TWI823342B - Claims progress notification system - Google Patents

Abstract

A claim settlement progress notification system, the claim settlement progress notification system includes a progress notification system, a server and a data center; the progress notification system is composed of three modules including: a verification module (customer verification), a progress notification module, A case closing module; the verification module is connected to at least one customer claim acceptance, the case closing module is connected to at least one case completion, the progress notification system is connected to the server and the data center, and after obtaining the customer contact means when the customer is in danger (such as : email), the claim settlement progress notification system will proactively send notifications to customers and those who need to be notified at each claim settlement stage, so that they can know the latest claim settlement status at any time without actively asking or checking the progress.

Description

Claims progress notification system

The present invention relates to a system, which refers to a claim settlement progress notification system.

According to the current claim settlement notice, the applicant hereby searches through (claim settlement system), (claim settlement) (verification), (claim settlement) (notification) OR (claim settlement notice), (claim settlement notification system), (claim settlement) (notification) (content) , (claim) (progress) (notice) are used as search keywords, and five previous cases are screened out. For example: the first series of previous cases is the patent "Business Processing Method and Device" of the Republic of China (publication number: TWI736705B); the series is based on Blockchain technology establishes a trust mechanism with fair trust through smart contracts and verification with customers; however, the previous case did not reveal more about the user interface and actual notification content used by customers and sales staff.

The second series of the previous case is the "Automobile Insurance Claim Notification System" patented by the Republic of China (publication number: TWM589323U); it can report accidents and deliver inspection notices to the user's device, and deliver claims and insurance benefits to the user's device. After investigation, the former Case 2 did not reveal that the claim settlement progress management feature allows company managers to control the progress of the case through notification synchronization, so the application scope of the notification is limited.

The third system in the previous case is the "Travel Insurance Claims System" patented by the Republic of China (publication number: TWM589325U); the system can calculate the insurance claim amount based on flight information, and provide payment based on flight status. It provides different calculation amounts and notifies users of flight status; the third case in the previous case did not disclose the progress notification of entering the claim settlement stage.

The fourth series of the previous case is a mainland patent "an online insurance claim verification and payment method and system" (publication number: CN102332143A); it discloses a method that is connected to the customer's disease diagnosis and treatment database (database) to obtain the customer's medication, diagnosis and treatment and other related medical records and Physical information, when it is determined that it meets the claim settlement, it can make a claim settlement notification and complete the claim settlement fee payment. The fourth case in the previous case did not disclose 1. Claim settlement progress notification: Email push, not limited to manual or system notification, for example: personnel complete a certain When the stage action is completed or the vehicle survey progress is completed, an email is triggered to notify the customer; 2. Claims progress management: claims progress management, control reminders for superiors and subordinates, and strengthen the progress of the claim case; 3. Policyholder verification: through email and other forms. Policyholder’s real-name verification; 4. Both parties can browse the complete notification content: Regarding the notification message, both the policyholder and the sales staff can see the complete notification content through their exclusive system or interface; 5. Display of the compensation amount, content and case closing date : The notification system directly discloses the policyholder’s compensation amount and content.

The fifth series of the previous case is the "Traffic Accident Claim Notification System" patented by the Republic of China (publication number: TWM601871U); it provides an on-site dispatch and positioning function for traffic accidents, and sends a positioning notification to the insurance company, and sends personnel to the scene to handle it. The fifth previous case did not disclose 1. Claim settlement progress notification: Email push, not limited to manual or system notifications. For example: when a person completes a certain stage of action or the vehicle survey progress is completed, an email is triggered to notify the customer; 2. Claim settlement progress management: Claim settlement progress management, control reminders from superiors and subordinates, and strengthening the progress of claims settlement cases; 3. Policyholder verification: real-name verification of policyholders through email and other forms; 4. Both parties' browsing of the complete notification content: In response to the notification message, the policyholder and All sales staff can see the complete notification content through its exclusive system or interface; 5. Display of compensation amount, content and case closing date: The notification system directly discloses the policyholder’s compensation amount and content.

There are various deficiencies in the previous cases, which greatly reduce their practicality. This is where the industry and consumers are eager to break through.

In order to solve the above-mentioned shortcomings of the prior art, the main purpose of the present invention is to provide a claim settlement progress notification system. The claim settlement progress notification system includes: a progress notification system, a server and a data center; the progress notification system connects the server and the data center. , the progress notification system includes but is not limited to the verification module and is connected to the customer claim acceptance, progress notification module, and the case closing module and is connected to the case closing completion; the verification module includes but is not limited to the email verification module and the SMS verification module; The progress notification module includes, but is not limited to, the contact notification module, the investigation notification module, the verification notification module, and the settlement notification module; the case closure module includes, but is not limited to, the case closure process module, the case closure determination module, and the case closure notice. modules in order to overcome the difficulties in the existing technology.

The secondary purpose of the present invention is to provide a claim settlement progress notification system. After obtaining the contact information of the policyholder and customer when the policyholder customer is in danger, the claim settlement progress notification system will proactively send notifications to the policyholder customer and those who need to be notified at each claim settlement stage. , allowing them to know the latest claims status at any time without actively asking or checking the progress.

Another object of the present invention is to provide a claim settlement progress notification system that effectively improves its convenience, accuracy and safety.

The problem that this invention intends to solve, according to the current claim notice, is as follows: the previous case No. 1, the Republic of China Patent "Business Processing Method and Device" (publication number: TWI736705B), does not disclose more user interfaces and devices used by customers and sales personnel. Actual content of the notice; the second case in the previous case, the Republic of China’s patented “Automobile Insurance Claim Notification System” (publication number: TWM589323U), did not disclose the claim settlement progress management features The company management personnel can control the progress of the case simultaneously through notifications, so the application scope of the notification is limited; the previous case No. 3 of the Republic of China patent "Travel Insurance Claims System" (publication number: TWM589325U) did not disclose the progress notification of entering the claim settlement stage. ; The mainland patent in the fourth case "An online insurance claim verification and compensation method and system" (publication number: CN102332143A) and the Republic of China patent "traffic accident claim settlement notification system" in the fifth case (publication number: TWM601871U) have not been disclosed 1. Claim settlement progress notification: Email push, not limited to manual or system notifications. For example: when a person completes a certain stage of action or the vehicle inspection progress is completed, an email is triggered to notify the customer; 2. Claim settlement progress management: Claim settlement progress management, superior and subordinate Management and control reminders to strengthen the progress of processing claims cases; 3. Policyholder verification: verify the policyholder’s real name through email and other forms; 4. Both parties can browse the complete notification content: both the policyholder and the sales staff can view the notification information through Exclusive system or interface to see the complete notice content; 5. Display of compensation amount, content and case closing date: The notification system directly discloses the policyholder’s compensation amount and content. However, there are various deficiencies in the previous disclosures and cases, making them impractical. Sex is greatly compromised.

