METHODS AND SYSTEMS FOR AUTOMATED, PREDICTIVE MODELING OF THE OUTCOME OF BENEFITS CLAIMS

摘要

A system for automated, predictive modeling of the outcome of a benefits claim includes a profile generator, an evaluation component, and a case management application. The profile generator executes on a computing device and retrieves a claimant profile associated with an adjudicated claim. The evaluation component executes on the computing device and generates a prediction of an outcome of a claim brought by a potential claimant of a government benefit, responsive to the retrieved claimant profile. The evaluation component generates a recommendation to file the claim for the government benefit, responsive to the generated prediction. The case management application executes on the computing device, receives the generated prediction of the outcome of the claim and the generated recommendation and displays at least one of the generated prediction and the generated recommendation.