IntelliClaim AIPowered Insurance Claims Processing
IntelliClaim is an AI-powered insurance claims processing system that leverages GPT-5 through the AI/ML API to automate insurance policy analysis and claims adjudication. The system processes PDF, DOCX and email.
Core trick
Retrieves policy clauses from PDF, DOCX, and email via clause-aware retrieval, feeding a multi-agent GPT-5 pipeline that adjudicates claims with explainable decisions.
Description
$26
README excerpt
# IntelliClaim - AI-Powered Insurance Claims Processing ## 🎯 Project Overview IntelliClaim is a next-generation AI-powered document processing system designed for insurance claims adjudication. It uses advanced RAG (Retrieval-Augmented Generation) technology with GPT-5 through AIMLAPI to provide intelligent, explainable decisions on insurance claims. ## ✨ Key Features - **🤖 GPT-5 AI Integration**: Powered by OpenAI's GPT-5 through AIMLAPI for intelligent reasoning - **📄 Multi-Format Support**: PDF, DOCX, and email document processing - **🧠 Multi-Agent RAG Pipeline**: Specialized agents for query understanding, retrieval, and decision making - **🎯 Clause-Aware Retrieval**: Insurance-specific keyword biasing and context windowing - **⚡ Async Processing**: Efficient document processing with intelligent chunking - **📊 Real-time Analytics**: Processing metrics and success rates - **🛡️ Production Ready**: Robust error handling and fallback mechanisms - **🔍 Intelligent Context Building**: Dynamic chunking with relevance scoring ## 🚀 Current Status ✅ **Backend**: Fully functional with GPT-5 AI integration via AIMLAPI ✅ **Frontend**: Modern React UI with Tailwind CSS ✅ **RAG Pipeline**: Multi-agent system with specialized agents ✅ **Document Processing**: PDF/DOCX/Email with intelligent chunking ✅ **API Endpoints**: Complete REST API with health checks ✅ **Vector Storage**: ChromaDB with sentence-transformers embeddings ✅ **Error Handling**: Comprehensive fallbacks a