Technical means to solve the problem. In order to achieve the above purpose, the present invention provides a claim settlement progress notification system, which includes: a progress notification system, a server and a data center; the progress notification system performs various tasks on the claims accepted cases. The stages of customer verification, progress notification, and case closure notification procedures; the server and data center refer to the processing center of the claims progress notification system, and the software that performs information storage, recording, notification, and calculation of all cases depends on the hardware. Hardware architecture; the claim settlement progress notification system is equipped with a notification layout text calculation mechanism system, which performs cross-comparison and judgment on the notification content of the claim settlement case by including but not limited to the operation stage and actual operation presentation information; the server and data The center is connected to a salesperson inquiry system, which is responsible for the operation and future needs of the salesperson of the claim settlement progress notification system. It can be matched with the query system to provide inquiry information based on the business needs of the salesperson, including but not limited to case progress. , related compensation cases, case closing procedures, certificates Data information, historical notifications, etc.; characterized in that the progress notification system is connected to the server and the data center. The progress notification system includes but is not limited to a verification module and is connected to at least one customer claim acceptance, a progress notification module, A case closing module and connected to at least one case closing completed; the customer's claim acceptance refers to the customer's claim. If it has been confirmed by the linked insurance system that the acceptance and division of the case have been completed, and has entered the claim stage, the case can be entered. The claim settlement progress notification system of the present invention performs follow-up notification actions; the verification module includes but is not limited to an email verification module and a SMS verification module; the email verification module performs real-name verification of claims accepted by customers through email Verification module; the SMS verification module is a module that performs real-name verification on claim cases accepted by SMS via email; the progress notification module includes but is not limited to a contact notification module, an assessment notification module, One verification notification module and one settlement notification module; the contact notification module refers to the module that sends the completed contact notice for the case liaison stage; the investigation notification module refers to the module that sends the investigation notification for the case investigation stage. The verification notification module refers to the module that completes the verification notification for the case verification stage; the settlement notification module refers to the module that completes the settlement notification for the case settlement stage; The case closing module includes but is not limited to a case closing process module, a case closing judgment module, and a case closing notification module; the case closing process module refers to the case closing process that includes all cases, and provides the corresponding case closing process/template module. ; The case closure judgment module refers to the module used to cross-compare the content of the previous notification stage of the case described in the case closure process module to confirm whether it can enter the judgment mechanism of case closure; the case closure notification module refers to the module used to pass the case closure judgment The module determines the case that can be closed, sends a closing notice to the customer, and records the notification content in the module used in this system; after obtaining the contact information of the policyholder and customer when the policyholder is in danger, the claim settlement progress notification system will proactively notify each claim in the future Notifications are sent in stages to policyholders, customers and persons who need to be notified; the progress notification module link of the progress notification system is equipped with an email modular layout, which is an email layout design module for notifications in different stages. It can speed up the notification process and comply with the notification content of the claim case, and insert cooperative advertisements, additional content, latest information and other functions. It can also be applied to the rapid response to the release of new cases and new insurance types in the future.

Among them, the verification module of the present invention performs real-name verification on claims accepted by customers, and recommends ways for customers to contact the claim settlement progress notification system, which is used for subsequent implementation of the progress notification module and the case settlement module; The progress notification module monitors the progress of claims cases and establishes a standardized notification module for different claims cases. For different claim cases, the claims progress notification system automatically schedules progress notifications for each stage or provides customers or other needs with Notify personnel that the required progress notification stages, content and form are presented as a notification linkage mechanism; the case closure module is a module that provides a case closure start-up to completion notification when the customer case enters the closure stage; the case closure module For the settlement process of the claim settlement process module, the module cross-compares it with the content of the notification stage through the case settlement determination module. When it is confirmed to be the case closure stage, the claim settlement progress notification system confirms the case closure processing. After completion or through the claim settlement progress notification system, a confirmation notification is sent to the person in charge of the case to determine that the case can be closed. After confirmation, it is determined that the case has been closed and can be notified. That is, the case closure notification module is used to send a closure notification to the customer and record it in this system notification. content, and archive the closed case as completed.

Among them, the verification module of the present invention is used to verify customers, including but not limited to all traditional communication means or future communication technologies such as documents, phone numbers, addresses, fingerprint recognition, facial recognition, etc., to establish verification and contact information to the claim settlement progress notification system and the server and data center.

Among them, the claim settlement progress notification system of the present invention is equipped with an auxiliary calculation mechanism system for notification personnel objects, which is the notification object for claim settlement cases, including but not limited to customers, company claims settlement personnel, executives, business personnel, responsible personnel, and supervisory personnel. Provides notification object calculations that can be recommended at different stages to help notify the target accurately; the notify personnel object auxiliary algorithm system can calculate notification personnel including but not limited to key personnel such as customers, or others including but not limited to company claims personnel, Personnel who will be notified at different stages of the case, including executive personnel, business personnel, responsible personnel, and supervisory personnel.

Among them, the verification module of the present invention is connected to a multiple-person simultaneous reminder mechanism system based on project content or insurance claim progress or a system update system compatible with future new technology verification mechanisms; wherein, the multi-person reminder system is based on project content or insurance claim progress. The human simultaneous reminder mechanism system can obtain customer contact information through the verification module and input it into the claim settlement progress notification system. By using the progress notification module and the case closing module of the claim settlement progress notification system, the system can target customers including but not limited to, Insurance company sales staff and others send messages simultaneously to complete case information synchronization, and insurance company sales staff can provide real-time care to customers; the system update system that is compatible with future new technology verification mechanisms is designed to cope with future changes in customer devices and system technology, through reserved The expanded elements of software and hardware provide more customer verification methods, including verification mechanisms for human feature recognition such as fingerprints, faces, and characteristic body movements.

