TriageX

A lightweight REST-based claim processing agent that extracts structured data from FNOL (First Notice of Loss) documents, validates required fields, applies rule-based routing, and returns an explainable decision in JSON format.

Problem Statement

This project implements an autonomous insurance claims processing agent that:

Extracts key fields from FNOL documents (PDF/TXT)

Identifies missing or inconsistent fields

Classifies and routes claims based on business rules

Provides a short explanation for the routing decision

Tech Stack

Node.js,

Express.js and

Multer (file upload handling)

Running the Project Locally

Step 1 – Install Dependencies

npm install

Step 2 – Start the Server

npm run dev

Server runs at: http://localhost:3000

Testing the API

Endpoint

POST /process-claim

Request: Content-Type: multipart/form-data

Field name: document

Supported formats: .pdf, .txt

Upload an FNOL document as the document field.

Running Unit Tests

Run:

npm test

Test coverage includes:

Field extraction

Validation & normalization

Routing logic

Edge-case handling

Output Format

{ "extractedFields": {}, "missingFields": [], "recommendedRoute": "", "reasoning": "" }

extractedFields = normalized structured data

missingFields = list of missing mandatory fields

recommendedRoute = routing decision

reasoning = short explanation of decision

Future Improvements

OCR support for scanned PDFs

Confidence scoring for extraction

AI-assisted extraction fallback

Persistent storage integration

Containerized deployment