「RESOLVA Assist – AI Claims Support」

Inspiration

I spent 23 years handling automobile insurance claims in Japan. During that time, I saw many new claims handlers struggle to make consistent decisions during customer conversations. I wanted to transform this real-world expertise into an AI assistant that provides accurate and consistent guidance.

What it does

RESOLVA Assist helps insurance claims handlers respond to customer inquiries in real time. It analyzes the user's situation, classifies the claim scenario, and guides the handler through the appropriate workflow while reducing mistakes and improving consistency.

How we built it

I designed the business logic and workflows with ChatGPT, implemented and verified the classification logic using Codex, and built the interactive workflow in Dify. The system was tested with over 100 scenarios to verify consistent routing and responses.

Challenges we ran into

The biggest challenge was converting complex claims-handling knowledge into structured AI workflows while keeping the responses accurate and practical. Careful testing and repeated refinement were essential.

Accomplishments that we're proud of

I successfully transformed years of professional claims-handling experience into a working AI assistant with reliable workflow routing and automated testing.

What we learned

I learned how to combine large language models, workflow automation, and systematic testing to build a practical AI application.

What's next for 「RESOLVA Assist – AI Claims Support」

I plan to expand the assistant with additional insurance scenarios, voice support, and more advanced real-time guidance for professionals.

Built With

• chatgpt
• codex
• dify
• javascript
• node.js