The patent badge is an abbreviated version of the USPTO patent document. The patent badge does contain a link to the full patent document.

The patent badge is an abbreviated version of the USPTO patent document. The patent badge covers the following: Patent number, Date patent was issued, Date patent was filed, Title of the patent, Applicant, Inventor, Assignee, Attorney firm, Primary examiner, Assistant examiner, CPCs, and Abstract. The patent badge does contain a link to the full patent document (in Adobe Acrobat format, aka pdf). To download or print any patent click here.

Date of Patent:
Jul. 01, 2025

Filed:

Oct. 23, 2023
Applicant:

United Services Automobile Association (Usaa), San Antonio, TX (US);

Inventors:

Breanna Nicole Allerkamp, Boerne, TX (US);

Matthew Conrad Dahlman, Selma, TX (US);

Daniel Diaz, San Antonio, TX (US);

Andrew Luke Enochs, San Antonio, TX (US);

Shawn D. Low, San Antonio, TX (US);

Assignee:
Attorney:
Primary Examiner:
Int. Cl.
CPC ...
G06Q 40/08 (2012.01); G06F 16/2457 (2019.01); G06N 20/00 (2019.01); G06Q 10/10 (2023.01);
U.S. Cl.
CPC ...
G06Q 40/08 (2013.01); G06F 16/24575 (2019.01); G06N 20/00 (2019.01); G06Q 10/10 (2013.01);
Abstract

To enable efficient processing of an insurance claim that is submitted by a client, the presently disclosed embodiments include systems and methods that enable an insurance computing system to autonomously assess the risk of fraud associated with a claim by generating a risk score. The risk score may provide an indication of a likelihood of fraud associated with the claim based on similar insurance claims in the same geographical area, client information indicative of a likelihood to commit fraud, and/or a type of the claim. The insurance computing system may compare the risk score with a threshold number, and if the threshold number is exceeded, the insurance computing system may prompt the client to contact a service representative to further process or validate the claim. Otherwise, if the threshold number is not exceeded, the insurance computing system may continue processing the claim autonomously.


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