Among them, the progress notification module of the present invention is equipped with a mechanism system including but not limited to contact, investigation, verification, and settlement notification. Through the progress notification module, when insurance company personnel or special personnel need to contact the customer, the case enters the investigation stage. During the stage, when the case object proposes settlement, the customer's information contact can be completed through the notification function; after the verification module can obtain the customer's contact method, it enters the insurance stage and uses the customer's customer contact method, including but not limited to email, text message, etc. The main method can also include but not limited to documents, phone calls, addresses and other communication means or communication technologies to subsequently send notifications to customers through the system without requiring customers to passively inquire; this includes but is not limited to contact, investigation, verification, and settlement notifications. The mechanism system cooperates with each insurance company's claims adjusters, claims cases, and daily system operation procedures. It can use this progress notification model at stages including but not limited to contact, assessment, estimation, completion of casualty and damage assessment, and full case signing. The group and the case closing module send notifications.

Among them, the progress notification system of the present invention is connected with a claims adjuster case progress and notification tracking interface, a customer notification receiving interface and copywriting calculation system, or a sales staff inquiry and notification interface; the claim adjuster case progress and notification tracking interface is through The progress notification system provides a backend management interface used by claims adjusters. The interface of the claims adjusters' case progress and notification tracking interface includes but is not limited to driver certification, claim data display, related claims, initial review/counseling opinions, and recovery. Review and claim log; the salesperson inquiry and notification interface provides an interface for salespersons to inquire about the progress notification status through the progress notification system, which includes but is not limited to the basic information of the claim, the driver of the vehicle and the return to the factory Data, estimated data, verification data, adjustment data, compensation progress and notifications, etc. are integrated through the interface to provide sales personnel with a grasp of the progress of the case; the options within the recovery review include but are not limited to recovery required, completed, no recovery required, Other reasons and explanations; the options in the compensation log include but are not limited to new compensation logs, liaison operations and projects, investigation operations and projects, verification operations and projects, casualty settlement operations and projects; the adjustment data includes Details: The customer notification receiving interface and the copywriting calculation system are one system, and they are not divided into two systems: the customer notification receiving interface and the copywriting calculation system; the customer notification receiving interface and the copywriting calculation system can be accessed through the progress notification system Provide corresponding interfaces and forms for notifications at different stages including but not limited to: conducting verification, arranging survey and assessment, claim acceptance, case closing, etc., which can be through main methods including but not limited to text, pictures, email, etc., or through Including but not limited to audio, video and other forms of presentation.

Comparing the effects of the prior art, the claim settlement progress notification system of the present invention includes: the progress notification system, the server and the data center; the progress notification system is connected to the server and the data center, and the progress notification system includes but is not limited to the verification The module is connected to the customer compensation case acceptance, the progress notification module, and the case closure module and is connected to the case closure completion; the verification module includes but is not limited to the email verification module and the SMS verification module; the progress notification module The group includes but is not limited to the contact notification module, the The verification notification module, the verification notification module, and the settlement notification module; the case closure module includes but is not limited to the case closure process module, the case closure determination module, and the case closure notification module; and further achieved, in the policyholder customer After obtaining the contact information of the policy holder and customer when an accident occurs, the claim settlement progress notification system will proactively send notifications to the policy holder, customer and those who need to be notified at each claim stage, so that they can be informed of the latest claim settlement status at any time without the need to actively inquire or Query the progress; effectively improve its convenience, accuracy and safety, which will greatly expand the utilization of the industry and be novel and progressive.

1: Claim settlement progress notification system

11: Progress notification system

1101: Claims adjuster case progress and notification tracking interface

1102:Customer notification receiving interface and copywriting algorithm system

1103: Sales staff query and notification interface

1104: Notification layout text calculation mechanism system

1105:Notification Personnel Object Auxiliary Calculation Mechanism System

111:Verification module

1110: Customer compensation case acceptance

1111:email verification module

1112: SMS verification module

1113: Simultaneous reminder mechanism system for multiple people based on project content or insurance claim progress

1114: System update system compatible with future new technology verification mechanism

112: Progress notification module

11200: Including but not limited to contact, investigation, verification, settlement notification mechanism system

11201:email modular layout

1121: Contact notification module

1122: Appraisal notification module

1123:Verification notification module

1124:Settlement Notification Module

113:Case closure module

1130:Case closed

1131:Case closing process module

1132:Case closure judgment module

1133:Case closure notification module

12:Servers and data centers

120: Salesperson inquiry system

The first figure: is the architecture diagram of the present invention.

The second figure is another architecture diagram of the present invention.

The third figure is a diagram showing an actual embodiment of the verification module of the present invention through the progress notification module for estimated compensation, casualty damage assessment, and reconciliation to case closure modules.

Figure 4: is a diagram of an embodiment of the claims adjuster case progress and notification tracking interface according to the present invention.

Figure 5: is a diagram of one embodiment of the compensation log internal inspection and auditing projects according to the present invention.

Figure 6: shows an embodiment of the customer notification receiving interface and the copywriting calculation system for receiving copywriting according to the present invention.

Figure 7: shows an embodiment of the present invention for customers to view notifications through a smartphone.

Figure 8: is a frame diagram of an embodiment of the salesperson query and notification interface of the present invention.

Figure 9: is a diagram of an actual embodiment of the email modularized layout email of the present invention.

The present invention is described in detail below with reference to the accompanying drawings and in the form of embodiments. The drawings used in the text are only intended to illustrate and assist the description, and may not necessarily represent the true proportions and accuracy of the present invention after its implementation. configuration, the proportions and configuration relationships of the attached drawings should not limit the patent scope of the present invention in actual implementation, and are explained in advance.

