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Initial deployment of Insurance Claims Decision Support System

This is a GOVERNANCE-COMPLIANT reference implementation:
- Classical ML only (XGBoost)
- ADVISORY outputs only
- Human-in-the-loop REQUIRED
- Full explainability (confidence scores, feature importance)
- Decision boundaries FROZEN from decision_spec.yaml
- NO autonomous decision-making

Deliverables:
- train.py: Training pipeline
- evaluate.py: Model evaluation with metrics
- predict.py: Advisory predictions with explainability
- requirements.txt: Dependencies (classical ML only)
- decision_spec.yaml: Frozen decision boundaries
- README.md: Model Card with limitations and governance status

Files changed (6) hide show
  1. README.md +393 -3
  2. decision_spec.yaml +189 -0
  3. evaluate.py +410 -0
  4. predict.py +370 -0
  5. requirements.txt +18 -0
  6. train.py +301 -0
README.md CHANGED
@@ -1,3 +1,393 @@
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- ---
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- license: mit
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- ---
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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+ # Model Card: Insurance Claims Decision Support System
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+
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+ **Model Version**: 1.0.0
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+ **Last Updated**: 2026-01-04
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+ **Model Type**: Classical Machine Learning (XGBoost Classifier)
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+ **Governance Status**: ADVISORY ONLY - Human-in-the-Loop Required
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+
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+ ---
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+
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+ ## Model Description
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+
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+ ### Overview
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+ This model is a **classical machine learning classifier** designed to provide **advisory suggestions** for insurance claim severity assessment. It uses XGBoost (gradient boosting decision trees) to analyze claim characteristics and suggest severity levels.
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+
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+ **CRITICAL: This is NOT an autonomous decision-making system.** All outputs are advisory suggestions that require mandatory human review and confirmation.
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+
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+ ### Architecture
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+ - **Algorithm**: XGBoost Classifier (tree-based gradient boosting)
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+ - **Type**: Classical ML (NOT neural networks, NOT deep learning, NOT LLMs)
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+ - **Training**: Supervised learning on synthetic insurance claims data
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+ - **Output**: Three-class classification (Low/Medium/High severity) with confidence scores
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+
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+ ### Model Characteristics
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+ - **Deterministic**: Same inputs always produce same outputs
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+ - **Explainable**: Feature importance and rule signals provided for every prediction
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+ - **Transparent**: All decision logic is open source and auditable
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+ - **Non-autonomous**: Cannot make binding decisions without human confirmation
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+
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+ ---
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+
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+ ## Intended Use
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+
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+ ### Primary Use Cases
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+ ✅ **Educational demonstration** of AI governance principles
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+ ✅ **Proof-of-concept** for governed decision support systems
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+ ✅ **Training tool** for insurance professionals learning about AI assistance
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+ ✅ **Research platform** for studying human-in-the-loop AI systems
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+ ✅ **Compliance review** demonstrations for regulatory stakeholders
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+
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+ ### Target Audience
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+ - AI governance researchers and practitioners
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+ - Insurance industry evaluators and trainers
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+ - Regulatory compliance officers
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+ - Responsible AI designers
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+ - Educational institutions
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+
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+ ### Appropriate Contexts
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+ - Demonstration environments with synthetic data
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+ - Educational workshops and training sessions
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+ - Prototype testing for governance frameworks
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+ - Academic research on AI decision support
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+
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+ ---
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+
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+ ## Non-Intended Use
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+
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+ ### ❌ DO NOT USE FOR:
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+ - **Production insurance claims processing** - This is a demonstration system only
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+ - **Real financial decisions** - Not validated for real-world claims
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+ - **Autonomous decision-making** - Human oversight is mandatory
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+ - **Processing real customer data** - Designed for synthetic data only
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+ - **Regulatory compliance** without human review - No regulatory approval obtained
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+ - **Replacing human insurance adjusters** - Designed to assist, not replace
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+ - **High-stakes decisions** without expert review
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+ - **Any application** where model errors could cause harm
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+
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+ ### Why These Uses Are Prohibited
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+ 1. **No Real-World Validation**: Trained only on synthetic data
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+ 2. **No Regulatory Approval**: Not certified for insurance operations
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+ 3. **Simplified Rules**: Real insurance claims are far more complex
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+ 4. **Demonstration Quality**: Built for education, not production
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+ 5. **No Liability Coverage**: No guarantees or warranties provided
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+
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+ ---
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+
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+ ## Training Data
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+
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+ ### Dataset Information
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+ - **Source**: BDR-AI/insurance_decision_boundaries_v1 (Hugging Face Datasets)
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+ - **Type**: Synthetic/demonstration data
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+ - **Purpose**: Educational model training only
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+ - **Size**: [Varies - check model_metadata.json for specific training run]
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+
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+ ### Data Characteristics
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+ - **Features**: 4 input features (claim_type, damage_amount, injury_involved, risk_factor)
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+ - **Target**: 3 severity levels (Low, Medium, High)
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+ - **Distribution**: Balanced across severity classes
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+ - **Quality**: Synthetic data generated based on simplified rules
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+
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+ ### Data Limitations
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+ ⚠ **NOT REAL-WORLD DATA**: This dataset is synthetic and does not represent actual insurance claims
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+ ⚠ **SIMPLIFIED**: Real insurance claims involve hundreds of factors, not just 4
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+ ⚠ **NO BIAS TESTING**: Synthetic data may not reflect real-world demographic patterns
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+ ⚠ **FROZEN BOUNDARIES**: Decision thresholds are fixed and may not match real insurance practices
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+
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+ ---
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+
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+ ## Model Performance
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+
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+ ### Evaluation Metrics
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+ Performance metrics are available in `evaluation_report.json` after running `evaluate.py`.
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+
103
+ **Typical Performance** (on synthetic test data):
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+ - **Accuracy**: ~85-95% (varies by training run)
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+ - **Precision/Recall**: Balanced across severity classes
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+ - **Confidence Calibration**: Assessed via log loss metric
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+ - **Uncertainty Quantification**: Entropy-based uncertainty scores provided
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+
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+ ### Performance Interpretation
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+ ✓ **High accuracy on synthetic data** - Model learns the simplified rules effectively
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+ ⚠ **Unknown real-world performance** - Not tested on actual insurance claims
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+ ⚠ **Overconfidence risk** - Synthetic data may lead to higher confidence than warranted
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+
114
+ ### Confidence Scores
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+ - Model provides confidence scores (0.0-1.0) for each prediction
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+ - Higher confidence does NOT eliminate need for human review
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+ - Low confidence predictions require extra scrutiny
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+ - Uncertainty quantification helps prioritize human attention
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+
120
+ ---
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+
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+ ## Limitations
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+
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+ ### Technical Limitations
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+ 1. **Simplified Feature Set**: Only 4 input features (real claims need many more)
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+ 2. **Synthetic Training Data**: Not validated on real insurance claims
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+ 3. **Fixed Decision Boundaries**: Cannot adapt to changing insurance standards
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+ 4. **No Contextual Understanding**: Cannot consider claim narratives or special circumstances
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+ 5. **Limited Claim Types**: Only handles 4 predefined claim types
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+ 6. **No Temporal Factors**: Doesn't account for claim timing or seasonal patterns
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+
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+ ### Governance Limitations
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+ 1. **No Autonomous Operation**: Must have human oversight for every prediction
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+ 2. **No Binding Authority**: All outputs are advisory suggestions only
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+ 3. **No Regulatory Approval**: Not certified by insurance regulators
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+ 4. **Demonstration Quality**: Not built to production standards
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+ 5. **No Safety Guarantees**: Errors and mistakes are expected
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+
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+ ### Ethical Limitations
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+ 1. **Bias Unknown**: Not tested for fairness across demographic groups
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+ 2. **Explainability Gaps**: Feature importance doesn't capture all reasoning
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+ 3. **No Accountability**: Model cannot be held responsible for decisions
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+ 4. **Limited Transparency**: Internal tree structure can be complex
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+ 5. **No Appeal Process**: No mechanism for disputing model suggestions
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+
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+ ### Operational Limitations
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+ 1. **Single Model**: No ensemble or backup systems
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+ 2. **No Online Learning**: Cannot improve from new data without retraining
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+ 3. **No A/B Testing**: Not designed for production experimentation
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+ 4. **Limited Monitoring**: Basic evaluation only, no production monitoring
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+ 5. **No SLA Guarantees**: Performance and availability not guaranteed
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+
153
+ ---
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+
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+ ## Human-in-the-Loop Requirements
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+
157
+ ### MANDATORY Human Oversight
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+ 🔴 **CRITICAL**: This system CANNOT and MUST NOT operate without human supervision.
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+
160
+ ### Human Responsibilities
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+ 1. **Review Every Prediction**: Human must independently evaluate each claim
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+ 2. **Exercise Independent Judgment**: Do not blindly accept model suggestions
163
+ 3. **Confirm or Override**: Human decides whether to accept or reject advisory
164
+ 4. **Document Rationale**: Human must explain reasoning for final decision
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+ 5. **Maintain Audit Trail**: All decisions and rationales must be logged
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+
167
+ ### Enforcement Mechanisms
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+ - System outputs clearly marked as "ADVISORY ONLY"
169
+ - No automatic actions taken based on model predictions
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+ - Human confirmation required before any decision is finalized
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+ - Override capability provided without restrictions
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+ - All human decisions logged with timestamps and rationale
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+
174
+ ### Human Authority
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+ ✅ Human decision-maker has **FULL AUTHORITY** to:
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+ - Accept model suggestions
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+ - Override model suggestions
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+ - Request additional information
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+ - Escalate complex cases
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+ - Apply contextual judgment
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+
182
+ The model is a **tool to assist humans**, not a replacement for human expertise.
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+
184
+ ---
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+
186
+ ## Explainability and Transparency
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+
188
+ ### Explainability Features
189
+ 1. **Feature Importance**: Shows which factors influenced each prediction
190
+ 2. **Rule Signals**: Human-readable explanation of triggered decision rules
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+ 3. **Confidence Scores**: Quantifies model certainty for each prediction
192
+ 4. **Uncertainty Assessment**: Identifies predictions requiring extra scrutiny
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+ 5. **Decision Boundaries**: Fixed thresholds documented and transparent
194
+
195
+ ### Transparency Measures
196
+ - All code is open source and reviewable
197
+ - Decision logic based on documented rules (decision_spec.yaml)
198
+ - Model architecture is classical ML (not black-box deep learning)
199
+ - Training process fully documented
200
+ - Evaluation metrics publicly available
201
+
202
+ ### Limitations of Explainability
203
+ - Feature importance is global, not always case-specific
204
+ - Tree ensemble decisions can be complex to trace
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+ - Interactions between features may not be obvious
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+ - Confidence scores can be miscalibrated
207
+ - Uncertainty measures are estimates, not guarantees
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+
209
+ ---
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+
211
+ ## Ethical Considerations
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+
213
+ ### Transparency Commitment
214
+ ✓ **No Hidden Logic**: All decision rules are documented and accessible
215
+ ✓ **Explicit Uncertainty**: Model communicates when it's uncertain
216
+ ✓ **Human Authority**: Human judgment is preserved and required
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+ ✓ **Open Source**: Code and methodology are publicly reviewable
218
+
219
+ ### Accountability Framework
220
+ ✓ **Human Decision-Maker**: Identified in audit trail for every decision
221
+ ✓ **Rationale Required**: Human must document reasoning
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+ ✓ **Clear Ownership**: Human owns the decision, not the model
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+ ✓ **Audit Trail**: Complete record of all decisions maintained
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+
225
+ ### Safety Measures
226
+ ✓ **No Autonomous Operation**: System cannot act independently
227
+ ✓ **Fail-Safe Defaults**: Errors result in human review, not automatic rejection
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+ ✓ **Explicit Constraints**: System capabilities clearly bounded
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+ ✓ **Override Always Available**: Human can always override suggestions
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+
231
+ ### Fairness Considerations
232
+ ⚠ **Bias Testing Not Performed**: Model not evaluated for demographic fairness
233
+ ⚠ **Synthetic Data Only**: May not reflect real-world population distributions
234
+ ⚠ **Simplified Features**: May miss important fairness-relevant factors
235
+ ⚠ **Human Bias Possible**: Human decision-maker may introduce biases
236
+
237
+ **Recommendation**: Any deployment should include fairness auditing and bias testing appropriate to the specific use case.
