Claims Processor
Claims Triage
This agentic task evaluates and categorises incoming insurance claims - a key component for claims processing agents. The task configuration specifies how to:
Calculate priority scores using severity, financial impact, and time-sensitivity metrics
Analyse claim details against policy parameters for accurate classification
Generate structured assessment summaries with recommended processing steps
Flag critical documentation gaps and incomplete submissions
Detect potential fraud indicators through pattern recognition
As a modular agentic task, it can be integrated into claims management workflows, enabling AI agents to execute automated triage within existing processes. The task specification includes outputs for severity assessment, priority calculation, documentation validation, and fraud detection protocols, adaptable to specific insurance products and regulatory requirements.
Example outputs: