Insurance Claim Auto Router System with Divyanshu Gupta

Insurance Claim Auto Router (Jev AI + n8n)

Get a ready-to-use n8n workflow that automatically triages incoming insurance claims, classifies them with AI, and routes anything risky or uncertain to a human for approval, all with a full audit trail.

This workflow uses Jev, a decision model built specifically for fast typed answers, to classify claim type, rate severity, and flag fraud risk and customer distress in one batched call. Clean, low-risk claims get auto-approved. Anything flagged goes straight to Slack with Approve and Reject buttons, so a human stays in control of the calls that actually need judgment.

What's included:

→ AI claim classification and confidence-based routing

→ Automatic fraud risk and customer distress detection

→ Slack approval flow with buttons for flagged claims

→ AI agent that calculates payout using a real calculator tool

→ Personalized AI-drafted customer emails

→ Full claim history lookup and Google Sheets audit logging

→ Complete setup guide and workflow file

Requirements:

→ n8n instance (self-hosted)

→ Jev API credential (TypeSafe AI)

→ Google Sheets for claim logging

→ Slack workspace for reviewer approvals

→ Gmail for customer emails

Perfect for insurance teams and claims processors who want AI handling the routine decisions while a human stays in the loop for anything risky.