Claims triage agent
6 days4 hours
time to first decision
- Client
- Industry
- Insurance
- Region
- Germany
- Moves
- BuildSecure
- Kick-off to hand-over
- 7 weeks
- Year
- 2025
01The void
Every claim came through the same inbox: mail, PDFs, photos, a note from the phone line. Twelve people sorted, keyed and routed by hand before anyone looked at the actual damage.
02Results
Sample figures. Replace with the numbers the client signed off.
03How we worked
- 01 · 1 dayFind the void
Workshop with claims, IT and the works council. We picked one task: routing.
- 02 · 1 weeksScope & evals
400 real claims labelled by the team. Gate: 95 % correct routing.
- 03 · 4 weeksBuild
An agent reads mail and attachments, extracts, classifies and routes. Evals run on every change.
- 04 · 1 weeksSecure & comply
Red-team on prompt injection through attachments. Payout decisions stay human.
- 05 · 1 weeksHand over
Runbook, dashboard, two internal owners trained.
04What we built
- 01Inboxmail, PDF, photos
- 02Extractionfields, documents
- 03Classifierline, severity
- 04Rulescoverage, fraud flags
- 05 · controlHuman reviewexceptions only
- 06Claims systemrouted case
05Guardrails
- Payout decisions are never automated
- Prompt-injection tests on every release
- AI Act classification documented and signed off
06Stack
07In their words
A quote from the process owner goes here, once they have approved it. No invented testimonials.
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Case #10
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