AI 保險理賠評估
保險AI 分析理賠申請書、損失照片、保單條款和歷史案例，自動評估理賠金額並標記需要人工複審的案件。
agenthumansystem
為什麼需要 OSOP
理賠評估需要速度與準確性的平衡。OSOP 定義從文件解析到金額計算的完整管線，確保每筆理賠經過一致的評估標準，並保留 AI 判斷依據以備爭議查核。
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