims Resolution application.When So, investigator can also input the number of policy of client, determine the declaration form of application Claims Resolution, then, input Claims Resolution application.
Server obtains the declaration form of present application Claims Resolution after receiving Claims Resolution application, and corresponding configuration Claims Resolution case is stood Case.
Then, the survey tasks of server configuration Claims Resolution case are handed down to this investigator.
Investigator is positioned in the scene of the accident after receiving the survey tasks that server issues to confirm that it is existing in accident Field is investigated, also, can also be shot to the scene of the accident, is obtained relevant image data, is executed current Claims Resolution case The survey tasks of part.
Further, as an implementation, include with reference to Fig. 3, the step S10:
Step S11, when receiving the Claims Resolution application of investigator input, judge the investigator whether have Claims Resolution by Manage permission;
If there is step S12, the described investigator Claims Resolution to accept permission, corresponding configuration Claims Resolution case is applied for according to the Claims Resolution Part simultaneously generates survey tasks and is handed down to the investigator.
The amount of money being related to due to settlement of insurance claim may be larger, especially major accident when, for the permission of management and control investigator, Server, according to preset permission record information, judges whether this investigator has when receiving the Claims Resolution application of investigator's input There is Claims Resolution to accept permission.
If there is this investigator Claims Resolution to accept permission, according to the corresponding configuration Claims Resolution case of Claims Resolution application instruction and generation pair The survey tasks answered are handed down to investigator;If investigator, which does not have Claims Resolution, accepts permission, its Claims Resolution application is rejected, this tune is prompted People is looked into need to open Claims Resolution application permission.
Step S20, receive the survey report that the investigator is submitted based on the survey tasks, by the Claims Resolution case and The survey report submits to audit node.
After investigator completes investigation, input survey report writes instruction, in the survey report composition interface of server configuration Middle typing research conclusion, and be located information and collect obtained image data together as the corresponding investigation of survey tasks Report is submitted.It should be noted that the survey report of survey report namely current Claims Resolution case that investigator submits.
Server receives the survey report that investigator submits, and obtains the research conclusion, location information and its collection of investigator Obtained image data.
Then, will settle a claim case and this survey report of server submits to audit node, by audit node to case of settling a claim Survey report carry out audit confirmation, prevent case wrong report, accidentally pay for.
Node is audited after receiving survey report, whether the declaration form in audit Claims Resolution case can be compensated;If can It is compensated, then needs to be determined according to the agreement in declaration form and pay for Payment Amount and beneficiary, and determine the account of beneficiary.It needs Illustrate, the account of beneficiary can be the account that bank card account, electronic account etc. can collect money.
Step S30, when receiving the compensation instruction of the audit node feeding back, the case is carried out according to compensation instruction The compensation of part.
If audit node audit determines that current Claims Resolution case can be compensated, compensation instruction is sent out to server, is led to Know that this Claims Resolution case by audit, can be compensated.
When server receives the compensation instruction of audit node feeding back, executes and compensate instruction, beneficiary is compensated.
Specifically, as an implementation, including with reference to Fig. 4, the step S30:
Step S31, it when receiving the compensation instruction of the audit node feeding back, is instructed to obtain according to the compensation and compensates money The amount of money and beneficiary's account;
Step S32, using e-payment, by the compensation transfer of payment to beneficiary's account.
For server when the compensation for receiving audit node feeding back instructs, instruction is compensated in parsing, is obtained and is carried in compensation instruction The beneficiary's account for paying for Payment Amount and case.Specifically, server can read the code for compensating instruction, code is extracted In preset field, obtain the beneficiary's account for paying for Payment Amount and case, and store with text formatting.Wherein, predetermined word Section can be the field of predeterminated position or the field etc. after default identifier.
Then, server will pay for transfer of payment using e-payment according to obtained compensation Payment Amount and beneficiary's account Give beneficiary's account.
It should be noted that if warrantee has multiple declaration forms to compensate, then server obtains the more of audit node A compensation instruction, is compensated respectively;Or, server according in configuration-direct multipair compensation Payment Amount and be benefited acknowledge a debt Family is compensated respectively.
The compensation of complete as a result, Claims Resolution case.
Further, further include after the step S20:
Check and write off the survey tasks.