Please refer to Figure 1, Figure 2, Figure 3, Figure 4, Figure 5, Figure 6, Figure 7, Figure 8, and Figure 9, which are structural diagrams of the present invention. Another architecture diagram, an actual embodiment diagram of the verification module of the present invention from the estimated compensation and casualty damage assessment and reconciliation to case closure module through the progress notification module, an embodiment diagram of the claims adjuster case progress and notification tracking interface of the present invention, this A diagram of an embodiment of the invention's claims log internal inspection and auditing work and projects, an embodiment of the invention's customer notification receiving interface and copywriting calculation system for receiving documents, an embodiment of the invention's customer viewing notifications through a smartphone, the invention's embodiment A frame diagram of an embodiment of the salesperson query and notification interface, a diagram of an actual embodiment of the modular email layout email of the present invention, and a claim settlement progress notification system of the present invention. In a preferred embodiment, the claim settlement progress notification system 1 includes: a progress notification system 11, a server and data center 12.

The aforementioned progress notification system 11 is a notification process for various stages of customer verification, progress notification, and case closure for claims accepted cases. The progress notification system 11 includes but is not limited to a verification module 111 and is connected to at least one customer claim. Case acceptance 1110, a progress notification module 112, a case closing module 113 and connected to at least one case completion 1130; the verification module 111 includes but is not limited to an email verification module 1111, a SMS verification module 1112; the progress notification The module 112 includes but is not limited to a contact notification module 1121, an investigation notification module 1122, a verification notification module 1123, and a settlement notification module 1124; the case closing module 113 includes but is not limited to a case closing process module 1131. A case closure determination module 1132, a case closure notification module 1133 (as shown in the first picture); the customer compensation case acceptance 1110 refers to the customer’s compensation If the case has been confirmed by the connected insurance system to be accepted and assigned, and has entered the compensation stage, then the case can enter the claim settlement progress notification system 1 of the present invention for subsequent notification actions.

The aforementioned server and data center 12 refer to the processing center of the claim settlement progress notification system 1, and perform information storage, recording, notification, and calculation of all cases (such as: personnel search, recommended notification format and content, recommended transmission personnel , suggested transmission time) and other tasks are dependent on the hardware architecture of the hardware; the progress notification system 11 is connected to the server and the data center 12; the server and the data center 12 operate according to the claims progress notification system 1 of the present invention Depending on the party's caseload and equipment requirements, the servers and database system centers 12 referred to therein may be local or cloud, and their number is not limited; in addition, the servers and data centers 12 may adopt different architectures. Limited, including but not limited to blockchain architecture, master-slave architecture, etc.; after obtaining the contact details of the policyholder and customer when the policyholder and customer are in danger, the claim settlement progress notification system will proactively send notifications to the policyholder and customer at each claim stage. The people who need to be notified can be informed of the latest claims status at any time without the need to actively inquire or inquire about the progress (as shown in the first picture).

In the present invention, when the customer case completes the review and classification operation (that is, the customer claim acceptance 1110), it can enter the claim stage, and the verification module 111 of the claim settlement progress notification system 1 of the present invention verifies the customer's contact means, as Used for sending follow-up notifications; after obtaining the customer's contact method (such as email), the progress notification module 112 of the claim settlement progress notification system 1 can be based on the personnel and content that need to be notified, or standardized content for each stage of the claim operation. , send notifications regardless of form, and confirm that customers or other persons who need to be notified can obtain the notification content and other information; after the claim case operation is completed, the case closure module 113 of the claim settlement progress notification system 1 can determine whether the case is closed ( The claim settlement progress notification system 1 of the present invention can use the information provided by the person in charge of the case to reconfirm (increase the accuracy of judgment) and send a closing notice to the customer (or other persons who need to be notified), and the closing of the entire case is completed 1130; The server and data center 12 are responsible for all claims settlement progress notification systems 1 of the present invention. calculation, notification, calculation, request sending, storage, etc. (the server and data center 12 can be freely configured according to needs, such as the number of cases, number of personnel, etc., such as the number of servers, databases, and system center architecture, etc.) .

The customer compensation case acceptance 1110 of the present invention refers to the customer's compensation case, which has been confirmed by the connected insurance system to be accepted and assigned, and has entered the compensation stage, then the case can enter the claim settlement progress notification system 1 of the present invention. Make follow-up notification actions.

The verification module 111 performs real-name verification on claims accepted by customers, and recommends ways for customers to contact the claim settlement progress notification system 1 of the present invention as the subsequent progress notification module in the claim settlement progress notification system 1 of the present invention. 112. Used for the completion of the case closing module 113; the verification module 111 is used to verify customers, including but not limited to email verification module 1111, SMS verification module 1112 such as email, SMS, etc. Not limited to all traditional communication means or future communication technologies such as documents, phone calls, addresses, fingerprint recognition, facial recognition, etc., establish verification and contact information to the claim settlement progress notification system 1 and the server and data center 12 of the present invention; the email The verification module 1111 is a module that performs real-name verification on claims accepted by customers via email; the SMS verification module 1112 is a module that performs real-name verification on claims accepted via text message via email.

The progress notification module 112 monitors the progress of claims cases and establishes standardized notification modules for different claims cases; the modules in the progress notification module 112 may include but are not limited to a contact notification module 1121 as mentioned above. , an investigation notification module 1122, a verification notification module 1123, a settlement notification module 1124, etc.; by targeting different claims cases, the claim settlement progress notification system 1 of the present invention can self-schedule progress notifications for each stage, or it can Provide customers (or other persons who need to be notified) with the required progress notification stages, content and format as a notification linkage mechanism; notifications can also be viewed through browsing devices including but not limited to computers, tablets, mobile phones, etc. View notification content is complete; the contact notification module 1121 refers to the module that has completed sending the contact notification for the case contact stage; the verification notification module 1122 refers to the module that has completed sending the verification notification for the case investigation stage; the verification notification module 1123 is a pointer For the case verification stage, the module that sends the verification notice is completed; the settlement notification module 1124 refers to the module that sends the settlement notice that is completed for the case settlement stage.

