CPC G06Q 10/0635 (2013.01) [G06F 16/904 (2019.01); G06N 20/00 (2019.01); G06Q 10/10 (2013.01)] | 20 Claims |
1. A system to provide a workers compensation insurance claim dashboard tool via a back-end application computer server of an enterprise, comprising:
(a) a claims data store containing electronic records that represent a plurality of workers compensation insurance claims, wherein each electronic record includes an electronic record identifier and a set of data associated with attributes of the workers compensation insurance claims;
(b) the back-end application computer server, coupled to the claims data store, the back-end application computer server including a processor and a memory device in communication with the processor, the memory device storing program instructions for controlling the processor, the back-end application computer server programmed to:
(i) receive an indication of a selected claim,
(ii) retrieve, from the claim data store, the electronic record associated with the selected claim, including the set of data associated with attributes of the selected claim,
(iii) aggregate, by an insurance claim analysis tool, data included in the retrieved electronic record along with:
an overall score for the selected claim generated by a machine learning algorithm trained with data associated with prior insurance claims,
data received from a third-party, and
information from a predictive model that utilizes data fields and text flags identified in received files, and
(iv) process the aggregated data to generate display data,
(c) a communication port coupled to the back-end application computer server;
(d) a display device receiving the display data via the communication port and the distributed communication network, the display device presenting a graphical interactive user interface display in accordance with the received display data, the graphical interactive user interface display including:
a claim detail data header;
body diagrams including graphical representation of an injury incurred by a claimant associated with the selected claim;
a plurality of bar graphs each indicative of a payment made with respect to the selected claim; and
a plurality of dial displays each indicative of a respective attribute of the selected claim, a first one of said dial displays indicating a first claim score with respect to the selected claim, and a second one of said dial displays indicating a second claim score with respect to the selected claim; at least one of said dial displays indicating risk related data associated with the selected claim;
(e) an email server, coupled to the back-end application computer server, that automatically receives information from the back-end application computer server to facilitate processing of the selected claim; and
(f) a calendar application, coupled to the back-end application computer server, that automatically receives information from the back-end application computer server to facilitate processing of the selected claim.
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