Specifically, server configures wind up the case or be completed the processing state of survey tasks to, at the same time it can also investigate This survey tasks is deleted in the investigating system of people or survey tasks list, completes checking and writing off for survey tasks.
Task is checked and write off by inquiry, and the survey tasks for the people that winds up a probe execute the period, avoids the work for influencing investigator Timeliness.
In the present embodiment, when receiving the Claims Resolution application of investigator's input, corresponding configuration Claims Resolution case simultaneously generates investigation This investigator is given in mission dispatching, is reported a case to the security authorities by investigator and case is investigated;Then, investigator is received to submit based on survey tasks Survey report, will Claims Resolution case and survey report submit to audit node, audited by audit node, ensure the true of Claims Resolution Reality prevents insurance fraud;In the compensation instruction for receiving audit node feeding back, the compensation for carrying out Claims Resolution case is instructed according to compensating. Save that client reports a case to the security authorities and insurance company accepts, distributes the flow of investigator in the present embodiment, investigator can directly lift reason Application is paid for, Claims Resolution is carried out and puts on record, after investigator's completion investigation and the audit by auditing node, directly client can be paid for It pays, the time that client expends in flow is greatly saved relative to traditional Claims Resolution flow, shorten the Claims Resolution period so that visitor Family can quickly take compensation money, when major accident especially occurs;Also, by the management and control for auditing node, reduce Claims Resolution Risk of fraud, the interests of insurance company have been ensured, hereby it is achieved that the two-win of client and insurance company.
Further, with reference to Fig. 5, case Claims Resolution method second embodiment of the present invention provides a kind of case Claims Resolution method, base In aforementioned present invention case Claims Resolution method first embodiment, the step S10 includes:
Step S13, when receiving the Claims Resolution application of investigator's input, the warrantee's body carried in Claims Resolution application is obtained Part.
After investigator reaches the scene of the accident, investigator determines the identity of client of being in danger, then, using this client as being protected People inputs Claims Resolution application.Wherein, include the letters such as the identity, such as name, identification card number, age of this warrantee in Claims Resolution application Breath.
Server obtains the warrantee's identity carried in Claims Resolution application after receiving the Claims Resolution application of investigator.
Step S14, it according to whole declaration forms of warrantee described in warrantee's identity finder, configures described in declaration form list confession Investigator selects.
After obtaining warrantee's identity, server in the database, is protected according to the whole of warrantee identity finder warrantee It is single, and the whole declaration forms found are configured to declaration form list.Declaration form can be ranked up according to time buying etc. in list list.
Then, server shows that declaration form list selects the declaration form of present application Claims Resolution for investigator.
Investigator can carry out the selection of declaration form in declaration form original list by way of choosing, and filter out inappropriate guarantor It is single.For example, this accident is traffic accident, then investigator may be needed to select vehicle insurance declaration form, accident policy etc..
Need to illustrate when, the information such as time buying, the insurance kind of each declaration form can be only shown in declaration form list, certainly, also It can show the other information in declaration form, it can flexible configuration according to actual needs.
Step S15, the declaration form that the investigator is selected based on the declaration form list is obtained, configuration Claims Resolution case is corresponded to, and It generates survey tasks and is handed down to the investigator.
Apply for the declaration form settled a claim when investigator selects needs in declaration form list, and after confirmation, server obtains investigator The declaration form of selection corresponds to configuration Claims Resolution case, and the survey tasks for generating Claims Resolution case are handed down to this investigator, thus investigator It is investigated.
In the present embodiment, when receiving the Claims Resolution application of investigator's input, the warrantee carried in Claims Resolution application is obtained Identity;Then, according to whole declaration forms of warrantee identity finder warrantee, configuration declaration form list selects present application for investigator The declaration form of Claims Resolution;Then, the declaration form that investigator is selected based on declaration form list, corresponding configuration Claims Resolution case are obtained, and generates Claims Resolution The survey tasks of case are handed down to this investigator.The present embodiment provides when investigator lifts Claims Resolution application and describes warrantee The declaration form list of whole declaration forms is selected for investigator, and to allow investigator to filter out, improper, this cannot apply settling a claim Declaration form, according only to the declaration form that investigator selects carry out Claims Resolution put on record, alleviate audit node workload, accelerate Claims Resolution case The audit speed of part, also shortens the period of settlement of insurance claim, can promote customer experience.