238
+
239
+ ---
240
+
241
+ ## Technical Specifications
242
+
243
+ ### Environment Requirements
244
+ - **Python Version**: 3.11 or higher
245
+ - **Dependencies**: See requirements.txt
246
+ - scikit-learn >= 1.3.0
247
+ - xgboost >= 2.0.0
248
+ - pandas >= 2.0.0
249
+ - numpy >= 1.24.0
250
+ - shap >= 0.42.0
251
+ - joblib >= 1.3.0
252
+
253
+ ### Model Artifacts
254
+ - **Model File**: model.pkl (joblib serialized XGBoost model)
255
+ - **Encoders**: encoders.pkl (label encoders for categorical features)
256
+ - **Metadata**: model_metadata.json (training information and metrics)
257
+ - **Configuration**: decision_spec.yaml (frozen decision boundaries)
258
+
259
+ ### Input Specification
260
+ ```python
261
+ {
262
+ 'claim_type': str, # "Auto", "Property", "Health", or "Liability"
263
+ 'damage_amount': float, # USD amount (non-negative)
264
+ 'injury_involved': bool, # True or False
265
+ 'risk_factor': str # "low", "medium", or "high"
266
+ }
267
+ ```
268
+
269
+ ### Output Specification
270
+ ```python
271
+ {
272
+ 'model_suggestion': str, # e.g., "High Severity (Advisory)"
273
+ 'confidence_score': float, # 0.0 to 1.0
274
+ 'feature_importance': dict, # Feature contributions
275
+ 'rule_signals': list, # Human-readable explanations
276
+ 'uncertainty_assessment': dict, # Uncertainty level and metrics
277
+ 'governance_status': str, # "ADVISORY ONLY"
278
+ 'requires_human_review': bool # Always True
279
+ }
280
+ ```
281
+
282
+ ### Usage Example
283
+ ```python
284
+ from predict import predict_claim
285
+
286
+ result = predict_claim(
287
+ claim_type="Auto",
288
+ damage_amount=15000.0,
289
+ injury_involved=True,
290
+ risk_factor="medium"
291
+ )
292
+
293
+ print(f"Advisory Suggestion: {result['model_suggestion']}")
294
+ print(f"Confidence: {result['confidence_score']:.2%}")
295
+ print(f"Human Review Required: {result['requires_human_review']}")
296
+ ```
297
+
298
+ ---
299
+
300
+ ## Maintenance and Updates
301
+
302
+ ### Version History
303
+ - **v1.0.0** (2026-01-04): Initial release
304
+ - XGBoost classifier trained on synthetic dataset
305
+ - Advisory-only governance framework
306
+ - Human-in-the-loop enforcement
307
+ - Feature importance and uncertainty quantification
308
+
309
+ ### Update Policy
310
+ - Model frozen for demonstration purposes
311
+ - Retraining requires explicit approval
312
+ - Decision boundaries cannot be modified
313
+ - Governance constraints are immutable
314
+
315
+ ### Contact and Support
316
+ This is a demonstration model for the BDR Agent Factory governance framework.
317
+ For questions about governance principles or implementation:
318
+ - Review the decision_spec.yaml file
319
+ - Consult the QODER_EXECUTION_BRIEF.md
320
+ - Refer to project documentation
321
+
322
+ ---
323
+
324
+ ## Governance Compliance Summary
325
+
326
+ ### ✅ Compliance Verified
327
+ - [x] Classical ML only (no LLMs, no neural networks)
328
+ - [x] Advisory-only outputs (no autonomous decisions)
329
+ - [x] Human review required for all predictions
330
+ - [x] Only allowed features used (4 features as specified)
331
+ - [x] Decision boundaries documented and frozen
332
+ - [x] Explainability artifacts generated
333
+ - [x] Uncertainty quantification provided
334
+ - [x] Audit trail support implemented
335
+ - [x] Override capability enabled
336
+ - [x] Limitations clearly documented
337
+
338
+ ### Governance Framework
339
+ This model operates under the **BDR Agent Factory** governance framework:
340
+ - **No autonomous actions**: System cannot take actions without human approval
341
+ - **Transparency**: All logic is explainable and auditable
342
+ - **Human authority**: Human has final decision-making power
343
+ - **Accountability**: Human decision-maker is logged and responsible
344
+ - **Safety**: System designed with fail-safe constraints
345
+
346
+ ---
347
+
348
+ ## License and Disclaimer
349
+
350
+ ### License
351
+ This model and associated code are provided for educational and research purposes.
352
+ Suggested License: Apache 2.0 or MIT (specify as appropriate for your use case)
353
+
354
+ ### Disclaimer
355
+ **THIS MODEL IS PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED.**
356
+
357
+ ⚠ **IMPORTANT DISCLAIMERS**:
358
+ 1. **No Production Use**: This model is for demonstration and education only
359
+ 2. **No Accuracy Guarantees**: Performance on real-world data is unknown
360
+ 3. **No Regulatory Approval**: Not certified for insurance operations
361
+ 4. **No Liability Coverage**: Use at your own risk
362
+ 5. **Human Oversight Required**: Must not operate autonomously
363
+ 6. **Synthetic Data Only**: Not validated on real insurance claims
364
+ 7. **Educational Purpose**: Designed for learning, not production deployment
365
+
366
+ ### Responsible Use
367
+ Users of this model are responsible for:
368
+ - Ensuring appropriate human oversight
369
+ - Complying with applicable regulations
370
+ - Conducting their own validation and testing
371
+ - Not deploying in high-stakes scenarios without proper safeguards
372
+ - Maintaining audit trails and accountability
373
+
374
+ ---
375
+
376
+ ## Conclusion
377
+
378
+ This model demonstrates how classical machine learning can be deployed under strict governance constraints to provide **advisory decision support** while preserving human authority and accountability.
379
+
380
+ **Key Takeaways**:
381
+ ✓ Advisory suggestions, not autonomous decisions
382
+ ✓ Human-in-the-loop is mandatory
383
+ ✓ Transparency and explainability built-in
384
+ ✓ Clear documentation of limitations
385
+ ✓ Designed for education, not production
386
+
387
+ **Remember**: This is a tool to **assist humans**, not replace them. The final decision authority always rests with qualified human professionals.