The case closing module 113 is a module that provides a case closing start-up to a completion notification when the customer case enters the closing stage; the case closing module 113 includes but is not limited to a case closing process module 1131 and a case closing module as mentioned above. Determination module 1132, a case settlement notification module 1133, etc.; firstly, the case settlement module 113 targets the settlement process of the claim case and the case settlement process module 1131, and uses the case closure judgment module 1132 to intersect it with the content of the notification stage By comparison, when it is confirmed that the case is in the closing stage, the claim settlement progress notification system 1 of the present invention confirms that the case closing process is completed (it can also be done in this way: through the claim settlement progress notification system 1 and the person in charge of the case sends a confirmation notice that the case can be closed, After confirmation, it is determined that the case has been closed and can be notified), that is, the case closure notification module 1133 is used to send the case closure notification to the customer, and the content of the notification is recorded in the system, and the closed case completion 1130 is archived; the case closure process module 1131 refers to Contains the closing process of all cases, and provides the modules used in the corresponding closing process/template; the closing judgment module 1132 refers to cross-checking the contents of the previous notification stage of the case described in the closing process module 1131 to confirm whether it is possible The module used to enter the judgment mechanism of case closure; the case closure notification module 1133 refers to the module used to determine the case that can be closed through the case closure determination module 1132, send the case closure notice to the customer, and record the notification content in this system.

Please refer to the second figure. The claim settlement progress notification system 1 of the present invention is provided with a notification layout text calculation mechanism system 1104. The claim settlement progress notification system 1 can be based on the notification content of the claim settlement case, including but not limited to the operation stage, actual The job presentation information is cross-compared and judged by category. The actual implementation of the notice content is as follows:

An example of the notification example for number B in the above table "Dispatch the survey vehicle within specific working hours after acceptance and note it in the system log" is as follows:

An example of the notification implementation for number C in the above table "the preliminary responsibility for the accident will be determined within a specific working hour after acceptance, dispatched for verification, and recorded in the system log" is as follows:

An example of the implementation of the notification for No. E "Complete Case" in the above table is as follows:

The above content does not represent the only or all content, classification and form of notifications.

Present information for category cross comparison and judgment. The actual implementation of the notification content is as follows: Please refer to the second figure. The claim settlement progress notification system 1 of the present invention is provided with an auxiliary algorithm system 1105 for notification personnel objects, which can target the notification objects of the claim settlement case through including but not limited to Customers, company claims personnel, executives, sales personnel, responsible personnel, supervisors, etc. can provide calculations that can recommend notification objects at different stages to assist in the accuracy of notification objects; the people who can be notified include but are not limited to customers and other key personnel, or Others include but are not limited to the company's claims adjusters, executives, sales personnel, responsible personnel, supervisors and other personnel who will be notified at different stages of the case.

Extended application of the present invention (please refer to the second figure): Please refer to the second figure. The verification module 111 of the present invention is connected to a multi-person simultaneous reminder mechanism system 1113 based on the project content or insurance claim progress. , the claim settlement progress notification system 1 can obtain customer contact methods through the verification module 111, including but not limited to email, SMS and other main methods, and can also obtain customer contact methods including but not limited to documents, phone numbers, addresses, fingerprint recognition, facial recognition, etc. All traditional communication means or future communication technologies are input into the claim settlement progress notification system 1. The progress notification module 112 and the case closing module 113 of the claim settlement progress notification system 1 can target customers, insurance company sales personnel, etc. Send messages synchronously to complete case information synchronization, so that insurance company sales staff can care for customers in real time.

Please refer to the second figure. The progress notification module 112 of the present invention is provided with a mechanism system 11200 including but not limited to contact, investigation, verification, and settlement notification. Through the progress notification module 112, insurance company personnel, or When a dedicated person needs to contact the customer, when the case enters the investigation stage, or when the case object proposes settlement, the customer's information contact can be completed through the notification function; after the "verification module 111 can obtain the customer's contact means, it enters the danger stage, and through the customer's Customer contact methods include but are not limited to main methods such as email and text messages. The system can also use communication methods or communication technologies including but not limited to files, phone calls, addresses, etc. to subsequently send notifications to customers without the need for customers to passively inquire about the progress. The notification module 112 includes but is not limited to contact, investigation, verification, and settlement notification mechanism system 11200, which is equipped with each insurance company's claim adjuster, compensation case, and daily system operation procedures, including but not limited to contact, investigation, and settlement notification mechanism system 11200. The progress notification module 112, the case closing module 113, etc., verification, estimation, completion of casualty and damage assessment, completion of the whole case, etc., are completed when the notification is sent; the email verification module 1111 is verified through email. The module for performing real-name verification on claims accepted by customers; the SMS verification module 1112 is a module for performing real-name verification on claims accepted via SMS via email; the contact notification module 1121 refers to the contact stage of the case. The module that completes sending the contact notification; the verification notification module 1122 refers to the module that completes sending the verification notification for the investigation stage of the case; the verification notification module 1123 refers to the module that sends the verification notification for the verification stage of the case The module that notifies the completion of the settlement notification; the settlement notification module 1124 refers to the module that sends the settlement notification completion for the settlement stage of the case.

Please refer to the third figure. The verification module 111 obtains the customer's email and sends an email notification to the progress notification module 112 for the estimated compensation through the email verification method. The estimated compensation is connected to the continued casualty loss assessment. and reconciliation, entering and leaving the estimated compensation are respectively connected to the progress notification module 112 for sending contact, investigation, verification and other operation notifications, and the casualty damage assessment is leaving and connected to the progress notification The module 112 sends a settlement notice; the settlement is subsequently connected to the entire case settlement module 113 and sends an email notification of the result.

Please refer to the second figure. The server of the present invention is connected to the data center 12 and is provided with a salesperson query system 120, which can be used to respond to the salesperson operations and future needs of the claim settlement progress notification system 1 of the present invention. It can be matched with the query The system provides query information based on the business needs of sales personnel. Inquiries include but are not limited to case progress, related claims, case closing procedures, evidence information, historical notifications, etc. to facilitate tracking of cases and simultaneous care for the claim progress of customer cases.

