Insurance Claim Router Sent $47K Claim to Senior Adjuster in 3 Seconds (6 Nodes) 🔥
$47,000 medical claim arrived. System routed to Senior Adjuster before the email finished downloading. Pre-authorization flag included. Built claim processor. Amount-based routing. Automatic reimbursement calculation. No more claims going to wrong people. THE CLAIMS ROUTING NIGHTMARE: Every claim email requires manual review. Someone opens it. Reads amounts. Decides routing. Calculates reimbursement estimate. Checks pre-auth requirements. Three different people. Three chances for error. Wrong routing delays payments. THE DISCOVERY: Document extraction pulls claim details. Code calculates reimbursement. Routing logic assigns based on amount thresholds. Single extraction does everything. Routing happens instantly. THE WORKFLOW: Gmail trigger catches claim attachments → Get message downloads PDF → Document extraction pulls policy, claimant, incident, procedures with amounts → Code calculates reimbursement and determines routing tier → Sheets logs to claim tracker → Slack notifies correct adjuster with full details. 6 nodes. Claims routed automatically. THE ROUTING LOGIC: Amount thresholds determine assignment: - Under $1,000: Auto-approve queue - $1,000-$5,000: Claims Adjuster - Over $5,000: Senior Adjuster Pre-auth flags trigger automatically for claims over $500 without authorization numbers. THE REIMBURSEMENT CALCULATION: Code calculates: Total claimed - Deductible - Copay = Estimated reimbursement. Adjuster sees the math before opening the document. THE TRANSFORMATION: Before: 22 minutes per claim for initial review. Pre-auth sometimes missed. Senior adjusters reviewing small claims. After: Instant routing. Correct tier every time. Pre-auth flags automatic. THE NUMBERS: 847 claims processed last quarter $18K potential overpayments prevented 23 missing pre-auth flags caught 22 minutes → 3 seconds per claim Template in n8n and All workflows in Github