Further, with reference to Fig. 6, case Claims Resolution method 3rd embodiment of the present invention provides a kind of declaration form Claims Resolution method, base In aforementioned present invention case Claims Resolution method second embodiment, the step S15 includes:
Step S151, when receiving the declaration form that the investigator is selected based on the declaration form list, the selected guarantor is shown Single clause is for selection.
Step S152, the declaration form and clause of investigator's selection, corresponding configuration Claims Resolution case are obtained, and generates investigation and appoints Business is handed down to the investigator.
When server has configured declaration form list, and investigator is showed to select, if receiving investigator is based on declaration form list The declaration form of selection then shows the clause of this selected declaration form, is selected for investigator.Wherein, the clause of declaration form includes the insurance of declaration form The entries such as responsibility, insured amount, Additional Terms, so that investigator selects.
Investigator selects corresponding clause, and determine according to the actual conditions of this accident.
Server is after receiving investigator and selecting Policy clause, according to declaration form and clause that investigator selects, corresponding configuration Claims Resolution case, and generate survey tasks and be handed down to the investigator.
Specifically, investigator can select the declaration form that this is settled a claim according to information such as the insurance kinds of declaration form.Server is receiving After the declaration form of investigator's selection, the declaration form content of this declaration form is searched in the database, shows every clause of this declaration form content.Together When, server can also extract preset field in declaration form content, obtain declaration form number, warrantee's identity information, beneficiary's letter Breath etc..
The Policy clause that investigator provides according to server selects this to carry out the clause of Claims Resolution foundation, such as insurance duty Appoint, insured amount, Additional Terms etc., for determining the Claims Resolution items such as responsibility and amount for which loss settled.After investigator completes clause selection Confirmed.
After server receives the clause of investigator's selection, by the letters such as declaration form number, warrantee's identity information, beneficiary's information The field of the field of breath and the provision content of investigator's selection, according to preset fill rule, corresponding filling is preset respectively In case configuration template, Claims Resolution case is generated.Declaration form described in Claims Resolution case is the declaration form of this Claims Resolution foundation, records Clause be this Claims Resolution clause of foundation, record warrantee namely this accident occurs and needs to apply for the warrantee of Claims Resolution.
Server is also according to preset coding rule, the docket of this Claims Resolution case of corresponding configuration.Then, server is matched This corresponding survey tasks of Claims Resolution case is set, and obtains the investigator of this Claims Resolution case of configuration, the survey tasks of configuration are issued Into the system of this investigator, so that investigator executes survey tasks.Survey tasks include the every terms of information of Claims Resolution case, packet Include the Claims Resolution declaration form of foundation, warrantee, foundation of settling a claim clause etc., investigated so that investigator is purposive.
It should be noted that investigator can select multiple declaration forms and corresponding clause respectively, then configured by server Claims Resolution case, and generate survey tasks and be handed down to the investigator.
In the present embodiment, when receiving the declaration form that investigator is selected based on declaration form list, the clause for being chosen declaration form is shown So that investigator selects;The declaration form and clause of investigator's selection, corresponding configuration Claims Resolution case are obtained, and generates corresponding investigation and appoints Business is handed down to investigator.When investigator selects declaration form, the clause for providing declaration form selects the present embodiment for investigator, makes investigator This clause etc. for compensating foundation can be selected so that this this Claims Resolution is more targeted, also mitigates the work of audit node Amount shortens the Claims Resolution period.
Further, with reference to Fig. 7, case Claims Resolution method fourth embodiment of the present invention provides a kind of case Claims Resolution method, base In aforementioned present invention case Claims Resolution method second or third embodiments, (the present embodiment is implemented in case of the present invention Claims Resolution method second For example), the step S14 includes:
Step S141, according to whole declaration forms of warrantee described in warrantee's identity finder;
Step S142, the declaration form within insurance period is filtered out in whole declaration forms of the warrantee, is configured to declaration form row Table is selected for the investigator.
Server is protected according to the whole of warrantee identity finder warrantee in the database after obtaining warrantee's identity It is single.