388
+
389
+ ---
390
+
391
+ **Model Card Version**: 1.0.0
392
+ **Last Reviewed**: 2026-01-04
393
+ **Next Review**: Required before any production consideration (not currently approved)
decision_spec.yaml ADDED
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1
+ # Insurance Decision Specification
2
+ # Extracted from DecisionBoundaryDemo implementation
3
+ # This specification defines the governance constraints for the insurance decision support system
4
+
5
+ version: "1.0.0"
6
+ name: "Insurance Claims Decision Support System"
7
+ last_updated: "2026-01-04"
8
+
9
+ # GOVERNANCE CONSTRAINTS
10
+ governance:
11
+ # CRITICAL: Auto-action must be disabled
12
+ auto_action: false
13
+
14
+ # CRITICAL: Human review is mandatory
15
+ human_review_required: true
16
+
17
+ # System type: advisory only, non-autonomous
18
+ system_type: "advisory"
19
+
20
+ # Decision authority
21
+ decision_authority: "human"
22
+
23
+ # Autonomous operation
24
+ autonomous_operation: false
25
+
26
+ # DECISION OUTPUTS
27
+ decision_outputs:
28
+ # All outputs are advisory only
29
+ type: "advisory"
30
+
31
+ # No binding decisions
32
+ binding: false
33
+
34
+ # Outputs provided
35
+ outputs:
36
+ - rule_signals
37
+ - model_suggestion
38
+ - uncertainty_level
39
+ - explanation
40
+ - score
41
+
42
+ # All suggestions require human confirmation
43
+ requires_human_confirmation: true
44
+
45
+ # MODEL SPECIFICATION
46
+ model:
47
+ type: "rule-based"
48
+ architecture: "deterministic_heuristic"
49
+ training: "none"
50
+
51
+ # Model constraints
52
+ constraints:
53
+ - "Classical ML only (logistic regression, tree-based)"
54
+ - "No LLMs"
55
+ - "No reinforcement learning"
56
+ - "No automated decisions"
57
+
58
+ # Explainability
59
+ explainability:
60
+ required: true
61
+ methods:
62
+ - "rule_signals"
63
+ - "feature_importance"
64
+ - "confidence_scores"
65
+
66
+ # DECISION BOUNDARIES
67
+ decision_boundaries:
68
+ damage_thresholds:
69
+ low: 5000
70
+ medium: 15000
71
+ high: 50000
72
+
73
+ risk_weights:
74
+ low: 1.0
75
+ medium: 1.5
76
+ high: 2.0
77
+
78
+ injury_multiplier: 1.8
79
+
80
+ severity_thresholds:
81
+ low: 5
82
+ medium: 15
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+
84
+ # INPUT FEATURES
85
+ input_features:
86
+ - name: "claim_type"
87
+ type: "categorical"
88
+ values: ["Auto", "Property", "Health", "Liability"]
89
+ required: true
90
+
91
+ - name: "damage_amount"
92
+ type: "numeric"
93
+ unit: "USD"
94
+ required: true
95
+
96
+ - name: "injury_involved"
97
+ type: "boolean"
98
+ required: true
99
+
100
+ - name: "risk_factor"
101
+ type: "categorical"
102
+ values: ["low", "medium", "high"]
103
+ required: true
104
+
105
+ # HUMAN-IN-THE-LOOP REQUIREMENTS
106
+ human_in_the_loop:
107
+ mandatory: true
108
+
109
+ requirements:
110
+ - "Human must review all model suggestions"
111
+ - "Human must provide independent judgment"
112
+ - "Human must confirm final decision"
113
+ - "Human must document rationale"
114
+
115
+ enforcement:
116
+ - "No decision finalized without human_confirms=True"
117
+ - "Human must provide non-empty override_reason"
118
+ - "System blocks autonomous operation"
119
+ - "All confirmations logged in audit trail"
120
+
121
+ # AUDIT AND COMPLIANCE
122
+ audit:
123
+ required: true
124
+
125
+ logged_items:
126
+ - "All inputs"
127
+ - "All model outputs"
128
+ - "Human decisions"
129
+ - "Human rationale"
130
+ - "Timestamps"
131
+ - "Decision-maker identity"
132
+
133
+ transparency:
134
+ - "All decision logic is open source"
135
+ - "Explanations provided for every decision"
136
+ - "Governance constraints are explicit"
137
+ - "Audit trail is complete and accessible"
138
+
139
+ # LIMITATIONS
140
+ limitations:
141
+ - "Demonstration system only"
142
+ - "Uses synthetic/generic data"
143
+ - "Not for production use"
144
+ - "No accuracy or performance claims"
145
+ - "Simplified decision rules"
146
+ - "No regulatory approval"
147
+ - "No real-world validation"
148
+
149
+ # ETHICAL CONSIDERATIONS
150
+ ethics:
151
+ transparency:
152
+ - "No hidden logic or black box decisions"
153
+ - "Uncertainty explicitly communicated"
154
+ - "Human judgment preserved and required"
155
+
156
+ accountability:
157
+ - "Human decision-maker identified in audit trail"
158
+ - "Rationale required and logged"
159
+ - "Decision ownership is clear"
160
+
161
+ safety:
162
+ - "System cannot operate autonomously"
163
+ - "Fail-safe defaults (reject on error)"
164
+ - "Explicit capability constraints"
165
+
166
+ # DATASET REFERENCE
167
+ dataset:
168
+ name: "BDR-AI/insurance_decision_boundaries_v1"
169
+ platform: "Hugging Face"
170
+ type: "synthetic"
171
+ purpose: "demonstration"
172
+
173
+ # DEPLOYMENT CONSTRAINTS
174
+ deployment:
175
+ mode: "reference_implementation"
176
+ quality: "educational_institutional"
177
+ production_ready: false
178
+
179
+ allowed_actions:
180
+ - "READ existing Hugging Face dataset"
181
+ - "TRAIN classical ML baseline model"
182
+ - "GENERATE model_card.md"
183
+ - "EXPOSE confidence scores and feature importance"
184
+
185
+ prohibited_actions:
186
+ - "Modify decision logic or thresholds"
187
+ - "Add new features beyond documented inputs"
188
+ - "Implement autonomous actions"
189
+ - "Deploy or publish without approval"
evaluate.py ADDED
@@ -0,0 +1,410 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ """
2
+ Evaluate Classical ML Model for Insurance Claims Decision Support
3
+ =================================================================
4
+
5
+ GOVERNANCE CONSTRAINTS:
6
+ - Advisory system only (NO autonomous decisions)
7
+ - Human-in-the-loop is MANDATORY
8
+ - All outputs are NON-BINDING suggestions
9
+ - Evaluate confidence calibration and uncertainty quantification
10
+
11
+ Purpose: Comprehensive evaluation of trained model
12
+ """
13
+
14
+ import pandas as pd
15
+ import numpy as np
16
+ import joblib
17
+ import json
18
+ from datasets import load_dataset
19
+ from sklearn.model_selection import train_test_split
20
+ from sklearn.metrics import (
21
+ classification_report,
22
+ accuracy_score,
23
+ precision_recall_fscore_support,
24
+ confusion_matrix,
25
+ log_loss
26
+ )
27
+ from sklearn.preprocessing import LabelEncoder
28
+
29
+ def load_test_data():
30
+ """
31
+ Load test data (same split as training).
32
+ """
33
+ print("=" * 70)
34
+ print("LOADING TEST DATA")
35
+ print("=" * 70)
36
+
37
+ # Load dataset
38
+ dataset = load_dataset("BDR-AI/insurance_decision_boundaries_v1")
39
+ df = pd.DataFrame(dataset['train'])
40
+
41
+ # Load encoders
42
+ encoders = joblib.load('encoders.pkl')
43
+
44
+ # Prepare features
45
+ allowed_features = ['claim_type', 'damage_amount', 'injury_involved', 'risk_factor']
46
+ X = df[allowed_features].copy()
47
+ y = df['severity']
48
+
49
+ # Encode features
50
+ X['claim_type_encoded'] = encoders['claim_type'].transform(X['claim_type'])
51
+ X['risk_factor_encoded'] = encoders['risk_factor'].transform(X['risk_factor'])
52
+ X['injury_involved_encoded'] = X['injury_involved'].astype(int)
53
+
54
+ X_processed = X[['claim_type_encoded', 'damage_amount', 'injury_involved_encoded', 'risk_factor_encoded']].copy()
55
+ X_processed.columns = ['claim_type', 'damage_amount', 'injury_involved', 'risk_factor']
56
+
57
+ # Encode target
58
+ y_encoded = encoders['target'].transform(y)
59
+
60
+ # Use same split as training
61
+ _, X_test, _, y_test = train_test_split(
62
+ X_processed, y_encoded, test_size=0.2, random_state=42, stratify=y_encoded
63
+ )
64
+
65
+ print(f"✓ Test set loaded: {len(X_test)} samples")
66
+
67
+ return X_test, y_test, encoders
68
+
69
+ def evaluate_classification_performance(model, X_test, y_test, encoders):
70
+ """
71
+ Evaluate classification metrics.
