Abstract: Systems and methods for managing subrogation and recovery of insurance claims with a computer including receiving data for a first insurance claim; determining from the data whether the first insurance claim has recovery potential; thereafter when it is determined that the first insurance claim has recovery potential, collecting information about the event from which the first insurance claim was derived; repeatedly seeking data, as necessary, for additional insurance claims associated with the event such that all insurance claims arising from the event are processed together.

Abstract: Systems consistent with the present invention automatically process data associated with insurance claims to identify insurance claims with subrogation potential. Text from an insurance claim file may be automatically analyzed to extract data that can be quantified to determine whether the claim may have subrogation potential.

Abstract: Systems and methods for managing subrogation and recovery of insurance claims with a computer including receiving data for a first insurance claim; determining from the data whether the first insurance claim has recovery potential; thereafter when it is determined that the first insurance claim has recovery potential, collecting information about the event from which the first insurance claim was derived; repeatedly seeking data, as necessary, for additional insurance claims associated with the event such that all insurance claims arising from the event are processed together.

Abstract: Methods and systems for managing insurance claims include facilitating prepayment decisions, provider bill auditing, and recovery of paid claims. Prepayment decisions include, for example, determining whether to pay, deny, or defer an insurance claim submitted by an insured. Provider bill auditing may include, for example, examining bills related to an insurance claim for accuracy. Recovery of paid claims may include managing litigations and calculating fees due for recovery services.

Abstract: Systems consistent with the present invention automatically process data associated with insurance claims to identify insurance claims with subrogation potential. Text from an insurance claim file may be automatically analyzed to extract data that can be quantified to determine whether the claim may have subrogation potential.