ClaimsChain

Insurance Claims Coordination is a Band-powered multi-agent platform designed to modernize insurance claim processing by reducing fraud, minimizing manual review effort, accelerating settlements, and improving auditability. Traditional insurance workflows are fragmented, slow, and heavily dependent on manual verification. Fraudulent claims, policy interpretation disputes, and a lack of transparent decision trails often lead to delays, increased operational costs, and regulatory challenges. Our solution introduces a collaborative network of specialized AI agents that work together throughout the claim lifecycle. The Intake Agent extracts and validates claim information from submitted documents, the Fraud Agent analyzes risk using rules, graph-based relationships, and collaborative signals, the Policy Agent evaluates coverage eligibility and policy constraints, and the Payout Agent calculates settlements using deterministic business rules. Additional Specialist and Compliance Agents can be dynamically recruited through Band when complex medical reviews, disputes, or regulatory checks are required. Band serves as the core collaboration layer, enabling agents to communicate, share structured context, recruit expertise, exchange opinions, and participate in consensus-based decision making. This transforms the workflow from a simple sequential pipeline into a collaborative enterprise-grade agent ecosystem. To ensure trust and accountability, every major decision is cryptographically hashed and anchored to a blockchain-backed audit trail. This creates an immutable record of claim processing activities, allowing insurers, auditors, and regulators to verify that decisions have not been altered after approval. The result is a scalable, transparent, and auditable insurance processing platform capable of reducing fraud, accelerating claim resolution, improving operational efficiency, and increasing trust across insurers, hospitals, regulators, and policyholders.