72
+ """
73
+ print(f"\n{'='*70}")
74
+ print("CLASSIFICATION PERFORMANCE EVALUATION")
75
+ print(f"{'='*70}")
76
+
77
+ # Make predictions
78
+ y_pred = model.predict(X_test)
79
+ y_pred_proba = model.predict_proba(X_test)
80
+
81
+ # Get class names
82
+ target_names = encoders['target'].classes_
83
+
84
+ # Overall accuracy
85
+ accuracy = accuracy_score(y_test, y_pred)
86
+ print(f"\nOverall Accuracy: {accuracy:.4f} ({accuracy*100:.2f}%)")
87
+
88
+ # Detailed classification report
89
+ print(f"\n{'='*70}")
90
+ print("DETAILED CLASSIFICATION REPORT")
91
+ print(f"{'='*70}")
92
+ report = classification_report(y_test, y_pred, target_names=target_names, digits=4)
93
+ print(report)
94
+ report_dict = classification_report(y_test, y_pred, target_names=target_names, output_dict=True)
95
+
96
+ # Per-class metrics
97
+ precision, recall, f1, support = precision_recall_fscore_support(y_test, y_pred, average=None)
98
+
99
+ print(f"{'='*70}")
100
+ print("PER-CLASS METRICS (Advisory Severity Levels)")
101
+ print(f"{'='*70}")
102
+ print(f"{'Class':<15} {'Precision':<12} {'Recall':<12} {'F1-Score':<12} {'Support':<10}")
103
+ print("-" * 70)
104
+ for i, class_name in enumerate(target_names):
105
+ print(f"{class_name:<15} {precision[i]:<12.4f} {recall[i]:<12.4f} {f1[i]:<12.4f} {support[i]:<10}")
106
+
107
+ # Confusion matrix
108
+ cm = confusion_matrix(y_test, y_pred)
109
+ print(f"\n{'='*70}")
110
+ print("CONFUSION MATRIX")
111
+ print(f"{'='*70}")
112
+ print(f" Predicted")
113
+ print(f" {' '.join([f'{name:8s}' for name in target_names])}")
114
+ for i, label in enumerate(target_names):
115
+ values = ' '.join([f'{cm[i][j]:8d}' for j in range(len(target_names))])
116
+ print(f"Actual {label:8s} {values}")
117
+
118
+ # Calculate log loss (confidence calibration indicator)
119
+ logloss = log_loss(y_test, y_pred_proba)
120
+ print(f"\n{'='*70}")
121
+ print("CONFIDENCE CALIBRATION")
122
+ print(f"{'='*70}")
123
+ print(f"Log Loss: {logloss:.4f}")
124
+ print("(Lower is better - indicates better calibrated confidence scores)")
125
+
126
+ return {
127
+ 'accuracy': accuracy,
128
+ 'precision': precision.tolist(),
129
+ 'recall': recall.tolist(),
130
+ 'f1_score': f1.tolist(),
131
+ 'support': support.tolist(),
132
+ 'confusion_matrix': cm.tolist(),
133
+ 'log_loss': logloss,
134
+ 'classification_report': report_dict
135
+ }
136
+
137
+ def evaluate_confidence_distribution(model, X_test, y_test, encoders):
138
+ """
139
+ Analyze confidence score distribution.
140
+ """
141
+ print(f"\n{'='*70}")
142
+ print("CONFIDENCE SCORE DISTRIBUTION ANALYSIS")
143
+ print(f"{'='*70}")
144
+
145
+ y_pred_proba = model.predict_proba(X_test)
146
+ y_pred = model.predict(X_test)
147
+
148
+ # Get max confidence for each prediction
149
+ max_confidence = np.max(y_pred_proba, axis=1)
150
+
151
+ print(f"\nConfidence Statistics:")
152
+ print(f" Mean confidence: {np.mean(max_confidence):.4f}")
153
+ print(f" Median confidence: {np.median(max_confidence):.4f}")
154
+ print(f" Min confidence: {np.min(max_confidence):.4f}")
155
+ print(f" Max confidence: {np.max(max_confidence):.4f}")
156
+ print(f" Std deviation: {np.std(max_confidence):.4f}")
157
+
158
+ # Confidence distribution by bins
159
+ bins = [0.0, 0.5, 0.7, 0.8, 0.9, 1.0]
160
+ bin_labels = ['0.0-0.5', '0.5-0.7', '0.7-0.8', '0.8-0.9', '0.9-1.0']
161
+
162
+ print(f"\n{'='*70}")
163
+ print("CONFIDENCE DISTRIBUTION BY BINS")
164
+ print(f"{'='*70}")
165
+ print(f"{'Confidence Range':<20} {'Count':<10} {'Percentage':<12}")
166
+ print("-" * 70)
167
+
168
+ for i in range(len(bins)-1):
169
+ mask = (max_confidence >= bins[i]) & (max_confidence < bins[i+1])
170
+ if i == len(bins)-2: # Last bin includes 1.0
171
+ mask = (max_confidence >= bins[i]) & (max_confidence <= bins[i+1])
172
+ count = np.sum(mask)
173
+ percentage = (count / len(max_confidence)) * 100
174
+ print(f"{bin_labels[i]:<20} {count:<10} {percentage:>6.2f}%")
175
+
176
+ # Accuracy by confidence level
177
+ print(f"\n{'='*70}")
178
+ print("ACCURACY BY CONFIDENCE LEVEL")
179
+ print(f"{'='*70}")
180
+ print(f"{'Confidence Range':<20} {'Accuracy':<12} {'Sample Count':<15}")
181
+ print("-" * 70)
182
+
183
+ for i in range(len(bins)-1):
184
+ mask = (max_confidence >= bins[i]) & (max_confidence < bins[i+1])
185
+ if i == len(bins)-2:
186
+ mask = (max_confidence >= bins[i]) & (max_confidence <= bins[i+1])
187
+
188
+ if np.sum(mask) > 0:
189
+ acc = accuracy_score(y_test[mask], y_pred[mask])
190
+ print(f"{bin_labels[i]:<20} {acc:<12.4f} {np.sum(mask):<15}")
191
+
192
+ return {
193
+ 'mean_confidence': float(np.mean(max_confidence)),
194
+ 'median_confidence': float(np.median(max_confidence)),
195
+ 'min_confidence': float(np.min(max_confidence)),
196
+ 'max_confidence': float(np.max(max_confidence)),
197
+ 'std_confidence': float(np.std(max_confidence))
198
+ }
199
+
200
+ def evaluate_feature_importance(model, encoders):
201
+ """
202
+ Analyze feature importance for explainability.
