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AI Agents · Insurance operations

AI Claims Intake Agent

LLM-based intake assistant that reads emails, extracts claim data, checks policy context, and drafts structured summaries for human review.

AI AGENTS
80%
less manual triage time
3 min
average intake-to-summary
99.2%
field extraction accuracy
The challenge

What the client was facing

The client's claims team manually parsed inbound emails, PDFs, and scanned forms — losing hours per claim and producing inconsistent summaries that slowed adjuster decisions.

What we built

The solution

  • LLM pipeline that ingests email + attachments and extracts structured claim data
  • Policy-context retrieval from internal databases via a RAG layer
  • Schema-validated JSON output ready for the existing claims management system
  • Human-in-the-loop review UI with confidence scores per field
In production

What it looks like

Illustrative screens — actual client UI, branding, and data redacted under NDA.

AI Claims Intake AgentOverview82%Accuracy3.2kItems12Today4.7ScoreTrend
AI Claims Intake Agent — analytics 1 2 3 4 5 6 7 8class ClaimsExtractor: def __init__(self, llm, schema): self.llm = llm self.schema = schema def extract(self, document): prompt = self.build_prompt(document) raw = self.llm.complete(prompt) return self.schema.validate(raw)AI suggestion ▸
AI-first delivery angle

Why AI-first mattered here

The intake agent uses GPT-4 class models for extraction with a smaller fast model for classification. Senior engineers designed the schema, evaluation harness, and fallback rules — the LLM is the worker, not the architect.

Technologies

Stack

Python LangChain OpenAI GPT-4 PostgreSQL FastAPI Azure

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