An example prompt for a claims system

Build a policy and claims system for a small brokerage. It needs: carrier, agency and branch tenancy, underwriter, adjuster and broker roles, rating tables and policy versions, authority-limit approvals, four-eyes on payments and regulator-grade audit trail. Rule that must always hold: immutable policy_versions with effective dates; claim coverage stores the version id it was evaluated against. Leave out for now: no automated claim denial or payment without a human decision and no actuarial pricing models in phase 1; rating is table driven.

Replace the first sentence with your own idea. The list of needs stays useful whatever the niche, because it comes from what a claims system has to do.

• Build a claims intake and reserve tracking tool for a specialty insurer. Start with carrier, agency and branch tenancy and underwriter, adjuster and broker roles, and add rating tables and policy versions once those work.
• Build a quote and bind portal for an agency selling pet cover. People should be able to large reserves, payments and exceptions need a more senior approver.

Forge AI picks a reference architecture from how you describe the app. These phrases point to a claims system: insurance claims, claims management, policy administration, insurance platform, insurtech, first notice of loss, fnol and claims adjuster.

• Coverage checks read the policy version in force on the loss date.
• Authority limits enforced inside the write transaction.
• Table-driven rating with reproducible inputs.

This is a reference design for the category, not a promise that every item is generated today. Built-ins such as background jobs, file uploads and search are rolling out; email sent from your app is coming soon, so anything here that needs it is something you add yourself for now.

• ACORD/partner message adapters: per-partner formats.
• Automated adjudication rules engine: needs claims history and regulatory review.
• Read replica for loss reporting: primary suffices at launch.
• Native mobile FNOL with camera guidance: responsive web form covers launch.

How detailed should a prompt for a claims system be?

Name the users, the main objects, one rule that must always hold and one thing to leave out. The plan fills in the rest, and you can change it before generation.

Which words tell Forge64 this is a claims system?

Phrases such as insurance claims, claims management, policy administration and insurance platform point to this category.

Can I change the app after the first build?

Yes. Describe the change in plain English and Forge AI edits the app; the quality gate checks the code again.

• How to build a claims system
• Claims system architecture
• Claims system security checklist
• Claims system scaling checklist
• Often combined: accounting system
• Often combined: approval workflow app
• All app types