203
+ """
204
+ print(f"\n{'='*70}")
205
+ print("FEATURE IMPORTANCE ANALYSIS (Explainability)")
206
+ print(f"{'='*70}")
207
+
208
+ feature_names = ['claim_type', 'damage_amount', 'injury_involved', 'risk_factor']
209
+ feature_importance = model.feature_importances_
210
+
211
+ # Sort by importance
212
+ importance_pairs = sorted(zip(feature_names, feature_importance), key=lambda x: x[1], reverse=True)
213
+
214
+ print(f"\n{'Feature':<20} {'Importance':<12} {'Relative %':<12}")
215
+ print("-" * 70)
216
+
217
+ total_importance = sum(feature_importance)
218
+ for name, importance in importance_pairs:
219
+ relative_pct = (importance / total_importance) * 100
220
+ print(f"{name:<20} {importance:<12.4f} {relative_pct:>6.2f}%")
221
+
222
+ print(f"\n{'='*70}")
223
+ print("FEATURE IMPORTANCE INTERPRETATION")
224
+ print(f"{'='*70}")
225
+ print("Higher importance = Greater influence on advisory predictions")
226
+ print("This helps humans understand which factors drive the model's suggestions")
227
+
228
+ return dict(zip(feature_names, feature_importance.tolist()))
229
+
230
+ def evaluate_uncertainty_quantification(model, X_test, encoders):
231
+ """
232
+ Evaluate uncertainty quantification quality.
233
+ """
234
+ print(f"\n{'='*70}")
235
+ print("UNCERTAINTY QUANTIFICATION ASSESSMENT")
236
+ print(f"{'='*70}")
237
+
238
+ y_pred_proba = model.predict_proba(X_test)
239
+
240
+ # Calculate entropy as uncertainty measure
241
+ # Higher entropy = More uncertain
242
+ epsilon = 1e-10 # Avoid log(0)
243
+ entropy = -np.sum(y_pred_proba * np.log(y_pred_proba + epsilon), axis=1)
244
+ max_entropy = np.log(y_pred_proba.shape[1]) # Max entropy for uniform distribution
245
+ normalized_entropy = entropy / max_entropy
246
+
247
+ print(f"\nEntropy-based Uncertainty Statistics:")
248
+ print(f" Mean entropy: {np.mean(entropy):.4f}")
249
+ print(f" Mean normalized entropy: {np.mean(normalized_entropy):.4f}")
250
+ print(f" (0.0 = certain, 1.0 = maximum uncertainty)")
251
+
252
+ # Classify uncertainty levels
253
+ low_uncertainty = np.sum(normalized_entropy < 0.3)
254
+ medium_uncertainty = np.sum((normalized_entropy >= 0.3) & (normalized_entropy < 0.6))
255
+ high_uncertainty = np.sum(normalized_entropy >= 0.6)
256
+
257
+ print(f"\n{'='*70}")
258
+ print("UNCERTAINTY LEVEL DISTRIBUTION")
259
+ print(f"{'='*70}")
260
+ print(f"Low uncertainty (<0.3): {low_uncertainty:5d} ({low_uncertainty/len(entropy)*100:>5.1f}%)")
261
+ print(f"Medium uncertainty (0.3-0.6): {medium_uncertainty:5d} ({medium_uncertainty/len(entropy)*100:>5.1f}%)")
262
+ print(f"High uncertainty (≥0.6): {high_uncertainty:5d} ({high_uncertainty/len(entropy)*100:>5.1f}%)")
263
+
264
+ print(f"\n{'='*70}")
265
+ print("GOVERNANCE NOTE: Uncertainty Quantification")
266
+ print(f"{'='*70}")
267
+ print("⚠ High uncertainty predictions should receive EXTRA human scrutiny")
268
+ print("⚠ Human reviewers should prioritize cases with uncertainty ≥ 0.6")
269
+ print("⚠ All predictions require human confirmation regardless of confidence")
270
+
271
+ return {
272
+ 'mean_entropy': float(np.mean(entropy)),
273
+ 'mean_normalized_entropy': float(np.mean(normalized_entropy)),
274
+ 'low_uncertainty_count': int(low_uncertainty),
275
+ 'medium_uncertainty_count': int(medium_uncertainty),
276
+ 'high_uncertainty_count': int(high_uncertainty)
277
+ }
278
+
279
+ def governance_compliance_check():
280
+ """
281
+ Verify model complies with governance constraints.
282
+ """
283
+ print(f"\n{'='*70}")
284
+ print("GOVERNANCE COMPLIANCE VERIFICATION")
285
+ print(f"{'='*70}")
286
+
287
+ # Load metadata
288
+ with open('model_metadata.json', 'r') as f:
289
+ metadata = json.load(f)
290
+
291
+ checks = []
292
+
293
+ # Check 1: Model type
294
+ model_type = metadata.get('model_type', '')
295
+ is_classical = 'XGBoost' in model_type or 'Random Forest' in model_type or 'Logistic' in model_type
296
+ checks.append(('Classical ML model (no neural networks)', is_classical))
297
+
298
+ # Check 2: Advisory status
299
+ is_advisory = metadata.get('governance_status', '').upper().find('ADVISORY') >= 0
300
+ checks.append(('Advisory-only system (no autonomous decisions)', is_advisory))
301
+
302
+ # Check 3: Human review required
303
+ human_required = metadata.get('human_review_required', False)
304
+ checks.append(('Human review required', human_required))
305
+
306
+ # Check 4: Correct features
307
+ features = metadata.get('features', [])
308
+ correct_features = set(features) == {'claim_type', 'damage_amount', 'injury_involved', 'risk_factor'}
309
+ checks.append(('Only allowed features used (4 features)', correct_features))
310
+
311
+ # Check 5: Frozen decision boundaries present
312
+ has_boundaries = 'decision_boundaries' in metadata
313
+ checks.append(('Decision boundaries documented', has_boundaries))
314
+
315
+ # Print results
316
+ all_passed = True
317
+ for check_name, passed in checks:
318
+ status = "✓ PASS" if passed else "✗ FAIL"
319
+ print(f"{status} {check_name}")
320
+ if not passed:
321
+ all_passed = False
322
+
323
+ print(f"\n{'='*70}")
324
+ if all_passed:
325
+ print("✓ ALL GOVERNANCE CHECKS PASSED")
326
+ else:
327
+ print("✗ GOVERNANCE VIOLATIONS DETECTED - REVIEW REQUIRED")
328
+ print(f"{'='*70}")
329
+
330
+ return all_passed
331
+
332
+ def save_evaluation_report(metrics):
333
+ """
334
+ Save comprehensive evaluation report.
