Semantic model for insurance software components
A computer implemented method and system for insurance enterprise management and data acquisition and communication has an enterprise service bus and semantic model for communicating across different insurance businesses to retrieve data common to one service. The system and method utilizes a semantic model under a service oriented architecture which facilitates an insurance administration suite that supports user configuration of modules for use across a plurality of insurance business functions and lines. The integrated insurance administration suite supports insurance workflow management by allowing a user to configure modules to meet the needs of an insurance carrier. Insurance administration suite modules have functionality for policy, claims, billing, collections, financials, distribution, business intelligence, and reinsurance. Modules may be implemented as an integrated, enterprise solution for all lines of business that a carrier handles. The configuration features and functionality allows the entire suite to be adapted to meet the needs of the enterprise.
1. A computer-implemented method of accessing information stored in a plurality of data repositories, for use in an executable service module of an insurance administration suite, comprising:
(a) receiving at a server from an executable application module a service request comprising service request parameters and a semantic identifier for a predetermined semantic model for servicing the service request;
(b) invoking at the server a semantic object provider that:
(1) locates the predetermined semantic model based on the semantic identifier;
(2) using the predetermined semantic model, generates a data repository request comprising corresponding data repository request parameters corresponding to the service request parameters;
(c) opening by the server a data-repository connection within a data access system corresponding to the service request;
(d) initiating by the server a data repository request for data having properties corresponding to the service request;
(e) transmitting by the server the data repository request to the data access system;
(f) receiving at the server data from the data access system corresponding to the data repository request; and
(g) providing by the server the data to the application module.
2. The computer-implemented method of claim 1 wherein the executable service modules comprise policy, claims, billing, financial, reinsurance, and customer modules.
3. The computer-implemented method of claim 1 wherein the service module requests correspond to at least one ontology.
4. The computer-implemented method of claim 2 wherein requests corresponding to an enterprise billing module are organized according to a billing ontology.
5. A computerized system for providing a suite of insurance services, comprising:
a server comprising a group of executable service modules for providing policy administration services, billing management services, claims administration services, reinsurance services and workers compensation insurance services;
at least one user computer executing an integrated user interface for accessing all the executable service modules in the group of insurance service modules and for transmitting requests from the at least one user computer and providing requested data;
an interface layer in communication with the integrated user interface of the user computer and the group of executable service modules at the server, the layer receiving service requests from the user interface;
computerized data repositories comprising billing, claims, and policy information;
an executable semantic object provider in communication with the interface layer and computerized data repositories, the provider:
(1) locating a predetermined semantic model based on the service request from the user interface;
(2) using the predetermined semantic model to generate a data repository request corresponding to the service request;
(3) receiving from a data repository data responsive to the data repository request and having properties corresponding to the service request;
and
(4) returning to the interface layer for transmission to the user interface the data responsive to the repository request;
and
wherein the system allows access to policy administration services, billing management services, and claims administration services from the integrated user interface.