Automate the Insurance Claim Lifecycle Using Amazon Bedrock Agents and Knowledge Bases

Use case typeClaims automationUpdated Jun 13, 2026

Various insurance enterprises use Amazon Bedrock Agents and Knowledge Bases integrated with AWS Lambda, Amazon DynamoDB, and Amazon SNS to automate insurance claims lifecycle processes. Solution configures generative AI agents that understand natural language inputs and orchestrate tasks like claim creation, document reminders, evidence gathering, and knowledge retrieval. Workflow includes Lambda-delivered business logic, S3 stored API schemas, and managed knowledge bases for Retrieval Augmented Generation (RAG) that enhance agent contextual reasoning. A Streamlit web UI front end facilitates testing, enhancement, and deployment of agents for scalable, secure automation of claims with improved customer service and operational efficiency.

Industry
Insurance
Published
February 2024

Reported outcomes

Strategic outcomes

Speed & agilityAutomated claim lifecycle tasksNew product / capabilityEnabled natural-language claim orchestrationBetter decisions & insightImproved contextual reasoning for claimsCustomer experience & trustImproved customer service in claims

Primary read

Use case focus

Showing 3 of 3

  • 1Generative AI Agents
  • 2Workflow Automation
  • 3Claims Automation
  • Insurance claim processes are manual, repetitive, and prone to inefficiency, requiring automation to improve operational efficiency and customer satisfaction.
  • Integrating enterprise resources with AI agents for task orchestration and knowledge management remains complex.
  • Security and compliance in AI workflows require careful design and validation.
  • Use Amazon Bedrock Agents configured with detailed instructions, action groups with Lambda functions, API schemas stored in S3, and connected knowledge bases for RAG.
  • Agents interpret natural language tasks, invoke corresponding Lambda business logic, and query knowledge bases containing company data to provide accurate claim lifecycle management.
  • Deployment includes automated resource provisioning by AWS CloudFormation and a Streamlit web UI for user interaction and data uploads.
  • Security best practices implemented including access control, input validation, and audit logging.
  • Improved operational efficiency and scalability through AI-driven automation of claim lifecycle tasks.
  • Enhanced customer satisfaction with more responsive and accurate claim management.
  • Reduced manual workload for insurance enterprises, freeing human agents for higher-value activities.
  • Framework supports customization and extensibility for diverse insurance automation needs.
Architecture

Architecture includes Amazon Bedrock Agents configured with foundation models, Lambda functions implementing business logic, API schema stored in Amazon S3, connected Amazon Bedrock Knowledge Bases using RAG, and integration through APIs with notifications sent via Amazon SNS.

Sources & evidence1
Groundedness: 4/5

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