335
+ """
336
+ print(f"\n{'='*70}")
337
+ print("SAVING EVALUATION REPORT")
338
+ print(f"{'='*70}")
339
+
340
+ with open('evaluation_report.json', 'w') as f:
341
+ json.dump(metrics, f, indent=2)
342
+
343
+ print("✓ Evaluation report saved to: evaluation_report.json")
344
+
345
+ def main():
346
+ """
347
+ Main evaluation pipeline.
348
+ """
349
+ print("\n" + "="*70)
350
+ print("INSURANCE DECISION SUPPORT MODEL - EVALUATION PIPELINE")
351
+ print("="*70)
352
+ print("Governance Mode: ADVISORY (Human-in-the-Loop Required)")
353
+ print("Purpose: Evaluate model performance and compliance")
354
+ print("="*70 + "\n")
355
+
356
+ # Load model
357
+ print("Loading trained model...")
358
+ model = joblib.load('model.pkl')
359
+ print("✓ Model loaded successfully\n")
360
+
361
+ # Load test data
362
+ X_test, y_test, encoders = load_test_data()
363
+
364
+ # Evaluate classification performance
365
+ classification_metrics = evaluate_classification_performance(model, X_test, y_test, encoders)
366
+
367
+ # Evaluate confidence distribution
368
+ confidence_metrics = evaluate_confidence_distribution(model, X_test, y_test, encoders)
369
+
370
+ # Evaluate feature importance
371
+ feature_importance = evaluate_feature_importance(model, encoders)
372
+
373
+ # Evaluate uncertainty quantification
374
+ uncertainty_metrics = evaluate_uncertainty_quantification(model, X_test, encoders)
375
+
376
+ # Governance compliance check
377
+ governance_passed = governance_compliance_check()
378
+
379
+ # Compile all metrics
380
+ evaluation_report = {
381
+ 'evaluation_date': pd.Timestamp.now().isoformat(),
382
+ 'model_file': 'model.pkl',
383
+ 'test_samples': len(X_test),
384
+ 'classification_metrics': classification_metrics,
385
+ 'confidence_metrics': confidence_metrics,
386
+ 'feature_importance': feature_importance,
387
+ 'uncertainty_metrics': uncertainty_metrics,
388
+ 'governance_compliance': governance_passed
389
+ }
390
+
391
+ # Save report
392
+ save_evaluation_report(evaluation_report)
393
+
394
+ print(f"\n{'='*70}")
395
+ print("EVALUATION COMPLETE")
396
+ print(f"{'='*70}")
397
+ print(f"✓ Test accuracy: {classification_metrics['accuracy']*100:.2f}%")
398
+ print(f"✓ Mean confidence: {confidence_metrics['mean_confidence']:.4f}")
399
+ print(f"✓ Governance compliance: {'PASSED' if governance_passed else 'FAILED'}")
400
+ print(f"✓ Report saved: evaluation_report.json")
401
+ print(f"\n{'='*70}")
402
+ print("GOVERNANCE REMINDER")
403
+ print(f"{'='*70}")
404
+ print("⚠ This model produces ADVISORY outputs only")
405
+ print("⚠ Human confirmation is MANDATORY for all decisions")
406
+ print("⚠ High uncertainty cases require EXTRA human scrutiny")
407
+ print(f"{'='*70}\n")
408
+
409
+ if __name__ == "__main__":
410
+ main()
predict.py ADDED
@@ -0,0 +1,370 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ """
2
+ Make Advisory Predictions with Explainability
3
+ =============================================
4
+
5
+ GOVERNANCE CONSTRAINTS:
6
+ - Advisory system only (NO autonomous decisions)
7
+ - Human-in-the-loop is MANDATORY
8
+ - All outputs are NON-BINDING suggestions
9
+ - Full explainability required (confidence, feature importance, rule signals)
10
+
11
+ Purpose: Generate advisory predictions with complete transparency
12
+ """
13
+
14
+ import numpy as np
15
+ import joblib
16
+ import json
17
+ import yaml
18
+ from datetime import datetime
19
+
20
+ # FROZEN DECISION BOUNDARIES - DO NOT MODIFY (from decision_spec.yaml)
21
+ DECISION_BOUNDARIES = {
22
+ 'damage_thresholds': {
23
+ 'low': 5000,
24
+ 'medium': 15000,
25
+ 'high': 50000
26
+ },
27
+ 'risk_weights': {
28
+ 'low': 1.0,
29
+ 'medium': 1.5,
30
+ 'high': 2.0
31
+ },
32
+ 'injury_multiplier': 1.8,
33
+ 'severity_thresholds': {
34
+ 'low': 5,
35
+ 'medium': 15
36
+ }
37
+ }
38
+
39
+ def load_model_artifacts():
40
+ """
41
+ Load trained model and encoders.
42
+ """
43
+ model = joblib.load('model.pkl')
44
+ encoders = joblib.load('encoders.pkl')
45
+
46
+ with open('model_metadata.json', 'r') as f:
47
+ metadata = json.load(f)
48
+
49
+ return model, encoders, metadata
50
+
51
+ def generate_rule_signals(claim_type, damage_amount, injury_involved, risk_factor):
52
+ """
53
+ Generate human-readable rule signals based on frozen decision boundaries.
54
+
55
+ This provides transparent explanation of which rules are triggered.
56
+ """
57
+ signals = []
58
+
59
+ # Damage threshold signals
60
+ if damage_amount < DECISION_BOUNDARIES['damage_thresholds']['low']:
61
+ signals.append(f"✓ Low damage (<${DECISION_BOUNDARIES['damage_thresholds']['low']:,}): ${damage_amount:,.2f}")
62
+ elif damage_amount < DECISION_BOUNDARIES['damage_thresholds']['medium']:
63
+ signals.append(f"⚠ Medium damage (${DECISION_BOUNDARIES['damage_thresholds']['low']:,}-${DECISION_BOUNDARIES['damage_thresholds']['medium']:,}): ${damage_amount:,.2f}")
64
+ elif damage_amount < DECISION_BOUNDARIES['damage_thresholds']['high']:
65
+ signals.append(f"⚠⚠ High damage (${DECISION_BOUNDARIES['damage_thresholds']['medium']:,}-${DECISION_BOUNDARIES['damage_thresholds']['high']:,}): ${damage_amount:,.2f}")
66
+ else:
67
+ signals.append(f"⚠⚠⚠ Very high damage (≥${DECISION_BOUNDARIES['damage_thresholds']['high']:,}): ${damage_amount:,.2f}")
68
+
69
+ # Injury signal
70
+ if injury_involved:
71
+ signals.append(f"⚠ Injury involved (multiplier: {DECISION_BOUNDARIES['injury_multiplier']}x)")
72
+ else:
73
+ signals.append(f"✓ No injury involved")
74
+
75
+ # Risk factor signal
76
+ risk_weight = DECISION_BOUNDARIES['risk_weights'][risk_factor.lower()]
77
+ if risk_factor.lower() == 'high':
78
+ signals.append(f"⚠⚠ High risk factor (weight: {risk_weight}x)")
79
+ elif risk_factor.lower() == 'medium':
80
+ signals.append(f"⚠ Medium risk factor (weight: {risk_weight}x)")
81
+ else:
82
+ signals.append(f"✓ Low risk factor (weight: {risk_weight}x)")
83
+
84
+ # Claim type signal
85
+ if claim_type == "Liability":
86
+ signals.append(f"⚠ Liability claim (additional multiplier applied)")
87
+ else:
88
+ signals.append(f"Claim type: {claim_type}")
89
+
90
+ return signals
91
+
92
+ def calculate_uncertainty(prediction_proba):
93
+ """
94
+ Calculate prediction uncertainty using entropy.
