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ClaimLightning - AI-powered claim processing

ClaimLightning is an AI-powered insurance claim processing system that transforms traditional workflows from days to minutes. Using GPT-5, it automates claim validation, detects fraud, performs policy checks, and delivers instant approval recommendations.

Core trick

Sends each claim plus policy text to GPT-5 for validation, fraud flags, and an approve-or-escalate recommendation.

Tags

Description

$29
Stosan/ClaimLightning★ 10 forksHTMLCreated Aug 19, 2025 · last push Aug 24, 2025

README excerpt

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<picture>
  <img src="docs/assets/claimlightning_logo.png" alt="ClaimLightning Logo" width="80%"/>
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*Production-ready AI-Powered Claim Processing Agent for Next-Gen Insurance Workflows*

**Automate, accelerate, and secure claim processing with GPT-5 intelligence.**

[![CI](https://github.com/Stosan/ClaimLightning/actions/workflows/main.yml/badge.svg)](https://github.com/Stosan/ClaimLightning/actions/workflows/main.yml)
[![Docs](https://img.shields.io/badge/docs-GitHub%20Pages-blue)](https://Stosan.github.io/ClaimLightning/)
[![Python Version](https://img.shields.io/badge/python-3.11%2B-blue.svg)](https://www.python.org/downloads/)
[![License](https://img.shields.io/badge/License-Apache%202.0-blue.svg)](https://opensource.org/licenses/Apache-2.0)

[Installation](#quick-start) •
[Documentation](https://Stosan.github.io/ClaimLightning/) •
[Examples](#examples) •
[Contributing](CONTRIBUTING.md)

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## 📖 Overview

**ClaimLightning is a GPT-5 powered insurance claim processing agent built for speed, accuracy, and automation.**

In traditional insurance workflows, claims are bogged down by:
* Manual verification
* Data inconsistencies
* Slow approval cycles

ClaimLightning leverages advanced **LLM reasoning**, **document intelligence**, and **causal modeling** to deliver:
* **Automated claim intake & validation**
* **Fraud detection & anomaly spotting**
* **Contextual policy checks**
* **Instant approval/rejection recommendations**

### Why Clai

Team