AI Insurance Claim Assessment
InsurancePolicyholder submits claim with photos, AI assesses damage severity, checks coverage, adjuster reviews and approves settlement.
agenthumansystem
Why OSOP matters here
Claims processing is adversarial. OSOP tracks the AI's damage assessment, coverage determination, and adjuster's decision — protecting both insurer and policyholder with transparent records.
Workflow Steps (5)
1
Submit Claim
human2
AI Damage Assessment
agent3
Coverage Verification
system4
Adjuster Review
human5
Process Settlement
apiConnections (5)
Submit Claim→AI Damage Assessmentsequential
AI Damage Assessment→Coverage Verificationsequential
Coverage Verification→Adjuster Reviewsequential
Adjuster Review→Process Settlementsequential
Adjuster Review→AI Damage AssessmentfallbackRequest additional photo analysis
5
Steps
5
Connections
4
Node Types