AI-Powered Insurance Claims Processing System: End-to-End Automation Flow

PHASE 1: Ingestion & Extraction

Multi-Channel Ingestion Outlook (Email, PDF, Images) OneDrive (Docs, Audio)

AI-Powered Extraction • Extract Key-Value Pairs • Convert to Standardized JSON

PHASE 2: Processing & Validation

Field Completeness Check

Guidewire Policy Center Check

Guidewire Claim Center (Claim Creation)

Human Review Folder (Manual Intervention)

PHASE 3: Claim Acknowledgement

Successful Creation • Move to claims_created folder • Append Claim ID for tracking

Failure Handling • Email with ERROR_ID • Immediate attention

processingblockdiagram