Scope
PM / Head of AI
Matt D. on Feb 12
Build
Engineering
Simon R. on Mar 1
GRC
Compliance/Legal
4Production
DevOps
5Monitoring
Operations
Current owner: Compliance/Legal
Agents / Claims Processor v1.0

Claims Processor v1.0

Legacy claims workflow still handling document-heavy intake cases.

ID: UA-001Framework: LangChainStage: GRCOwner: Compliance/LegalActive
Builder Details

Agent Schema

The contract definition this agent was registered against. The schema defines the expected inputs, outputs, and capabilities.

Schema ID
claims-processor-v1
Version
1.2.0
Last Updated
Feb 25, 2026 by Simon R.
Compliant
Input Schema
{
"claim_id":"string (required)"
"policy_number":"string (required)"
"claim_type":"enum: auto | property | liability (required)"
"documents":"array<file_ref>"
"claimant_name":"string" PII — redacted in logs
}
Output Schema
{
"result":"enum: approved | denied | review"
"confidence":"number (0–1)"
"notes":"string"
}
Capabilities
  • Document parsing (PDF only)
  • Policy lookup (read-only)
  • Claims database (read/write)
  • Human escalation (confidence < 0.70)
Schema History
v1.2.0Feb 25Added documents array
v1.1.0Feb 18Added confidence output
v1.0.0Feb 12Initial schema

Version & Instance

Where this agent sits in the version tree and its relationship to other instances.

Type
Instance (deployed version)
Version
v1.2.0
Config Status
Diverged — Uses legacy v1 schema
Registered
Feb 12, 2026
Runtime
Python 3.11 / AWS Lambda
Repository
acme/claims-processor (v1-stable branch)
Relationship to Parent
Inherits fromGA-001 (Claims Processor)
Schemaclaims-processor-v1 (parent uses v2) ⚠️
PromptsIndependent (not synced with parent)
PoliciesInherited (5 of 5 match parent)
ServicesInherited (Slack-MCP, Canva-MCP)
Version History
v1.2.0Feb 25Added document intake handling
v1.1.0Feb 18Confidence scoring added
v1.0.0Feb 12Instance created from GA-001 v1.0.0

Service Access

Which services and MCP connections this agent is authorised to use.

ServiceAuth
ApprovedSlack-MCP
OAuth token
UnsanctionedCanva-MCP
API Key

Data Access Policies

What data this agent can read, write, and process. Violations are logged to the audit trail.

Read/WriteClaims Data

Claims DB, intake queue

Tier 1 claims under $10,000

Read OnlyCustomer PII

Name, policy number, contact info

Must be redacted before external calls

BlockedFinancial Records

Payment and banking data

BlockedEmployee Data

HR and payroll systems

Write OnlyNotification Channels

Slack #claims-team, #escalations

Model Access

Which AI models this agent is authorised to use.

GPT-4oPrimary
70%
GPT-4o miniSecondary
20%
text-embedding-3-smallEmbeddings
10%
Claude SonnetNot authorised
Claude OpusNot authorised
Gemini ProNot authorised

Credentials

API keys and auth tokens used by this agent. Managed by Engineering.

CredentialStatus
OpenAI API KeyActive
Slack OAuthActive
Canva API KeyUnsanctioned