Policy Checker Agent

Specialized in policy verification and coverage analysis

Available Tools

Policy Details

Retrieves policy limits, deductibles, and status

Policy Search

Searches policy documents for coverage terms

Coverage Outcomes

COVEREDPARTIALLY_COVEREDNOT_COVEREDINSUFFICIENT_EVIDENCE

Possible coverage determinations from the agent. INSUFFICIENT_EVIDENCE indicates when relevant policy documents are not available or don't match the claim context.

Select a Claim

Generate a new scenario or select a sample claim to run through the policy checker agent

AI-Generated Scenarios

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Sample Claims

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Policy Check Results

Real-time conversation trace and coverage determination

Select a sample claim to see the policy check process

Multi-Agent Workflow

These specialized agents work together in the complete claim processing workflow

Claim Assessor

Analyzes claim details and documentation

Policy Checker

Validates coverage and policy terms

Current

Risk Analyst

Evaluates fraud and risk factors

Communication Agent

Generates customer communications

See how these agents collaborate together

Full Workflow Demo