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Claims.

Full FNOL-to-closure lifecycle with autonomous agent triage, fraud scoring, and SIU escalation.

Endpoints

POST /v1/claims File a new claim (FNOL)

GET /v1/claims List claims

GET /v1/claims/:id Get claim details

POST /v1/claims/:id/investigate Start investigation

POST /v1/claims/:id/settle Create settlement offer

POST /v1/claims/:id/deny Deny a claim

POST /v1/claims/:id/close Close a claim

Fraud Detection

Every FNOL triggers an 8-rule fraud engine. Rules check inception-to-loss gap, description length, claim frequency, reserve ratios, and pattern matching against historical data. Claims scoring above the threshold are automatically referred to SIU.

Loss History

The compileLossHistory function aggregates claim data into experience-period summaries. Output feeds directly into the rating engine's experience modification calculation and renewal risk assessment.