Insurance Claims Auto-Triage

How It Works

1. 1
   Webhook Receipt

   Receive Guidewire webhook containing new claim JSON with policy details, claimant information, incident description, and initial documentation attachments

   Express.js webhook endpoint
2. 2
   Data Enrichment

   Query Guidewire API for complete policy coverage details, prior claims history, and vehicle/property information to build comprehensive classification context

   Guidewire REST API
3. 3
   AI Classification

   Submit structured prompt to Claude containing claim details and coverage information, requesting classification into specific claim types, severity levels (1-5), and coverage verification status

   Claude API
4. 4
   Data Storage

   Update Guidewire claim record with classification results and store classification metadata in Supabase for analytics and fraud scoring pipeline

   Guidewire API & Supabase SDK

Implementation

```
Project Structure:
claims-classifier/
├── src/
│   ├── handlers/
│   │   ├── webhook.js         # Guidewire webhook receiver
│   │   ├── classifier.js      # Core classification logic
│   │   └── storage.js         # Data persistence layer
│   ├── services/
│   │   ├── guidewire.js       # Guidewire API client
│   │   ├── claude.js          # Claude API integration
│   │   └── supabase.js        # Supabase client
│   ├── utils/
│   │   ├── validation.js      # Input validation
│   │   └── prompts.js         # Claude prompt templates
│   └── app.js                 # Express server setup
├── .env                       # Environment variables
└── package.json

Key Implementation Steps:
1. Set up Express.js server with /webhook/claims endpoint
2. Configure Guidewire webhook to POST to https://your-domain/webhook/claims
3. Implement authentication middleware for webhook security
4. Create Claude prompt template for claim classification:
   - Include claim type taxonomy (Auto, Property, Liability, etc.)
   - Define severity scale 1-5 with specific criteria
   - Request coverage verification based on policy details
5. Build Guidewire API client for bidirectional data sync
6. Configure Supabase tables:
   - claim_classifications (claim_id, type, severity, coverage_status, confidence)
   - classification_logs (timestamp, claim_id, processing_time, status)
7. Implement error handling with exponential backoff for API failures
8. Deploy with PM2 or similar process manager
9. Configure monitoring with health check endpoint

Environment Variables:
GUIDEWIRE_API_URL=https://your-guidewire.com/api
GUIDEWIRE_CLIENT_ID=your_client_id
GUIDEWIRE_CLIENT_SECRET=your_secret
CLAUDE_API_KEY=your_claude_key
SUPABASE_URL=your_supabase_url
SUPABASE_ANON_KEY=your_supabase_key
WEBHOOK_SECRET=your_webhook_secret
```

Data Flow

Prerequisites

• -Guidewire webhook configuration with proper authentication
• -Claude API access with claims processing rate limits
• -Supabase database schema for classification storage
• -SSL certificate for secure webhook endpoints

Error Handling