Systems and methods for processing claims

A system comprising one or more processors and one or more storage devices storing instructions that when executed by the one or more processors cause the one or more processors to perform operations comprising:

• receiving claim information;
• determining a claim type based on the claim information;
• identifying at least one applicable policy based on the claim information and the type of claim;
• retrieving at least one policy rule for the at least one applicable policy;
• determining at least one claim variable based on the at least one policy rule;
• identifying at least one claim document likely to have information relevant to the at least one claim variable;
• extracting the relevant information from the at least one claim document;
• determining a value for the at least one claim variable based on the extracted information;
• and
• calculating a payment amount based on the determined value.

A computer program product encoded on one or more non-transitory computer storage media, the computer program product comprising instructions that when executed by one or more processing means cause the one or more processing means to perform operations comprising:

• receiving claim information;
• determining a claim type based on the claim information;
• identifying at least one applicable policy based on the claim information and the type of claim;
• retrieving at least one policy rule for the at least one applicable policy;
• determining at least one claim variable based on the at least one policy rule;
• identifying at least one claim document likely to have information relevant to the at least one claim variable;
• extracting the relevant information from the at least one claim document;
• determining a value for the at least one claim variable based on the extracted information;
• and
• calculating a payment amount based on the determined value.