Methods and apparatus for selecting an insurance carrier for an online insurance policy purchase

Methods and apparatus for selecting an insurance carrier for an online insurance policy purchase are disclosed. A user at a client device, such as a personal computer connected to the Internet, receives a plurality of business insurance quotes with minimal data input requirements. A plurality of insurance carriers are narrowed down to a few relevant insurance carriers based on the user's zip code, standard industrial code (SIC), desired insurance products, a small number of "kill" questions, and a customized insurance application which is dynamically generated in response to previous answers.

Method of expediting insurance claims

A method and apparatus are provided for processing an insurance claim. The method includes the steps of receiving a claim for a loss from an insured through an Internet connection and determining a policy type from the claim. The method further includes the steps of retrieving a set of keywords based upon the policy type, matching the retrieved set of keywords with words contained within the received claim, assigning an adjuster to the claim when any matched words of the matching step meets a predetermined criteria and paying the claim without assigning the claim to an adjuster when the matching does not meet the predetermined criteria and any auxiliary criteria.

Interactive creation and adjudication of health care insurance claims

Methods and systems for interactively creating and submitting insurance claims and determining whether the submitted claims are in condition for payment by an insurer. A medical technician operating a client computer establishes communication with a remote server. The remote server transmits a claim form to the client computer for display to the medical technician. Using the claim form, the technician enters patient identification information, which is transmitted to the server to determine whether the patient is a beneficiary of an approved insurance plan. If the patient is a beneficiary, the technician can prepare an insurance claim using the claim form displayed by the client computer. The technician enters a diagnosis code and a treatment code representing the diagnosis and treatment of the patient. The diagnosis and treatment codes are transmitted to the remote server, which processes the codes to determine whether the claim corresponds to health care services that are approved for payment. If the insurance claim is not in condition for payment, the medical technician is notified. The medical technician can then amend the insurance claim as necessary and resubmit the claim.

Method and system for quoting, issuing, and administering insurance policies including determining whether insurance policies are self bill or list bill

Described is a method and apparatus for automatically quoting, processing, maintaining, claim processing, billing, and renewing life, health and related coverages for clients, especially group clients--without duplicative data entry. An integrated computer system contains several processing modules. The Quoting Engine module produces quotes, maintains and describes coverages available, rates the insurance, and generates a proposal. The Soldcase module administers sales and commission data and provides information regarding the selected coverage to other modules. An Advanced Relational Database Information System module provides billing and premium processing, and administers the payment of commissions. A Document Generator module produces documents such as policies and certificates. A Claims module performs claim adjudication, claim history, and claim payment. The Renewal module automatically monitors and updates information regarding the client and the insurance to determine if renewed coverage should be sold to the client and, if so, at what price.