Insurance Policy API

Insurance API Documentation

Overview

The Insurance API provides functionalities to manage insurance policies, including creating new claims, verifying customer details, processing claims, detecting fraud, and communicating with customers. This API integrates services such as Google Sheets, Slack, Salesforce, and a Fraud Detection System to streamline the insurance process.

Endpoints

1. POST /claims

• Description: Submits a new insurance claim and initiates the claim processing workflow.
• Request Body:
  • policyId: Unique identifier of the policy.
  • incidentDescription: Description of the incident.
  • claimAmount: Amount claimed.
  • claimDate: Date of the claim.
  • documents: List of document URLs.
• Responses:
  • 201 Created: Claim created successfully.
  • 400 Bad Request: Invalid input.

2. GET /claims/{claimId}

• Description: Fetches the details of a claim by its ID.
• Path Parameters:
  • claimId: The unique identifier of the claim.
• Responses:
  • 200 OK: Claim details retrieved successfully.
  • 404 Not Found: Claim not found.

3. PUT /claims/{claimId}

• Description: Updates the details of a specific claim.
• Path Parameters:
  • claimId: The unique identifier of the claim.
• Request Body:
  • incidentDescription: Updated description of the incident.
  • claimAmount: Updated amount claimed.
  • status: Updated status of the claim.
• Responses:
  • 200 OK: Claim updated successfully.
  • 400 Bad Request: Invalid input.
  • 404 Not Found: Claim not found.

4. GET /policies

• Description: Fetches a list of all insurance policies.
• Responses:
  • 200 OK: Policies retrieved successfully.

Data Types

Insurance Policy

• policyId: Unique identifier for the insurance policy.
• policyholder: Details of the policyholder.
  • firstName: First name of the policyholder.
  • lastName: Last name of the policyholder.
  • dateOfBirth: Date of birth of the policyholder.
  • contactDetails: Contact details of the policyholder.
    • email: Email address of the policyholder.
    • phone: Phone number of the policyholder.
• policyDetails: Details of the insurance policy.
  • policyType: Type of the insurance policy.
  • coverageAmount: Amount of coverage provided by the policy.
  • premiumAmount: Premium amount for the policy.
  • startDate: Start date of the policy coverage.
  • endDate: End date of the policy coverage.
• beneficiaries: List of beneficiaries for the policy.
  • name: Name of the beneficiary.
  • relationship: Relationship of the beneficiary to the policyholder.
  • percentage: Percentage of the benefit allocated to the beneficiary.
• status: Current status of the policy.
• createdDate: Date when the policy was created.
• lastUpdatedDate: Date when the policy was last updated.

How to Use

• Creating a Claim: Use the POST /claims endpoint to submit a new claim. Include all necessary details in the request body.
• Retrieving Claim Details: Use the GET /claims/{claimId} endpoint to get the details of a specific claim by providing the claim ID.
• Updating a Claim: Use the PUT /claims/{claimId} endpoint to update the details of an existing claim. Include the updated details in the request body.
• Listing Policies: Use the GET /policies endpoint to retrieve a list of all insurance policies.

Integration Points

• Customer Verification: Uses the Customer System API to fetch and verify customer details.
• Claim Processing: Integrates with legacy systems through RPA bots to enter claim details.
• Fraud Detection: Sends claim details to a Fraud Detection System for analysis and risk assessment.
• Communication: Updates Google Sheets with claim details and sends notifications to Slack for real-time updates.