AI Workflow Automation Developer for Insurance Claims Intake

Posted 7 hours ago

Worldwide

Summary

Our client manages a high volume of insurance claims submitted through email, online forms, PDFs, and customer service notes. Our team spends too much time reviewing documents, entering information into internal systems, checking for missing details, and assigning claims to the correct person. We are looking for an experienced developer to build a workflow automation system with an AI agent that can support the claims intake process from submission through internal review. Scope of Work The platform should automatically collect new claims, extract the required information, validate the submission, and move each case through the correct workflow. The AI agent will be responsible for tasks such as: - Reading claim forms, emails, and supporting documents - Extracting policy numbers, incident details, dates, locations, and claimant information - Identifying missing or inconsistent information - Categorizing claims by type, urgency, and complexity - Checking customer and policy data through API integrations - Creating or updating records in our claims management system - Drafting follow-up messages for incomplete submissions - Routing complex cases to the correct reviewer - Recording every action in a searchable audit log The system must include human approval steps for sensitive actions. We do not want an autonomous agent making final claims decisions. Technical Expectations We are open to OpenAI or Claude integrations and would like recommendations on the best architecture. The solution may use Python, FastAPI, LangGraph, n8n, PostgreSQL, a vector database, REST APIs, and cloud deployment on AWS or Azure. Experience with OCR, document processing, workflow automation, structured LLM outputs, security, and error recovery is important. The system should be scalable, production-ready, and easy to expand into additional claims workflows. Initial Deliverables - Workflow mapping and technical architecture - Claims intake automation - AI agent with approval and escalation controls - Integration with email and our internal claims platform - Admin dashboard for reviewing exceptions - Logging, monitoring, documentation, and source code To Apply Please include examples of similar AI automation systems you have built, your recommended technology stack, estimated timeline, availability, and pricing. Also answer: How would you prevent the AI agent from extracting incorrect claim information and passing it into our internal system?

  • $600.00

    Fixed-price
  • Expert
    Experience Level
  • Remote Job
  • One-time project
    Project Type
Skills and Expertise
Mandatory skills
AI Agent Development
AI Development
Activity on this job
  • Proposals:50+
  • Interviewing:
    0
  • Invites sent:
    0
  • Unanswered invites:
    0
About the client
Member since Mar 30, 2016
  • United Kingdom
    Glasgow10:01 PM
  • $67K total spent
    71 hires, 5 active
  • 709 hours

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