US 11,699,192 B2
Load balancing and segmentation system
Paul J. Edwards, West Hartford, CT (US); and Keren Shemesh, West Hartford, CT (US)
Assigned to Hartford Fire Insurance Company, Hartford, CT (US)
Filed by Hartford Fire Insurance Company, Hartford, CT (US)
Filed on Jul. 30, 2021, as Appl. No. 17/390,779.
Application 17/390,779 is a continuation of application No. 16/284,286, filed on Feb. 25, 2019, granted, now 11,080,791.
Application 16/284,286 is a continuation of application No. 14/530,063, filed on Oct. 31, 2014, granted, now 10,217,170, issued on Feb. 26, 2019.
Claims priority of provisional application 62/046,348, filed on Sep. 5, 2014.
Prior Publication US 2021/0390627 A1, Dec. 16, 2021
This patent is subject to a terminal disclaimer.
Int. Cl. G06Q 40/08 (2012.01); G06Q 10/0631 (2023.01)
CPC G06Q 40/08 (2013.01) [G06Q 10/063116 (2013.01)] 18 Claims
OG exemplary drawing
 
1. A computerized system, comprising:
a data storage device storing data indicative of a plurality of insurance claims submitted in connection with insurance policies, the data comprising a plurality of data elements for each of the insurance claims;
a segmentation platform processor configured for:
determining, based on evaluation of the data stored by the data storage device associated with a first insurance claim with first segmentation logic, a first segment classification for the first insurance claim, the first segment classification being one of a plurality of sequential segment classifications ranked from lowest ranking to highest ranking based on at least one of complexity and potential liability, wherein at least the first segmentation logic comprises a rule mapping at least one parameter description value to a minimum ranking value of the plurality of sequential segment classifications;
determining, based on evaluation of the data associated with the first insurance claim with second segmentation logic different from the first segmentation logic, a second segment classification for the first insurance claim, the second segment classification being another one of the plurality of sequential segment classifications,
comparing the first segment classification determined based upon the first segmentation logic and the second segment classification determined based upon the second segmentation logic; and
transmitting an indication of the higher of the first and second segment classifications, determined based upon the comparing, to a load balancing and assignment platform processor; and
a load balancing and assignment platform processor in communication with the segmentation platform processor, configured for: selecting a first claim handler for the first insurance claim based at least in part on the higher of the first and second sequential segment classifications determined by the segmentation platform processor associated with the first insurance claim, and claim handler information; the selecting being performed at least in part by a predictive model trained with historical insurance claim information, the predictive model including at least one of: (i) a neural network, and (ii) a support vector machine; and transmitting an indication of the selected first claim handler.