System and method providing risk relationship resource allocation tool

A computerized method to provide a workers compensation claim dashboard tool via a back-end application computer server of an enterprise, 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 method comprising:

• receiving, by the processor of the back-end application computer server from a claims data store, an indication of a selected claim, wherein the claims data store contains electronic records that represent a plurality of workers compensation insurance claims, and further wherein each electronic record includes an electronic record identifier and a set of data associated with attributes of the workers compensation insurance claims;
• retrieving, from the claims data store, the electronic record associated with the selected claim, including the set of data associated with attributes of the selected claim;
• aggregating, 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;
• processing the aggregating data to generate display data;
• receiving, by a display device, the display data;
• presenting, by the display device, 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;
• automatically receiving, by an email server coupled to the back-end application computer server, information from the back-end application computer server to facilitate processing of the selected claim;
• and
• automatically receiving, by a calendar application coupled to the back-end application computer server, information from the back-end application computer server to facilitate processing of the selected claim.

A non-transitory, computer-readable medium storing instructions, that, when executed by a processor, cause the processor to perform a method to provide a workers compensation insurance claim dashboard tool via a back-end application computer server of an enterprise, the method comprising:

• receiving, by a computer processor of the back-end application computer server from a claims data store, an indication of a selected claims data store contains electronic records that represent a plurality of workers compensation insurance claims, and further wherein each electronic record includes an electronic record identifier and a set of data associated with attributes of the workers compensation insurance claims;
• retrieving, from the claims data store, the electronic record associated with the selected claim, including the set of data associated with attributes of the selected claim;
• aggregating, 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;
• processing the aggregated data to generate display data;
• receiving, by a display device, the display data;
• and
• presenting, by the display device, 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;
• automatically receiving, by an email server coupled to the back-end application computer server, information from the back-end application computer server to facilitate processing of the selected claim;
• and
• automatically receiving, by a calendar application coupled to the back-end application computer server, information from the back-end application computer server to facilitate processing of the selected claim.