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claims-advisory-scoring-model

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claims-advisory-scoring-model
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{
  "model_type": "XGBoost Classifier",
  "model_architecture": "Classical ML (tree-based gradient boosting)",
  "governance_status": "ADVISORY ONLY - NO AUTONOMOUS DECISIONS",
  "human_review_required": true,
  "training_date": "2026-01-04T16:44:20.621562",
  "dataset": "BDR-AI/insurance_decision_boundaries_v1",
  "dataset_type": "synthetic",
  "features": [
    "claim_type",
    "damage_amount",
    "injury_involved",
    "risk_factor"
  ],
  "target": "severity (advisory levels: Low/Medium/High)",
  "decision_boundaries": {
    "damage_thresholds": {
      "low": 5000,
      "medium": 15000,
      "high": 50000
    },
    "risk_weights": {
      "low": 1.0,
      "medium": 1.5,
      "high": 2.0
    },
    "injury_multiplier": 1.8,
    "severity_thresholds": {
      "low": 5,
      "medium": 15
    }
  },
  "metrics": {
    "accuracy": 0.99,
    "classification_report": {
      "high": {
        "precision": 0.9583333333333334,
        "recall": 1.0,
        "f1-score": 0.9787234042553191,
        "support": 46.0
      },
      "low": {
        "precision": 1.0,
        "recall": 1.0,
        "f1-score": 1.0,
        "support": 64.0
      },
      "medium": {
        "precision": 1.0,
        "recall": 0.9777777777777777,
        "f1-score": 0.9887640449438202,
        "support": 90.0
      },
      "accuracy": 0.99,
      "macro avg": {
        "precision": 0.9861111111111112,
        "recall": 0.9925925925925926,
        "f1-score": 0.9891624830663798,
        "support": 200.0
      },
      "weighted avg": {
        "precision": 0.9904166666666667,
        "recall": 0.99,
        "f1-score": 0.9900502032034424,
        "support": 200.0
      }
    },
    "confusion_matrix": [
      [
        46,
        0,
        0
      ],
      [
        0,
        64,
        0
      ],
      [
        2,
        0,
        88
      ]
    ],
    "feature_importance": {
      "claim_type": 0.0050552659668028355,
      "damage_amount": 0.5835694074630737,
      "injury_involved": 0.2242950052022934,
      "risk_factor": 0.18708032369613647
    }
  }
}