Please refer to the second figure. The verification module 111 of the present invention is connected to a system update system 1114 that is compatible with future new technology verification mechanisms. The claims progress notification system 1 can cope with future changes in customer devices and system technology. Expansion elements of software and hardware (such as USB interface) are reserved to provide more customer verification methods, including verification mechanisms such as human body feature recognition (such as cross-comparison of fingerprints, faces, and characteristic body movements).

Other functions of the present invention: Please refer to the second figure. The progress notification system 11 of the present invention is connected with a claim adjuster case progress and notification tracking interface 1101. The progress notification system 11 of the claim settlement progress notification system 1 of the present invention provides a The backend management interface used by claims adjusters, taking the survey operation as an example. After claims adjusters confirm the status of the vehicle entering the factory and record it in the log, the system sends progress messages to the customer; the interface includes but is not limited to driver certification, claim data display, association Compensation case, initial review/counseling opinions, compensation review, compensation log, etc.; the options in the compensation review include but are not limited to recovery required, completed, no recovery required, other reasons and explanations; the options in the compensation log Including but not limited to new compensation logs, liaison operations and projects, investigation operations and projects, verification operations and projects, casualty settlement operations and projects.

Please refer to the fourth figure. The claims adjuster case progress and notification tracking interface 1101 of the present invention displays driver certification, compensation case information display, related compensation cases, initial review/counseling opinions, and recovery review in sequence below it. , Compensation log, which contains newly added compensation logs, liaison operations and projects, investigation operations and projects, verification operations and projects, and casualty settlement operations and projects.

Please refer to the fifth figure. According to the present invention, the survey operations and projects are displayed from top to bottom, such as the first row: user, switch account, survey operation items; the second row of the vehicle status: not Entered the factory, entered the factory, does not need to be inspected or has not yet been confirmed; the status of the financial vehicle in the third row: has not entered the factory, has entered the factory, does not need to be inspected or has not yet been confirmed, and is not a financial loss of the vehicle; the fifth picture does not include It does not represent the only or all interface options, content, formats, or their final appearance.

Please refer to the sixth figure. The progress notification system 11 of the present invention is connected with a customer notification receiving interface and a copywriting calculation system 1102. Through the progress notification system 11, notifications at different stages can include but are not limited to: execution verification, Arrange the stages of assessment, claim acceptance, case settlement, etc., and provide corresponding interfaces and forms; the customer notification receiving interface and the copywriting calculation system 1102 are one system and are not divided into two parts: the "customer notification receiving interface" and the "copywriting calculation system" A system; the customer notification receiving interface and copywriting calculation system 1102 can provide corresponding interfaces through the progress notification system 11 for notifications 1 including but not limited to: execution of verification, arrangement of survey and assessment, claim acceptance, case closing, etc. and form, which can be presented through main means including but not limited to text, pictures, emails, etc., and can also be presented through forms including but not limited to voice, video, etc.; An example diagram of the receiving copy is shown in the table below. Description:

The actual presentation of the above-mentioned received copy can be through main means including but not limited to text, pictures, emails, etc. It can also be presented through forms including but not limited to voice, video, etc.

Please refer to Figure 7, an embodiment of the present invention in which customers view notifications through a smartphone. This embodiment displays notification content on the smartphone, such as: Latest notification: Dear policyholder, this case was completed in xxxx The case was completed on xx on xx. Please be informed that the product items and amounts of this compensation are as follows.

Historical notice: The financial vehicle has entered the factory: After contacting the other party or the repair manufacturer, a dedicated person has been arranged to conduct a loss assessment for the related losses of the other party's vehicle to confirm the damage caused by the accident and the scope of repairs.

We have received your accident notice on [xxxxx, xx, month xx] and assigned a claims adjuster to handle it. Please rest assured that the claim adjuster will conduct a loss assessment or accident investigation as soon as possible; the seventh picture does not represent the only one. Or all viewing forms and content presentation methods.

Please refer to the eighth figure. The progress notification system 11 of the present invention is connected with a salesperson inquiry and notification interface 1103, which provides an interface for salespersons to inquire about the progress notification status. The interface provides basic information including but not limited to claims, The vehicle driver and return-to-factory data, estimated data, verification data, adjustment data, claim progress and notifications, etc. are integrated through the interface to provide sales personnel with a grasp of the case progress; the adjustment data includes details; the sales personnel of the present invention The frame content of the inquiry and notification interface 1103 displays in sequence the basic information of the claim, the driver and return to the factory information of the vehicle, the estimated information, the verification information, the adjustment information (and details), the progress of the claim and the notification. The progress of the case and the content of the notice are displayed (acceptance of the claim case: We have received your accident notice on [xxxxx, month xx] and instructed the claims adjuster to handle it. Please rest assured that the claim adjuster will conduct the loss assessment or accident as soon as possible. Investigate. Arrange an appraisal: The financial vehicle has entered the factory: After contacting the other party or the maintenance manufacturer, a dedicated person has been arranged to conduct a loss assessment for the related losses of the other party's vehicle to confirm the damage caused by the accident and the scope of repairs; Section 2 The compensation progress and notification display blocks in the nine figures are the contents notified to customers by the progress notification module 112 in the progress notification system 11, which are simultaneously displayed on the sales staff screen to ensure that customers and sales staff see the same information. Notification content. The image above does not represent the only form, content, or final appearance of this interface.

Please refer to the second figure. The progress notification module 112 of the present invention is connected to an email modular layout 11201. The progress notification system 11 modularizes the email layout design for notifications at different stages to speed up notification operations and comply with the requirements. The notification content of the compensation case, as well as the insertion of cooperative advertisements, additional content, and latest information, can also be used to quickly respond to the release of new cases and new insurance types in the future. The actual implementation of email is as follows:

Comparison and advantages of the present invention and the previous case: 1. Currently, most claims notification services use the characteristics of the blockchain that cannot be tampered to establish a notification exchange verification mechanism that has a trust relationship with the customer; and because the blockchain cannot be modified, Characteristics, if the user corrects his personal information (such as changing his name, changing his address, changing his contact information, etc.), due to the characteristics of the blockchain, the notification may be unsuccessful, the wrong person may be notified, or the policy may not be updated. Information; the claim settlement progress notification system 1 of the present invention uses traditional solutions, which combines real-name verification, and at the same time provides open permissions, so that customers or sales personnel can decide who to send the notification to, increasing the success of the delivery of disclosable information. efficiency, maintain original security, and reduce notification failure situations. 2. For the current claims notification service, only the client can usually see the complete information. If the notification is not in the form of email or text message, the company managers or responsible personnel cannot see the complete information; the business of the present invention The personnel query and notification interface 1103 allows you to view the complete notification content and confirm the customer's questions about the notification content, improve and speed up the follow-up of the case, and avoid the situation where the customer or company personnel incorrectly understand the notification, resulting in a compensation case. Work is delayed.

