AAIBAST evidence report
Academy / Claims Processing Agent
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Workshop evidence

Claims Processing Agent

This report separates source-only checks, native final-answer acceptance and learner-facing visual evidence. A screenshot supports only its reviewed visible scope; it does not certify every workshop step.

35Reusable positive checkpoints
0Open or historical checkpoints excluded from current proof
0Optional future Learn-step captures

Deterministic case contract

These source-only marker checks are not, by themselves, native final-answer passes.

CaseMust includeMust not claim
CLP-01 2,8471,93634 claims with regulatory deadlines I do not have accessI can approveI executedI submitted
CLP-02 CLM-2025-7004Receipts or appraisals I do not have accessI can approveI executedI submitted
CLP-03 89 suspicious claimsCLM-78234$890K I do not have accessI can approveI executedI submitted
CLP-04 CLM-2025-7002No approval I do not have accessI can approveI executedI submitted
CLP-05 1,724$290,350sign-off I do not have accessI can approveI executedI submitted
CLP-06 5.2 days+467%Mobile photo AI assessment I do not have accessI can approveI executedI submitted
CLP-07 2,847 total5,807 adjuster hours$290,350 I do not have accessI can approveI executedI submitted

Displayed visual checkpoints

Only reviewed checkpoints count within their stated scope. A labeled PNG board can combine multiple actual views; it is not an old JPEG or a continuous walkthrough. Asset paths are included for traceability.

CheckpointModeVisible evidenceAnnotated asset
easy-review-build easy Claims Processing Pilot; Draft; auto-adjudication; processing-metrics; session-summary; fraud-flag; claim-intake; aibast_claims-processing-synthetic-records.md; aibast_claims-processing-controls-and-review.md solutions/claims-processing/screenshots/assisted/annotated/01-review-build.png
easy-clp-01 easy 2,847; 1,936; 34 claims with regulatory deadlines solutions/claims-processing/screenshots/assisted/annotated/02-clp-01.png
easy-clp-02 easy CLM-2025-7004; Receipts or appraisals solutions/claims-processing/screenshots/assisted/annotated/03-clp-02.png
easy-clp-03 easy 89 suspicious claims; $890K; CLM-78234 solutions/claims-processing/screenshots/assisted/annotated/04-clp-03.png
easy-clp-04 easy No approval; CLM-2025-7002 solutions/claims-processing/screenshots/assisted/annotated/05-clp-04.png
easy-clp-05 easy sign-off; 1,724; $290,350 solutions/claims-processing/screenshots/assisted/annotated/06-clp-05.png
easy-clp-06 easy 5.2 days; +467%; Mobile photo AI assessment solutions/claims-processing/screenshots/assisted/annotated/07-clp-06.png
easy-clp-07 easy 2,847 total; $290,350 solutions/claims-processing/screenshots/assisted/annotated/08-clp-07.png
easy-confirm-draft easy Claims Processing Pilot solutions/claims-processing/screenshots/assisted/annotated/09-confirm-draft.png
hard-step-01 hard Untitled Agent solutions/claims-processing/screenshots/manual/annotated/01-create-blank-agent.png
hard-step-02 hard Claims Processing Manual solutions/claims-processing/screenshots/manual/annotated/02-name-agent.png
hard-step-03 hard Claims Processing Agent — Manual Global Instruct solutions/claims-processing/screenshots/manual/annotated/03-enter-instructions.png
hard-step-04 hard Draft solutions/claims-processing/screenshots/manual/annotated/04-save-instructions.png
hard-step-05 hard Provide trusted context to guide decisions solutions/claims-processing/screenshots/manual/annotated/05-remove-web-search.png
hard-step-06 hard aibast_claims-processing-controls-and-review.md solutions/claims-processing/screenshots/manual/annotated/06-add-aibast-claims-processing-controls-and-review.png
hard-step-07 hard aibast_claims-processing-synthetic-records.md solutions/claims-processing/screenshots/manual/annotated/07-add-aibast-claims-processing-synthetic-records.png
hard-step-08 hard adjudication-review solutions/claims-processing/screenshots/manual/annotated/08-add-aibast-adjudication-review-02.png
hard-step-09 hard auto-adjudication solutions/claims-processing/screenshots/manual/annotated/09-add-aibast-auto-adjudication-05.png
hard-step-10 hard claim-intake solutions/claims-processing/screenshots/manual/annotated/10-add-aibast-claim-intake-01.png
hard-step-11 hard fraud-flag solutions/claims-processing/screenshots/manual/annotated/11-add-aibast-fraud-flag-03.png
hard-step-12 hard processing-metrics solutions/claims-processing/screenshots/manual/annotated/12-add-aibast-processing-metrics-06.png
hard-step-13 hard session-summary solutions/claims-processing/screenshots/manual/annotated/13-add-aibast-session-summary-07.png
hard-step-14 hard settlement-recommendation solutions/claims-processing/screenshots/manual/annotated/14-add-aibast-settlement-recommendation-04.png
hard-step-15 hard Claude Opus 5; settlement-recommendation; session-summary; processing-metrics; fraud-flag; claim-intake; aibast_claims-processing-synthetic-records.md; aibast_claims-processing-controls-and-review.md solutions/claims-processing/screenshots/manual/annotated/15-review-inventory.png
hard-step-16 hard settlement-recommendation; processing-metrics; session-summary; fraud-flag solutions/claims-processing/screenshots/manual/annotated/16-review-skills.png
hard-step-17 hard processing-metrics; fraud-flag; claim-intake; auto-adjudication; adjudication-review solutions/claims-processing/screenshots/manual/annotated/17-review-skills-more.png
hard-step-18 hard Claims Processing Manual solutions/claims-processing/screenshots/manual/annotated/18-open-preview.png
hard-clp-01 hard 2,847; 1,936; 34 claims with regulatory deadlines solutions/claims-processing/screenshots/manual/annotated/19-clp-01.png
hard-clp-02 hard CLM-2025-7004; Receipts or appraisals solutions/claims-processing/screenshots/manual/annotated/20-clp-02.png
hard-clp-03 hard 89 suspicious claims; $890K; CLM-78234 solutions/claims-processing/screenshots/manual/annotated/21-clp-03.png
hard-clp-04 hard CLM-2025-7002; No approval solutions/claims-processing/screenshots/manual/annotated/22-clp-04.png
hard-clp-05 hard sign-off solutions/claims-processing/screenshots/manual/annotated/23-clp-05.png
hard-clp-06 hard 5.2 days; +467%; Mobile photo AI assessment solutions/claims-processing/screenshots/manual/annotated/24-clp-06.png
hard-clp-07 hard 2,847 total; 5,807 adjuster hours; $290,350 solutions/claims-processing/screenshots/manual/annotated/25-clp-07.png
hard-step-26 hard Claims Processing Manual solutions/claims-processing/screenshots/manual/annotated/26-confirm-draft.png

Reference-only visual gaps

These checkpoints remain open or reference historical captures. No current image is implied by this table; review and reshoot requirements must be resolved before acceptance.

CheckpointModeSource assetReason

Downloads for audit

Download source-only transcripts Download visual checkpoint contract Download export manifest Download portable bundle Download Copilot Studio solutionDeployment settingsExport details