Then, server carries out preliminary filtering screening, and the guarantor at present still within insurance period is selected in whole declaration forms It is single, filter out expired declaration form.Wherein, insurance period is also referred to as period insured.According to insurance contract, insurance company is arranging Time in insurance responsibility is born to the insurance risk of agreement, this designated time just becomes insurance period.
Then, server is configured to declaration form list using the declaration form at present still within insurance period, this is selected for investigator The declaration form of secondary application Claims Resolution.
In the present embodiment, according to whole declaration forms of warrantee identity finder warrantee;In whole declaration forms of warrantee The declaration form within insurance period is filtered out, declaration form list is configured to and is selected for investigator.The present embodiment automatic fitration as a result, has been fallen Through expired declaration form, since insurance company does not compensate the declaration form not within insurance period, it is therefore not necessary to these not in insurance period Declaration form in limit is put on record, it is possible to reduce the workload of investigator and audit node promote Claims Resolution speed.
Further, with reference to Fig. 8, case Claims Resolution the 5th embodiment of method of the present invention provides a kind of case Claims Resolution method, base In aforementioned present invention case Claims Resolution method 3rd embodiment, the step S30 includes:
Step S33, it when receiving the compensation instruction of the audit node feeding back, is determined according to compensation instruction by examining The declaration form and clause of core;
Step S34, the amount of money for compensating money is obtained according to the clause by audit, and obtains the guarantor by audit Beneficiary's account bound in list;
Step S35, using e-payment, by the compensation transfer of payment to beneficiary's account.
For server in the compensation instruction for receiving audit node feeding back, instruction is compensated in parsing, and acquisition currently passes through audit Declaration form and clause.
Then, server obtains client and signs the compensation arranged with insurance company when declaration form according to the clause by audit The money amount of money.For example, if vehicle insurance declaration form is by audit, the responsibility amount of money clause in declaration form is default in the clause also by audit Field is to pay for the numerical value of Payment Amount, therefore can obtain this vehicle insurance guarantor by reading the preset field in responsibility amount of money clause Single compensation Payment Amount.
Meanwhile the reserved information of server inquiry client, obtain beneficiary's account bound in the declaration form by audit.
Further, if having multiple declaration forms and its clause to pass through audit, server is respectively according to the benefited of each declaration form The compensation Payment Amount acknowledged a debt in family and each Policy clause, compensates each declaration form.
Then, server uses e-payment, will pay in transfer of payment to beneficiary's account, is compensated.
In the present embodiment, in the compensation instruction for receiving audit node feeding back, pass through audit according to instruction determination is compensated Declaration form and clause;The amount of money for compensating money is obtained according to the clause by audit, and is obtained bound in the declaration form by auditing Beneficiary's account;Then, using e-payment, transfer of payment will be paid for beneficiary's account.Without auditing node in the present embodiment It is specified to pay for Payment Amount and beneficiary's account, realize the declaration form passed through automatically according to audit and clause extraction pay for Payment Amount into Row is compensated, and the intelligence degree of case Claims Resolution is improved.
In addition, the embodiment of the present invention also proposes a kind of computer readable storage medium, the computer readable storage medium On be stored with case Claims Resolution program, case Claims Resolution program realizes following operation when being executed by processor:
When receiving the Claims Resolution application of investigator's input, corresponding configuration Claims Resolution case and generate survey tasks be handed down to it is described Investigator;
The survey report that the investigator is submitted based on the survey tasks is received, by the Claims Resolution case and the investigation Audit node is submitted in report;
When receiving the compensation instruction of the audit node feeding back, the progress Claims Resolution case is instructed according to described compensate It compensates.
Further, following operation is also realized when the case Claims Resolution program is executed by processor:
When receiving the Claims Resolution application of investigator's input, the warrantee's identity carried in Claims Resolution application is obtained;
According to whole declaration forms of warrantee described in warrantee's identity finder, configuration declaration form list supplies the investigation person It selects;
The declaration form that the investigator is selected based on the declaration form list, corresponding configuration Claims Resolution case are obtained, and generates investigation The investigator is given in mission dispatching.
Further, following operation is also realized when the case Claims Resolution program is executed by processor:
When receiving the declaration form that the investigator is selected based on the declaration form list, show the clause of the selected declaration form with It is selective;
The declaration form and clause of investigator's selection, corresponding configuration Claims Resolution case are obtained, and generates survey tasks and is handed down to The investigator.
