Claim Auto-Approval

Insurance

Settle a small claim without a handler when the policy is active, the claim is recent, and documents are verified.

Policy rule

A **claim** is auto_approved
  if the __amount__ of the **claim** is less than or equal to 1000
  and the __days_since_incident__ of the **claim** is less than or equal to 30
  and the __documents_verified__ of the **claim** is equal to true
  and the __status__ of the **policy** is equal to "active"
  and the __claims_last_12_months__ of the **policy** is less than 2.

Run it

Change the policy or the input and evaluate it here — no account needed.

Policy

Input

{
  "claim": {
    "amount": 320,
    "days_since_incident": 6,
    "documents_verified": true
  },
  "policy": {
    "status": "active",
    "claims_last_12_months": 0
  }
}

Try:

Input schema

{
  "properties": {
    "claim": {
      "properties": {
        "amount": {
          "type": "number"
        },
        "days_since_incident": {
          "type": "number"
        },
        "documents_verified": {
          "type": "boolean"
        }
      },
      "required": [
        "amount",
        "days_since_incident",
        "documents_verified"
      ],
      "type": "object"
    },
    "policy": {
      "properties": {
        "status": {
          "type": "string"
        },
        "claims_last_12_months": {
          "type": "number"
        }
      },
      "required": [
        "status",
        "claims_last_12_months"
      ],
      "type": "object"
    }
  },
  "required": [
    "claim",
    "policy"
  ],
  "title": "Claim Model",
  "type": "object"
}

Test cases

Small verified claim

Expect pass

{
  "claim": {
    "amount": 320,
    "days_since_incident": 6,
    "documents_verified": true
  },
  "policy": {
    "status": "active",
    "claims_last_12_months": 0
  }
}

Documents missing

Expect fail

{
  "claim": {
    "amount": 320,
    "days_since_incident": 6,
    "documents_verified": false
  },
  "policy": {
    "status": "active",
    "claims_last_12_months": 0
  }
}

Integration

Execute this policy from your app using one of the official SDKs.

import { ExecutionClient } from "@policies2/sdk";

const client = new ExecutionClient({
	apiKey: process.env.POLICY_API_KEY!,
	transport: { kind: "rest", baseUrl: "https://api.policy2.net" },
});

const result = await client.executePolicy({
	id: "your-policy-id", // replace with your published policy ID
	reference: "base",
	data: {
		"claim": {
			"amount": 320,
			"days_since_incident": 6,
			"documents_verified": true
		},
		"policy": {
			"status": "active",
			"claims_last_12_months": 0
		}
	},
});

if (result.result) {
	console.log("policy matched");
} else {
	console.log("policy did not match");
}

Ready to version this policy and wire it into a flow?

Open in editor