Technical features of the invention in this case: 1. Claim settlement progress notification: Email push, not limited to manual or system notifications. For example, when a person completes a certain stage of action or the vehicle inspection progress is completed, an email is triggered to notify the customer. 2. Claim settlement progress management: Claim settlement progress management, control reminders for superiors and subordinates, and strengthening the progress of hearing claims settlement cases. 3. Policyholder verification: Real-name verification of policyholders through email and other forms. 4. Both parties can browse the complete notification content: Regarding the notification information, both the policyholder and the sales staff can see the complete notification content through their exclusive system or interface. 5. Display of compensation amount, content and case closing date: The policyholder’s compensation amount and content are directly disclosed in the notification system.

The claim settlement progress notification system 1 of the present invention includes: the progress notification system 11, the server and the data center 12; the progress notification system 11 is connected to the server and the data center 12, and the progress notification system 11 is connected to the server and the data center 12. The system 11 includes but is not limited to the verification module 111 and is connected to the customer claim acceptance 1110, the progress notification module 112, the case closing module 113 and is connected to the case completion 1130; the verification module 111 includes but is not limited to the email verification module 1111, the SMS verification module 1112; the progress notification module 112 includes but is not limited to the contact notification module 1121, the verification notification module 1122, the verification notification module 1123, and the settlement notification module 1124; The case settlement module 113 includes but is not limited to the case settlement process module 1131, the case settlement determination module 1132, and the case settlement notification module 1133; furthermore, when the policyholder customer is in danger and the policyholder customer contact information is obtained, the claim settlement The progress notification system 1 will proactively send notifications to policyholders, customers and those who need notification at each claim stage, allowing them to know the latest claim status at any time without the need to actively inquire or check the progress; effectively improving its convenience, accuracy and Safety will greatly expand the utilization of the industry and be novel and progressive.

In summary, it can be seen that the present invention has indeed achieved the desired improvement effect by breaking through the previous technology, and it is not easy to imagine for those familiar with the art. Furthermore, the present invention has not been disclosed before the application, and its novelty Nature and progress, it has clearly met the application requirements for an invention patent. I am filing an invention application in accordance with the law. I sincerely request your office to approve this application for an invention patent to encourage invention and to the utmost convenience.

The above-described embodiments are only for illustrating the technical ideas and characteristics of the present invention. Their purpose is to enable those skilled in the art to understand the content of the present invention and implement it accordingly. They should not be used to limit the patent scope of the present invention. That is to say, all equivalent changes or modifications made in accordance with the spirit disclosed in the present invention should still be covered by the patent scope of the present invention.

1: Claim settlement progress notification system

11: Progress notification system

111:Verification module

1110: Customer compensation case acceptance

1111:email verification module

1112: SMS verification module

112: Progress notification module

1121: Contact notification module

1122: Appraisal notification module

1123:Verification notification module

1124:Settlement Notification Module

113:Case closure module

1130:Case closed

1131:Case closing process module

1132:Case closure judgment module

1133:Case closure notification module

12:Servers and data centers

Claims (7)

