System and method to screen insurance claims to identify subrogation potential

A computer-implemented method for screening insurance claims to identify subrogation potential, the method comprising:

• loading data from a loss report into a subrogation engine, the loss report being associated with a plurality of insurance claims and including, for each insurance claim:
• (i) a claim identifier, (ii) a claim description, (iii) a claim date, and (iv) a claim jurisdiction;
• determining, by the subrogation engine for each insurance claim in the loss report, a negligence rule comprising one of a comparative negligence rule and a contributory negligence rule, based on the claim jurisdiction;
• calculating, by the subrogation engine, a subrogation potential score for each insurance claim in the loss report based on the claim description, the negligence rule, and a library containing keywords and associated keyword values by:
• assigning a subrogation potential score based on at least one keyword in a claim description associated with the insurance claim;
• adjusting the subrogation potential score based on an amount paid, wherein the subrogation potential score is adjusted upward for a higher amount paid and adjusted downward for a lower amount paid;
• and
• adjusting the subrogation potential score based on the negligence rule, wherein the subrogation potential score is adjusted upward in a comparative negligence rule jurisdiction and adjusted downward in a contributory negligence rule jurisdiction;
• determining, for each insurance claim in the loss report, whether a policy-imposed deadline associated with the insurance claim has expired and responsive to an affirmative determination that the policy-imposed deadline has expired, setting the subrogation potential score to zero;
• and
• outputting, via the subrogation engine, an indication of the claim identifier and associated subrogation potential score for each insurance claim in the loss report.

A non-transitory computer readable medium having stored therein instructions for, upon execution, causing a computer to implement method for screening insurance claims to identify subrogation potential, the method comprising:

• loading data from a loss report into cells of a spreadsheet application, the loss report being associated with a plurality of insurance claims and including, for each insurance claim:
• (i) a claim identifier, (ii) a claim date, (iii) a claim loss amount, (iv) a claim description, and (v) a claim jurisdiction;
• determining, by the subrogation engine for each insurance claim in the loss report, a negligence rule based on the claim jurisdiction, wherein the negligence rule comprises one of comparative negligence and contributory negligence;
• calculating, by a subrogation engine, a subrogation potential score for each insurance claim in the loss report based on the claim date, claim loss amount, claim description, the negligence rule, and a library containing keywords and associated keyword values by:
• assigning a subrogation potential score based on at least one keyword in a claim description associated with the insurance claim;
• adjusting the subrogation potential score based on an amount paid, wherein the subrogation potential score is adjusted upward for a higher amount paid and adjusted downward for a lower amount paid;
• and
• adjusting the subrogation potential score based on the negligence rule, wherein the subrogation potential score is adjusted upward in a comparative negligence rule jurisdiction and adjusted downward in a contributory negligence rule jurisdiction;
• determining, for each insurance claim in the loss report, whether a policy-imposed deadline associated with the insurance claim has expired and responsive to an affirmative determination that the policy-imposed deadline has expired, setting the subrogation potential score to zero;
• and
• outputting, via the spreadsheet application, an indication of the claim identifier and associated subrogation potential score for each insurance claim in the loss report.