AI Insurance Claims Triage

Workflow that processes incoming insurance claims, extracts structured data, assigns priority and specialist routing, and fires alerts — all in under 15 seconds.

n8nClaude AIDocument IntelligenceClaims TriageGmail APISlackGoogle Sheets

Problem

Claims adjusters spend 30–45 minutes per claim on manual reading, field extraction, priority assessment, and routing — before any actual claims work begins. At 50–200 claims per day, that's 25–150 hours of repeatable cognitive work.

Solution

An n8n workflow triggered by incoming claims. Claude AI reads the full unstructured description, extracts all key fields, assigns priority and specialist routing, flags fraud indicators, and fires alerts — all within 15 seconds of submission. Critical claims go directly to a named specialist with a full brief. Standard claims get an automatic acknowledgment.

Demo

Results

3/3 test claims processed correctly
10–14 second end-to-end processing
5 fraud red flags detected on CRITICAL claim
0 manual steps required for routine claims

Tech Stack

n8nClaude AIGmail APIGoogle Sheets APISlackJavaScriptConditional Routing

Want something like this for your team?

Fixed-price engagements. No retainers. Most projects ship in 1–6 weeks.

Book a Discovery Call