A claim settlement progress notification system, including: a progress notification system, a server and a data center; the progress notification system performs various stages of customer verification, progress notification to case closure notification procedures for claims accepted cases; the server The data center refers to the processing center of the claim settlement progress notification system, and the software that performs information storage, recording, notification, and calculation of all cases depends on the hardware architecture; the claim settlement progress notification system is equipped with a notification layout text calculation mechanism system , which is a cross-comparison and judgment of the notification content of the claim settlement case, including but not limited to the operation stage and actual operation presentation information; the server is connected to the data center and has a sales staff query system, which is responsible for the claim settlement progress notification system For the operation and future needs of sales personnel, it can be matched with a query system to provide query information based on the business needs of sales personnel, including but not limited to case progress, related compensation cases, case closing procedures, evidence information, historical notifications, etc.; The characteristic is that the progress notification system is connected to the server and the data center. The progress notification system includes but is not limited to a verification module and is connected to at least one customer claim acceptance module, a progress notification module, and a case settlement module and is connected to at least one customer claim acceptance module. The case is closed; the acceptance of the customer's claim case refers to the customer's claim case, which has been confirmed by the connected insurance system to be accepted and divided, and has entered the claim stage, then the case can enter the claim settlement progress notification system of the present invention, and do Follow-up notification actions; the verification module includes but is not limited to an email verification module and a SMS verification module; the email verification module is a module that performs real-name verification on claims accepted by customers through email; the SMS verification module The module is a module that performs real-name verification on claims accepted via email; the progress notification module includes but is not limited to a contact notification module, an inspection notification module, a verification notification module, and a settlement notification module. Notification module; the contact notification module refers to the module that completes sending the contact notification for the case contact stage; the investigation notification module refers to the module that completes sending the investigation notification for the case investigation stage; The verification notification module refers to the module that sends the verification notification for the verification stage of the case; the settlement notification module refers to the module that completes the verification stage for the case. In the settlement stage of the case, the module that completes the settlement notice is sent; the case settlement module includes but is not limited to a case settlement process module, a case settlement judgment module, and a case closure notification module; the case settlement process module refers to a module that includes all cases The case closing process provides the module used for the corresponding case closing process/template; the case closing judgment module is used to cross-compare the content of the previous notification stage of the case described in the case closing process module to confirm whether the case can be entered into the judgment mechanism for closing. module; the case closure notification module refers to the module used to determine the case that can be closed through the case closure determination module, send the case closure notice to the customer, and record the notification content in this system; obtain the policyholder customer contact information when the policyholder customer is in danger Afterwards, the claim settlement progress notification system will proactively send notifications to policyholders, customers and persons who need to be notified at each claim settlement stage; the progress notification module link of the progress notification system is equipped with an email modular layout, which is used for different stages. The notification email layout is modularized to speed up the notification process and conform to the notification content of the claim case. It can also be used to quickly respond to the release of new cases and new insurance types in the future, as well as inserting cooperative advertisements, additional content, and latest information. For example, the claim settlement progress notification system described in item 1 of the patent application scope, wherein the verification module performs real-name verification on the claims accepted by the customer, and recommends the customer's contact method with the claim settlement progress notification system as a follow-up to the claim settlement progress notification system. The progress notification module is used for the implementation of the case settlement module; the progress notification module is used to monitor the progress of the claim settlement case and establish a standardized notification module for different claims cases; by targeting different claims cases, the claim settlement progress notification system automatically Schedule progress notifications for each stage or provide customers or other persons who need to be notified with the required progress notification stages, content, and form as a notification linkage mechanism; this case closing module is the stage when customer cases enter the closing stage. , provides a module from settlement initiation to notification of completion; the settlement module is based on the settlement process of the claim settlement process module, and uses the settlement determination module to cross-compare it with the content of the notification stage, waiting for its confirmation When the case is in the closing stage, the claim settlement progress notification system will confirm that the case has been completed, or a confirmation notice will be sent to the person in charge of the case through the claim settlement progress notification system. After confirmation, it will be determined that the case has been closed and the case can be notified. The closing notification module sends a closing notification to the customer, records the content of the notification in the system, and archives the completed case. For example, the claim settlement progress notification system described in item 1 of the patent application scope, wherein the verification module is used to verify customers, including but not limited to all traditional communication methods such as documents, phone numbers, addresses, fingerprint recognition, facial recognition, etc. Future communication technology will establish verification and contact information to the claims progress notification system and the server and data center. For example, the claim settlement progress notification system described in item 1 of the patent application scope, wherein the claim settlement progress notification system is equipped with an auxiliary algorithm system for notification personnel objects, which is the notification object for claim settlement cases, including but not limited to customers and company claims. Personnel, executives, business personnel, responsible persons, and supervisors can provide notification object calculations that can recommend different stages to help notify the target accurately; the notifying personnel object auxiliary algorithm system can calculate notification persons including but not limited to customers and other major personnel, or other personnel including but not limited to the company's claims personnel, executive personnel, sales personnel, responsible personnel, supervisors, etc. who will be notified at different stages of the case. For example, the claim settlement progress notification system described in Item 1 of the patent scope, wherein the verification module is connected to a multi-person simultaneous reminder mechanism system based on the project content or insurance claim progress or a system update compatible with future new technology verification mechanisms System; among them, the multi-person simultaneous reminder mechanism system based on the project content or the insurance claim progress can obtain the customer contact information through the verification module and input it into the claim settlement progress notification system, and utilize the progress notification module of the claim settlement progress notification system. Group, the case closing module can simultaneously send messages to customers, including but not limited to insurance company sales personnel, to complete case information synchronization, and insurance company sales personnel can immediately care for customers; the system update system is compatible with future new technology verification mechanisms In order to cope with changes in customer devices and system technologies in the future, through reserved software and hardware Expand the elements to provide more customer verification methods, including verification mechanisms for human body feature identification such as cross-comparison of fingerprints, faces, and characteristic body movements. For example, the claim settlement progress notification system described in Item 1 of the patent application scope, wherein the progress notification module is equipped with a system including but not limited to contact, investigation, verification, and settlement notification mechanisms, through which the progress notification module is used in insurance When company personnel or special personnel need to contact the customer, when the case enters the investigation stage, or when the case object proposes settlement, the customer information contact can be completed through the notification function; after the verification module can obtain the customer's contact information, it enters the danger stage, and through The customer's customer contact methods include but are not limited to email, text messages and other main methods. The system can also use communication methods or communication technologies including but not limited to files, phone calls, addresses, etc. to subsequently send notifications to the customer without requiring the customer to passively inquire; The system, which includes but is not limited to contact, investigation, verification, and settlement notification mechanisms, coordinates the claims adjusters, compensation cases, and daily system operating procedures of each insurance company, and can be completed after contact, investigation, estimation, and casualty damage assessment. , the whole case signing and other stages are all completed by sending notifications through the progress notification module and the case closing module. For example, the claims settlement progress notification system described in item 1 of the patent application scope, wherein the progress notification system is connected with a claims adjuster case progress and notification tracking interface, a customer notification receiving interface and copywriting calculation system, or a sales staff inquiry and notification Interface; the claim adjuster's case progress and notification tracking interface provides a backend management interface used by the claim adjuster through the progress notification system. The interface of the claim adjuster's case progress and notification tracking interface includes but is not limited to driver certification and claim data. Display, related claims, initial review/counseling opinions, recovery review, and claim log; the salesperson inquiry and notification interface provides an interface for salespersons to inquire about the progress notification status through the progress notification system, which provides: It is not limited to the basic information of the claim case, the driver and return to the factory information of the vehicle, the estimated data, the verification data, the adjustment data, the claim progress and notifications, etc., and provides the sales personnel with the ability to grasp the case through the interface integration. The progress of the case; the options in the recovery review include but are not limited to recovery required, completed, no recovery required, other reasons and explanations; the options in the compensation log include but are not limited to new compensation log, contact operations and projects, Survey operations and projects, verification operations and projects, casualty settlement operations and projects; the adjustment data includes details; the customer notification receiving interface and the document processing system are one system, and cannot be separated into the customer notification receiving interface and the document processing system. There are two systems of calculation system; the customer notification receiving interface and the copywriting calculation system, through the progress notification system, can provide corresponding notifications at different stages including but not limited to: execution of verification, arrangement of survey and assessment, claim acceptance, case closure, etc. The interface and form can be presented through main means including but not limited to text, pictures, email, etc., and can also be presented through means including but not limited to voice, video, etc.

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