Anhe · Insurance claims · Case studies 02

FICTIONAL PRACTICE CASE

Customer and task

Design assisted claim routing for a fictional insurer. Catastrophe surges, missing documents, failed contact and large claims may need different handling. Check for people routed to the wrong queue as well as average speed.

Try it

Separate catastrophe and non-catastrophe claims. Inspect documents, reopened cases and contact status. Design assisted routing with decision owners, escalation for errors and a way to appeal.

How to use this data

Reported loss estimates are not settlement amounts. Use the records for routing practice, not to decide entitlement or settlement for a real claim, or estimate real catastrophe volumes.

The dataset contains 20 practice records. Use paper or a spreadsheet to count and compare task groups, then list possible causes and questions to test. No coding is required.

Download synthetic JSON data

Sample distribution

Current routing queue

20 synthetic records grouped by current_queue. Use this chart to compare practice records; it does not establish an industry distribution or real-world impact.Swipe to view the full diagram.

View chart data

current_queue	Records
Standard `standard`	5
Catastrophe `catastrophe`	4
Contact `contact`	5
Specialist `specialist`	2
Manual review `manual_review`	4

Field reference

Field	Meaning and limitation
`id`	Synthetic event identifier for cross-referencing.
`line`	Insurance line: auto or property.
`region`	Synthetic region label, such as east, south or north.
`catastrophe`	Whether the record belongs to a catastrophe scenario; not real catastrophe evidence.
`age_hours`	Current age of the case in hours.
`documents`	Document state: complete, or a label indicating missing, unclear or unreadable material.
`loss_cny`	Synthetic reported loss estimate in CNY, not a settlement decision.
`contact`	Contact state; reached means contact was made. Inspect other states separately.
`current_queue`	Current handling queue; the label does not establish correct routing.
`reopened`	Whether the case was reopened.

What to write down

Write a one-page analysis: which tasks to address first, supporting records, questions to test, owners and pause conditions. End with a specific next step. Mark missing evidence for follow-up rather than inventing facts.