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Back to projectsplatformlive · 2025

AutoClaim AI

End-to-end insurance claims automation combining Claude AI for document extraction and risk scoring with UiPath Maestro for RPA orchestration. Claims flow through a 6-stage pipeline (Intake → Extraction → Validation → Routing → Human Review → Resolution) with automatic approval for low-risk cases and intelligent escalation to human reviewers for complex ones.

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My Role

Solo developer — UiPath Hackathon

Year

2025

Timeline

Architecture, AI pipeline, orchestrator, dashboard UI, UiPath integration, submission

Claims pipeline

Intake, AI extraction, validation, and resolution in one automated flow.

01

Dashboard

02

Pipeline

03

Review

04

Resolution

6

Pipeline stages

Claude

AI provider

Hackathon

Mode

The Need

Insurance claims processing is manual, slow, and error-prone. Human reviewers spend time on routine cases that could be auto-approved, creating bottlenecks and delays.

The Solution

A 6-stage AI pipeline that extracts structured data from claims via Claude, scores risk automatically, auto-approves low-risk cases, and routes complex ones to human reviewers with full context.

Impact

Solo hackathon submission demonstrating production-grade AI orchestration — real-time SSE streaming, intelligent routing, and a premium dark-mode dashboard.

Key Features

  • Claude AI document extraction and risk scoring
  • 6-stage claim processing pipeline with auto-routing
  • Real-time SSE streaming for pipeline progress
  • ClaimOrchestrator with retry logic and in-memory queue
  • Human review interface with workload-based assignment
  • Dark-mode dashboard with animated KPIs and live feed
  • UiPath Maestro RPA integration (optional, works standalone)
  • Auto-approval for claims under $50k with risk score < 70

Technical Choices

  • Claude AI for extraction because structured output from unstructured documents is its strength.
  • SSE over WebSockets — simpler, sufficient for one-way pipeline progress streaming.
  • UiPath integration is optional so the platform works fully standalone without RPA infrastructure.
  • TypeScript strict mode with noImplicitAny and noUncheckedIndexedAccess for pipeline reliability.

Future Updates

  • Advanced analytics dashboard
  • Full UiPath Maestro integration
  • Multi-tenant support
  • Batch claim processing