Contained Auto Claim Demo
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Claim Workspace

Claim ID CLM-2026-00847

Registered Inputs

All materials received and logged for this claim

Input Type Source Received Hash / Trace ID Status
📋 First Notice of Loss (FNOL) Policyholder Portal 2026-02-02 09:14:22 UTC a7f3c9d2...e481 Verified
📷 Damage Photos (6 images) CyVine Mobile App 2026-02-02 09:18:47 UTC b2e8f1a0...7c92 Verified
📄 Repair Estimate AutoBody Pro — Partner #1142 2026-02-03 14:32:09 UTC c4d7e2b3...5f18 Verified
📑 Policy Extract Internal Policy System 2026-02-02 09:14:25 UTC d9a1c3f7...2e64 Verified
🔒
Nothing enters without traceability.

Every input is sourced, timestamped, and hashed at ingestion. The claim workspace is a controlled environment.

AI "Behind Glass"

Advisory Only
AI ANALYSIS ZONE — READ ONLY

Extracted Fields

Vehicle 2024 Honda Accord EX-L 98%
VIN 1HGCV1F34RA0••••• 99%
Date of Loss 2026-02-01 100%
Loss Type Collision — Rear Impact 94%
Estimated Damage $4,847.00 87%
Deductible $500.00 100%

Risk Flags

Photo metadata consistent with reported location Low Risk
Estimate within market range for damage type Low Risk
Prior claim on policy (2024) — unrelated incident Note
Policy in good standing — no lapses Low Risk

AI Recommendation

Proceed to standard approval workflow. No escalation triggers detected.
Model: CyVine-Claims-v2.4 | Inference ID: inf-847-2026020314
👁
AI informs, never decides.

Everything inside the glass is advisory output. No action is taken. No field is committed. Human decision-makers use this as input — nothing more.

Decision Gates

Three explicit checkpoints — each requires human accountability

1
Coverage Confirmation
✓ Completed
Does the policy cover this loss type and is it in force?
Role Claims Analyst
Name Maria Chen
Action Confirmed Coverage
Reason Code COV-001: Collision coverage active, deductible applies
Timestamp 2026-02-03 15:42:18 UTC
2
Estimate Reasonableness
✓ Completed
Is the repair estimate reasonable and within acceptable variance?
Role Senior Appraiser
Name James Okonkwo
Action Estimate Accepted
Reason Code EST-003: Within 5% of market benchmark, parts OEM-spec
Timestamp 2026-02-03 16:28:55 UTC
3
Escalation / Approval Decision
✓ Completed
Should this claim be escalated or approved for settlement?
Role Claims Supervisor
Name David Park
Action Approved for Settlement
Reason Code APR-001: Standard approval — no escalation triggers
Timestamp 2026-02-04 09:15:33 UTC
Every decision has an owner.

No gate passes without a named human, a recorded action, and a reason code. Accountability is structural, not optional.

Ledger Timeline

Chronological • Immutable • Defensible

CLM-2026-00847
Ledger Root: 0x7a3f...c9e2
Feb 02
09:14:22
SYSTEM
FNOL received and registered
Source: Policyholder Portal
Claim workspace created • Auto-assigned to Claims Pool A
Feb 02
09:18:47
SYSTEM
6 damage photos uploaded and verified
Source: CyVine Mobile App
EXIF data validated • GPS coordinates logged
Feb 03
14:32:09
SYSTEM
Repair estimate received
Source: AutoBody Pro — Partner #1142
Estimate amount: $4,847.00 • 12 line items
Feb 03
14:35:12
AI ADVISORY
AI analysis completed
Suggested: Proceed to standard approval workflow
Confidence: 94% • No escalation triggers • Model: CyVine-Claims-v2.4
Feb 03
15:42:18
HUMAN DECISION
Gate 1: Coverage confirmed
Maria Chen • Claims Analyst
AI Suggestion: Accept coverage → ACCEPTED
Reason: COV-001 • Collision coverage active
Feb 03
16:28:55
HUMAN DECISION
Gate 2: Estimate accepted
James Okonkwo • Senior Appraiser
AI Suggestion: Estimate within range → ACCEPTED
Reason: EST-003 • Within 5% of market benchmark
Feb 04
09:15:33
HUMAN DECISION
Gate 3: Approved for settlement
David Park • Claims Supervisor
AI Suggestion: No escalation needed → ACCEPTED
Reason: APR-001 • Standard approval path
Feb 04
09:15:34
SYSTEM
Claim approved — ready for settlement
System automated transition
Settlement amount: $4,347.00 (after $500 deductible)
⚖️
This is defensible three years later.

Every action, every suggestion, every decision — timestamped and immutable. When regulators ask, the answer is here.

Outcome Summary

CLM-2026-00847 — Closed

Cycle Time
47hrs
From FNOL to approval
Human Touchpoints
3
Decision gates passed
AI Acceptance Rate
100%
3 of 3 suggestions accepted
Avg Decision Latency
4.2hrs
Time from AI advisory to human decision

Decision Breakdown

Gate Decision Maker AI Suggestion Human Action Alignment
Coverage Maria Chen Confirm Confirmed Match
Estimate James Okonkwo Accept Accepted Match
Approval David Park Approve Approved Match
Settlement Amount $4,347.00
Claim Status Closed — Paid
Audit Status Ready for Review
📊
No hype. Just clarity.

Measurable. Traceable. Defensible. This is what controlled AI-assisted claims processing looks like.