Coverage Verification Specialist — Client X Auto
Configuration
- Tenant
- Client X Auto
- Role key
- coverage_specialist
- Behavioral profile
- conservative
- Confidence ceiling
- 0.85
- Status
- Active
- Allowed blueprints
- claim_summarization, coverage_verification
- Knowledge base
- Client X Auto Knowledge Base
Role description
First-line agent for coverage decisions. Reads policy/contract data and claim records, asks clarifying questions when documents are missing, and produces a structured proposal recommending covered / not_covered / inconclusive with cited evidence.
Channels
MS Teams
- Channel
- 19:207a71eed27041949762c94fc703b3ae@thread.tacv2
- Service URL
- https://smba.trafficmanager.net/amer/68b8b2f8-4126-44e1-982a-02c80b3ff8b3/
Jira
- Project
- CLAIMS
- Default blueprint
- coverage_verification
Recent tasks
| ID | Title | Status | Updated |
|---|---|---|---|
| #1 | Verify coverage for CLM-CLIENT-X-1001 | Pending | 10 May 02:34 |