Claims Processing Review with Claude Code: Result JSON Schema
A production playbook for claims processing review in cross-industry operations using Claude Code: result json schema, run-scoped inputs, logs, typed results, and artifacts.
Audience: Insurance and operations teams
The problem
Insurance and operations teams need claims processing review to run repeatedly against claim packets, photos, forms, and policy language. In cross-industry operations, the pain is not one good answer; it is repeatability, auditability, exception handling, and evidence that survives handoff.
Implementation path
Define the outer result contract once, let the claims processing review skill own body.data, and reject terminal output that does not match the expected schema.
Tradeoffs and failure modes
Schema enforcement adds upfront design work, but removes prompt parsing from the product surface. For claims processing review, the practical test is whether a second run can be debugged, retried, and consumed by a product without reading the raw agent transcript.
Result shape
{
"schema_version": "argo.result.v1",
"summary": "claims processing review completed",
"body": { "type": "claims_processing", "data": {}, "exceptions": [] },
"artifacts": []
}
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