UNIVERSAL BACK OFFICE WORKFLOW

According to one embodiment of the present disclosure, a system includes a workflow engine for performing a claim processing workflow. The workflow includes: a notice workflow that initiates processing of a claim; an investigation workflow that investigates the claim; a recovery workflow that recove...

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Bibliographische Detailangaben
Hauptverfasser: MCCORMICK THOMAS M, MCLEAN JOSEPH W, MAYES KEVIN A, DOERR ANTHONY J, PENNE DANIEL S
Format: Patent
Sprache:eng
Schlagworte:
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Zusammenfassung:According to one embodiment of the present disclosure, a system includes a workflow engine for performing a claim processing workflow. The workflow includes: a notice workflow that initiates processing of a claim; an investigation workflow that investigates the claim; a recovery workflow that recovers a value associated with the claim; and a resolution workflow that concludes processing of a claim. The notice, investigation, recovery, and resolution workflows each comprise preconditions common among the plurality of organizations. The notice, investigation, recovery, and resolution workflows each comprise customization points. The customization points are configured to perform organization-specific workflow actions. The system also includes a customized workflow module associated with one of the plurality of organizations and configured to perform an organization-specific claims processing workflow. The customized workflow module communicates, to the workflow engine, organization-specific actions to be performed at the customization points of each of the notice, investigation, recovery, and resolution workflows.