AI-Powered Death Claims Processing System

Core Logic

Illustrative workflow design. Validate capabilities, performance, controls and integration requirements before implementation. Numerical examples are scenario inputs or illustrative outputs, not validated performance results. Central coordination hub that manages the multi-phase processing pipeline. Aggregates findings from all agents, applies **Logistic Regression model** (94.7% accuracy) for final risk scoring, and generates recommendations: auto-approve, approve_with_review, escalate, or require_human_review. Implements message-passing architecture for inter-agent communication.

Core Logic

Illustrative workflow design. Validate capabilities, performance, controls and integration requirements before implementation. Numerical examples are scenario inputs or illustrative outputs, not validated performance results. Combines **OCR + NLP** for intelligent document analysis. Extracts structured data from death certificates, beneficiary IDs, and policy documents. Applies **Bayesian inference** (92% accuracy) for authenticity scoring. Validates format consistency, metadata integrity, and cross-references with official registries.

Core Logic

Illustrative workflow design. Validate capabilities, performance, controls and integration requirements before implementation. Performs identity verification using **Levenshtein distance algorithm** for fuzzy name matching. Queries identity databases to validate beneficiary credentials. Cross-references policy beneficiary designations with submitted documentation. Flags discrepancies and potential identity fraud indicators.

Core Logic

Illustrative workflow design. Validate capabilities, performance, controls and integration requirements before implementation. Implements comprehensive **French succession law rules engine**. Validates inheritance distributions against Code Civil requirements. Checks forced heirship (réserve héréditaire) compliance, spousal protection rights, and EU Succession Regulation 650/2012 for cross-border cases. Generates compliance attestations.

Core Logic

Illustrative workflow design. Validate capabilities, performance, controls and integration requirements before implementation. Applies configured inheritance-tax rules and prepares draft calculations by beneficiary, including relevant allowances and deductions. Qualified tax professionals must validate current rules, case facts and calculations before use.

Core Logic

Illustrative workflow design. Validate capabilities, performance, controls and integration requirements before implementation. Numerical examples are scenario inputs or illustrative outputs, not validated performance results. Deploys **Isolation Forest algorithm** (O(n log n) complexity) for anomaly detection with **94.3% fraud detection rate**. Combines with **Bayesian inference** for document forgery detection. Analyzes timing patterns, beneficiary changes, and claim characteristics against historical fraud patterns.

Core Logic

Illustrative workflow design. Validate capabilities, performance, controls and integration requirements before implementation. Generates comprehensive settlement proposals synthesizing outputs from all preceding agents. Creates beneficiary breakdown with exact payment amounts after tax. Applies **Gompertz-Makeham actuarial calculations** for annuity options. Produces compliant documentation ready for disbursement.

Core Logic

Illustrative workflow design. Validate capabilities, performance, controls and integration requirements before implementation. Performs real-time **AML/CFT screening** against global sanctions lists, PEP databases, and adverse media. Monitors transaction patterns for money laundering indicators. Generates SAR recommendations when thresholds exceeded. Supports compliance review with EU 6th AML Directive requirements.

Core Logic

Illustrative workflow design. Validate capabilities, performance, controls and integration requirements before implementation. Validates processing against **EU AI Act** algorithmic transparency requirements and **DORA 2025** operational resilience standards. Checks Solvency II capital adequacy implications. Monitors regulatory changes and flags compliance gaps. Generates regulatory attestation documentation.

Core Logic

Illustrative workflow design. Validate capabilities, performance, controls and integration requirements before implementation. Evaluates **TCFD climate risk** factors for underlying policy investments. Assesses physical and transition risk exposures. Calculates climate-adjusted asset valuations. Generates climate risk disclosure statements for regulatory reporting and ESG transparency.

Core Logic

Illustrative workflow design. Validate capabilities, performance, controls and integration requirements before implementation. Performs **Environmental, Social, Governance impact assessment** of claim processing and underlying investments. Scores ESG alignment of beneficiary payments. Identifies sustainable investment opportunities for settlement options. Supports SFDR Article 8/9 fund compliance.