Claims Processing Review with Claude Code: MCP Tool Boundary

A production playbook for claims processing review in cross-industry operations using Claude Code: mcp tool boundary, 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

Expose only the MCP tools needed for claims processing review, validate tool arguments, keep credentials in the owning service, and log each call outside the sandbox.

Tradeoffs and failure modes

Narrow tool boundaries reduce agent flexibility, but make the integration reviewable and supportable. 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.

Tool policy

tool: claims-processing_lookup
agent: Claude Code
input_scope: /skill/.argo/inputs
credential_owner: broker
log_arguments: true
network_policy: allowlisted

Run this on Argo