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insuranceclaimsagenticfraudaiMVP v2.0 · 2026

AI-Native Property Claims Platform

A full property-claims lifecycle product — not a chatbot demo — spanning customer intake (form, voice, phone), a role- and region-aware Claims Desktop, a propose-only staff AI assistant, an explainable fraud engine (rules + LLM blend with SIU dispositions and payout holds), payments (Stripe Connect), and AI quality operations (health, drift, golden + red-team evals).

Live demo coming soon
9 statuses
Claim lifecycle
100%
Eval gate — red-team
≥ 85% live
Eval gate — fraud accuracy

The problem

Property insurers still run claims across fragmented channels — web forms, call centers, adjuster desktops, SIU tools, and payment systems that rarely share one source of truth. Customers expect conversational filing; staff need dense, trustworthy workflows; fraud and payout decisions cannot be left to opaque automation. The gap isn't "add an LLM" — it's an end-to-end platform where conversation, orchestration, and controls share the same claim model, with human gates on money and denials and measurable AI quality after go-live.

The challenge

Ship a full claims lifecycle — not a chatbot demo — as one coherent product: a nine-status lifecycle with regional role-based access control and fraud holds that block payout, spanning web, voice, and phone intake; a propose-only staff assistant; a rules-plus-LLM fraud engine; Stripe-based payments; and continuous AI-quality operations across a multi-cloud integration fabric (HMAC webhooks, MCP tool auth, Supabase RLS).

Constraints

  • Nine-status claim lifecycle with regional role-based access control
  • Fraud holds must hard-block payout regardless of model confidence
  • Multiple entry channels (web wizard, voice/text agents, phone) feeding one claim record
  • Multi-cloud integration fabric: HMAC webhooks, MCP tool auth, Stripe, Twilio, ElevenLabs, Supabase RLS
  • Operations must cover prompt regressions, red-team safety, and input/output drift — not just uptime

The solution

A full-stack platform where customers file by form, voice, or phone into one claim model; staff work a role- and region-aware Claims Desktop with an AI assistant that proposes but never executes; a fraud engine blends rules with an LLM workflow to raise explainable alerts and SIU dispositions; approved claims move through Stripe Connect to finance release; and an /observability surface tracks health, quality, and drift with golden and red-team evals gating promotion.

Architecture

  • Next.js on Vercel for the web application; a dedicated Claims-MCP server on Render for long-lived agent tool connections
  • n8n Cloud orchestrating the fraud rules + LLM blend workflow
  • ElevenLabs for voice/text intake agents; Langfuse for LLM observability
  • Supabase as the system of record — guarded RPCs, row-level security, no service secrets in the browser
  • Stripe Connect for approve-for-payment → finance release

Product decisions I owned

  • Agents propose, humans approve — the desktop assistant can never execute an action
  • A fraud hold blocks payout regardless of model confidence
  • Every automation run and AI decision is auditable
  • Promote to production only behind eval gates: red-team 100%, fraud live accuracy ≥ 85%
  • Match hosting to workload shape — long-lived Render for agent tools, serverless Vercel for the web app, rather than forcing one shape for both

Design laws

Agents propose, humans approve

A fraud hold blocks payout

Every AI decision is auditable

Promote only behind eval gates

Stack

Next.js on Vercel · MCP server on Render · n8n Cloud · ElevenLabs · Langfuse · Supabase RLS · Stripe Connect · Twilio

Key learnings

  • Foundation beats flash — schema, RPCs, and invariants have to precede agent demos, since vibe coding multiplies whatever foundation you give it
  • Half the product is contracts — HMAC field order, MCP auth, webhook URLs, and RLS policies fail more often than "the model is dumb"
  • MCP needs the right host — long-lived infrastructure for agent tools, serverless for the web tier
  • Trust is a feature — observability, golden/red-team evals, and drift monitoring have to ship with the agents, not arrive as a later slide
  • Domain review is the control plane — a plausible UI can still be wrong, and humans have to reject unsafe shortcuts even when the code compiles

Screenshots and a walkthrough video are coming.