AI Process Automation
Claim classification and replacement decision workflow
This case study shows an AI process triggered by a function whenever a claim is submitted. The process normalizes the new claim data, classifies whether the claim is for furniture, appliances, or electronics, and routes it to the appropriate specialized workflow.
From there, the system reviews historical repair data, warranty and policy rules, pricing and parts data, claim history, and fraud or anomaly signals. The goal is to determine whether it would be cheaper to replace the item outright instead of sending someone out for one or more repairs.
The workflow includes validation, confidence scoring, audit logging, human review paths, and knowledge-base improvement so the process can be monitored and refined over time.