Reviews · REV-2041 · Step 1 of 3

ClaimRoute AI v1.3

  1. 1Step 1System Intake
  2. 2Step 2Evidence & Controls
  3. 3Step 3Agent Review & Decision

System intake

Definition, limits and accountability for this AI system

System name
ClaimRoute AI
Version
v1.3
Business function
Insurance claims triage and routing
Intended use
Assist first-notice-of-loss intake by classifying incoming motor and home insurance claims, extracting key facts from submitted forms and attachments, and recommending routing to the correct claims queue for human handlers.
Prohibited use
Must not autonomously approve or deny claims, set settlement amounts, make fraud determinations, or replace human claims handlers.
Affected users
Policyholders submitting claims, claims handlers, operations managers
Geography
Ireland initially, with possible EU expansion

Accountable owners

Business owner
Fiona Walsh, Head of Claims Operations
Technical owner
Daniel Murphy, Lead ML Engineer
Human reviewer
Senior Claims Handler must review routed output before downstream action
Release status
In Review

Deployment context

Internal decision-support tool used during claims intake. Outputs influence workflow prioritisation and routing, but final operational decisions remain with human staff.