Data processing: financial – business practice – management – or co – Automated electrical financial or business practice or... – Finance
Reexamination Certificate
2011-04-12
2011-04-12
Cheung, Mary (Department: 3694)
Data processing: financial, business practice, management, or co
Automated electrical financial or business practice or...
Finance
C705S037000
Reexamination Certificate
active
07925559
ABSTRACT:
A computer system includes a data storage module. The data storage module receives, stores, and provides access to data related to long term disability claims. A proactive referral model component is coupled to the data storage module, and determines whether to refer a current claim to an investigation unit. The proactive referral model is based on at least two of the following variables: (a) a variable that indicates that the claimant's diagnosis has changed; (b) a variable that indicates that the current claim in question was brought under any-occupation coverage; (c) a variable that reflects a market segment for a policy under which the current claim in question was brought; (d) a variable that has a value based on a state in which the claimant resides; and (e) a variable that represents an amount of experience of a claims handler who handled the current claim in question.
REFERENCES:
patent: 5557515 (1996-09-01), Abbruzzese et al.
patent: 5819226 (1998-10-01), Gopinathan et al.
patent: 6253186 (2001-06-01), Pendleton, Jr.
patent: 6714918 (2004-03-01), Deshpande et al.
patent: 7089592 (2006-08-01), Adjaoute
patent: 7263492 (2007-08-01), Suresh et al.
patent: 2003/0158751 (2003-08-01), Suresh et al.
patent: 2005/0043961 (2005-02-01), Torres et al.
patent: 2005/0276401 (2005-12-01), Madill, Jr. et al.
patent: 2006/0041464 (2006-02-01), Powers et al.
patent: 2010/0153330 (2010-06-01), Desikachari
Jonathan Clark, Fraud Investigation A Claims Handler's Guide, Summer 2006, Crawford, web, 1-77.
Buckley Maschoff & Talwalkar LLC
Cheung Mary
Hartford Fire Insurance Company
Liu Marissa
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