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Major project Insurance

Claims triage agent

An agent that reads a new claim, checks the policy, asks for missing documents, flags fraud signals and routes it, with human approval.

The brief

New claims sit in a queue until someone reads them. Build an agent that reads a new claim, checks the policy through tools, asks the customer for missing documents, flags possible fraud signals and routes the claim to the right desk, with a person approving each action. Good looks like: clear tools and permissions, a human approval step, a test set of synthetic claims, and success rate and cost per claim.

What you will build

  1. Create synthetic claims with known outcomes
  2. Build tools: policy lookup, document check, fraud signals, routing
  3. Build the agent with LangGraph and human approval
  4. Draft customer messages for missing documents
  5. Evaluate routing accuracy, missed issues and cost per claim
  6. Log decisions for audit

Free, open data to build it with

Check each dataset's licence before you publish your work. Your mentor gives your team its own version of the brief (data, scope or region), so every team's project is its own.

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