Further, following operation is also realized when the case Claims Resolution program is executed by processor:
According to whole declaration forms of warrantee described in warrantee's identity finder;
The declaration form within insurance period is filtered out in whole declaration forms of the warrantee, declaration form list is configured to and supplies the tune Person is looked into select.
Further, following operation is also realized when the case Claims Resolution program is executed by processor:
Receive it is described audit node feeding back compensation instruction when, according to compensations instruction obtain compensation Payment Amount and by Benefit is acknowledged a debt family;
Using e-payment, by the compensation transfer of payment to beneficiary's account.
Further, following operation is also realized when the case Claims Resolution program is executed by processor:
When receiving the compensation instruction of the audit node feeding back, the determining declaration form by auditing of instruction is compensated according to described And clause;
The amount of money for compensating money is obtained according to the clause by audit, and is obtained bound in the declaration form by audit Beneficiary's account;
Using e-payment, by the compensation transfer of payment to beneficiary's account.
Further, following operation is also realized when the case Claims Resolution program is executed by processor:
When receiving the Claims Resolution application of investigator's input, judge whether the investigator there is Claims Resolution to accept permission;
If there is the investigator Claims Resolution to accept permission, corresponding configuration Claims Resolution case is applied for according to the Claims Resolution and is generated Survey tasks are handed down to the investigator.
Further, following operation is also realized when the case Claims Resolution program is executed by processor:
It is sold back to a grain-producing area the survey tasks.
The specific embodiment of computer readable storage medium of the present invention and the above-mentioned case Claims Resolution basic phase of each embodiment of method Together, therefore not to repeat here.
It should be noted that herein, the terms "include", "comprise" or its any other variant are intended to non-row His property includes, so that process, method, article or system including a series of elements include not only those elements, and And further include other elements that are not explicitly listed, or further include for this process, method, article or system institute it is intrinsic Element.In the absence of more restrictions, the element limited by sentence "including a ...", it is not excluded that including this There is also other identical elements in the process of element, method, article or system.
The embodiments of the present invention are for illustration only, can not represent the quality of embodiment.
Through the above description of the embodiments, those skilled in the art can be understood that above-described embodiment side Method can add the mode of required general hardware platform to realize by software, naturally it is also possible to by hardware, but in many cases The former is more preferably embodiment.Based on this understanding, technical scheme of the present invention substantially in other words does the prior art Going out the part of contribution can be expressed in the form of software products, which is stored in one as described above In storage medium (such as ROM/RAM, magnetic disc, CD), including some instructions use so that a station terminal equipment (can be mobile phone, Computer, server, air conditioner or network equipment etc.) execute method described in each embodiment of the present invention.
It these are only the preferred embodiment of the present invention, be not intended to limit the scope of the invention, it is every to utilize this hair Equivalent structure or equivalent flow shift made by bright specification and accompanying drawing content is applied directly or indirectly in other relevant skills Art field, is included within the scope of the present invention.

Claims (10)

  1. A kind of method 1. case is settled a claim, which is characterized in that the case Claims Resolution method includes the following steps:
    When receiving the Claims Resolution application of investigator's input, corresponds to configuration Claims Resolution case and generate survey tasks and be handed down to the investigation People;
    The survey report that the investigator is submitted based on the survey tasks is received, by the Claims Resolution case and the survey report Submit to audit node;
    When receiving the compensation instruction of the audit node feeding back, according to the compensation compensated instruction and carry out the Claims Resolution case It pays.
  2. The method 2. case as described in claim 1 is settled a claim, which is characterized in that described in the Claims Resolution application for receiving investigator's input When, correspondence, which configures Claims Resolution case and generates the step of survey tasks are handed down to the investigator, includes:
    When receiving the Claims Resolution application of investigator's input, the warrantee's identity carried in Claims Resolution application is obtained;
    According to whole declaration forms of warrantee described in warrantee's identity finder, configuration declaration form list is selected for the investigator;
    The declaration form that the investigator is selected based on the declaration form list, corresponding configuration Claims Resolution case are obtained, and generates survey tasks It is handed down to the investigator.
  3. The method 3. case as claimed in claim 2 is settled a claim, which is characterized in that described to obtain the investigator based on the declaration form The declaration form of list selection, corresponding configuration Claims Resolution case, and generate the step of survey tasks are handed down to the investigator and include:
    When receiving the declaration form that the investigator is selected based on the declaration form list, show the clause of the selected declaration form for choosing It selects;
    Obtain the declaration form and clause of investigator selection, corresponding configuration Claims Resolution case, and generate survey tasks be handed down to it is described Investigator.
  4. The method 4. case as claimed in claim 2 is settled a claim, which is characterized in that described according to described in warrantee's identity finder Whole declaration forms of warrantee, configuration declaration form list include for the step of investigator selection:
    According to whole declaration forms of warrantee described in warrantee's identity finder;
    The declaration form within insurance period is filtered out in whole declaration forms of the warrantee, declaration form list is configured to and supplies the investigator Selection.
  5. The method 5. case as described in claim 1 is settled a claim, which is characterized in that described in the compensation for receiving the audit node feeding back When paying instruction, include according to the step of compensation for compensating the instruction progress Claims Resolution case:
    When receiving the compensation instruction of the audit node feeding back, is instructed to obtain according to the compensation and pay for Payment Amount and beneficiary Account;
    Using e-payment, by the compensation transfer of payment to beneficiary's account.
  6. The method 6. case as claimed in claim 3 is settled a claim, which is characterized in that described in the compensation for receiving the audit node feeding back When paying instruction, include according to the step of compensation for compensating the instruction progress Claims Resolution case:
    When receiving the compensation instruction of the audit node feeding back, the determining declaration form and item by auditing of instruction is compensated according to described Money;
    The amount of money for compensating money is obtained according to the clause by audit, and obtain bound in the declaration form by audit by Benefit is acknowledged a debt family;
    Using e-payment, by the compensation transfer of payment to beneficiary's account.
  7. The method 7. case as described in claim 1 is settled a claim, which is characterized in that described in the Claims Resolution application for receiving investigator's input When, correspondence, which configures Claims Resolution case and generates the step of survey tasks are handed down to the investigator, includes:
    When receiving the Claims Resolution application of investigator's input, judge whether the investigator there is Claims Resolution to accept permission;
    If there is the investigator Claims Resolution to accept permission, corresponding configuration Claims Resolution case is applied for according to the Claims Resolution and generates investigation The investigator is given in mission dispatching.
  8. 8. such as claim 1-7 any one of them cases Claims Resolution method, which is characterized in that the reception investigator is based on The survey report that the survey tasks are submitted, by the Claims Resolution case and the survey report submit to the step of auditing node it Afterwards, further include:
    It is sold back to a grain-producing area the survey tasks.
  9. 9. a kind of server, which is characterized in that the server includes:It memory, processor and is stored on the memory And the case Claims Resolution program that can be run on the processor, the case Claims Resolution program are realized such as when being executed by the processor The step of case Claims Resolution method described in any item of the claim 1 to 8.
  10. 10. a kind of computer readable storage medium, which is characterized in that be stored with case reason on the computer readable storage medium Program is paid for, the case Claims Resolution program realizes that case described in any item of the claim 1 to 8 such as is settled a claim when being executed by processor The step of method.
CN201710497417.7A 2017-06-26 2017-06-26 Case Claims Resolution method, server and computer readable storage medium Pending CN108335215A (en)

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PCT/CN2018/082622 WO2019001087A1 (en) 2017-06-26 2018-04-11 Case claim method, device, server and computer readable storage medium

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CN111260480A (en) * 2018-11-30 2020-06-09 重庆小雨点小额贷款有限公司 Claims settlement method, server, terminal device and storage medium
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CN111967999A (en) * 2020-08-27 2020-11-20 平安养老保险股份有限公司 Investigation processing method, device, computer equipment and storage medium
CN112581078A (en) * 2020-12-02 2021-03-30 五八到家有限公司 Method and device for processing violation data of worker and storage medium
CN112767180A (en) * 2021-01-06 2021-05-07 大童保险销售服务有限公司 Method and device for generating insurance case public estimation report and storage medium

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Application publication date: 20180727