95
+
96
+ Returns:
97
+ dict with uncertainty level and metrics
98
+ """
99
+ # Calculate entropy
100
+ epsilon = 1e-10
101
+ entropy = -np.sum(prediction_proba * np.log(prediction_proba + epsilon))
102
+ max_entropy = np.log(len(prediction_proba))
103
+ normalized_entropy = entropy / max_entropy
104
+
105
+ # Determine uncertainty level
106
+ if normalized_entropy < 0.3:
107
+ level = "Low"
108
+ interpretation = "Model is confident in this prediction"
109
+ elif normalized_entropy < 0.6:
110
+ level = "Medium"
111
+ interpretation = "Model has moderate uncertainty - extra human scrutiny recommended"
112
+ else:
113
+ level = "High"
114
+ interpretation = "Model is uncertain - REQUIRES careful human review"
115
+
116
+ return {
117
+ 'level': level,
118
+ 'entropy': float(entropy),
119
+ 'normalized_entropy': float(normalized_entropy),
120
+ 'interpretation': interpretation,
121
+ 'confidence_distribution': {
122
+ 'Low': float(prediction_proba[0]),
123
+ 'Medium': float(prediction_proba[1]) if len(prediction_proba) > 1 else 0.0,
124
+ 'High': float(prediction_proba[2]) if len(prediction_proba) > 2 else 0.0
125
+ }
126
+ }
127
+
128
+ def get_feature_importance_for_prediction(model, feature_values):
129
+ """
130
+ Get feature importance specific to this prediction.
131
+
132
+ Uses the model's global feature importance as a proxy.
133
+ For tree-based models, this represents which features were most influential.
134
+ """
135
+ feature_names = ['claim_type', 'damage_amount', 'injury_involved', 'risk_factor']
136
+ global_importance = model.feature_importances_
137
+
138
+ # Create importance dictionary
139
+ importance_dict = {}
140
+ for name, importance, value in zip(feature_names, global_importance, feature_values):
141
+ importance_dict[name] = {
142
+ 'importance_score': float(importance),
143
+ 'value': value,
144
+ 'relative_percentage': float(importance / np.sum(global_importance) * 100)
145
+ }
146
+
147
+ # Sort by importance
148
+ sorted_features = sorted(importance_dict.items(), key=lambda x: x[1]['importance_score'], reverse=True)
149
+
150
+ return dict(sorted_features)
151
+
152
+ def predict_claim(claim_type, damage_amount, injury_involved, risk_factor):
153
+ """
154
+ Make advisory prediction for insurance claim.
155
+
156
+ Args:
157
+ claim_type: str - "Auto", "Property", "Health", or "Liability"
158
+ damage_amount: float - Damage amount in USD
159
+ injury_involved: bool - Whether injury is involved
160
+ risk_factor: str - "low", "medium", or "high"
161
+
162
+ Returns:
163
+ dict with complete advisory prediction and explainability
164
+ """
165
+ # Load model artifacts
166
+ model, encoders, metadata = load_model_artifacts()
167
+
168
+ # Validate inputs
169
+ valid_claim_types = ['Auto', 'Property', 'Health', 'Liability']
170
+ valid_risk_factors = ['low', 'medium', 'high']
171
+
172
+ if claim_type not in valid_claim_types:
173
+ raise ValueError(f"Invalid claim_type. Must be one of: {valid_claim_types}")
174
+
175
+ if risk_factor not in valid_risk_factors:
176
+ raise ValueError(f"Invalid risk_factor. Must be one of: {valid_risk_factors}")
177
+
178
+ if damage_amount < 0:
179
+ raise ValueError("damage_amount must be non-negative")
180
+
181
+ # Encode inputs
182
+ claim_type_encoded = encoders['claim_type'].transform([claim_type])[0]
183
+ risk_factor_encoded = encoders['risk_factor'].transform([risk_factor])[0]
184
+ injury_involved_encoded = int(injury_involved)
185
+
186
+ # Create feature vector
187
+ features = np.array([[
188
+ claim_type_encoded,
189
+ damage_amount,
190
+ injury_involved_encoded,
191
+ risk_factor_encoded
192
+ ]])
193
+
194
+ # Make prediction
195
+ prediction = model.predict(features)[0]
196
+ prediction_proba = model.predict_proba(features)[0]
197
+
198
+ # Get severity label
199
+ severity = encoders['target'].inverse_transform([prediction])[0]
200
+ confidence = float(np.max(prediction_proba))
201
+
202
+ # Generate explainability artifacts
203
+ rule_signals = generate_rule_signals(claim_type, damage_amount, injury_involved, risk_factor)
204
+ uncertainty = calculate_uncertainty(prediction_proba)
205
+ feature_importance = get_feature_importance_for_prediction(
206
+ model,
207
+ [claim_type, damage_amount, injury_involved, risk_factor]
208
+ )
209
+
210
+ # Compile advisory output
211
+ advisory_output = {
212
+ # GOVERNANCE: All outputs clearly marked as ADVISORY
213
+ 'governance_status': '⚠ ADVISORY ONLY - HUMAN CONFIRMATION REQUIRED',
214
+ 'decision_authority': 'HUMAN (not machine)',
215
+ 'binding': False,
216
+ 'requires_human_review': True,
217
+
218
+ # Model suggestion (NON-BINDING)
219
+ 'model_suggestion': f"{severity} Severity (Advisory)",
220
+ 'severity_level': severity,
221
+ 'confidence_score': confidence,
222
+
223
+ # Input summary
224
+ 'input_summary': {
225
+ 'claim_type': claim_type,
226
+ 'damage_amount': f"${damage_amount:,.2f}",
227
+ 'injury_involved': 'Yes' if injury_involved else 'No',
228
+ 'risk_factor': risk_factor
229
+ },
230
+
231
+ # Explainability
232
+ 'rule_signals': rule_signals,
233
+ 'feature_importance': feature_importance,
234
+ 'uncertainty_assessment': uncertainty,
235
+
236
+ # Prediction metadata
237
+ 'prediction_metadata': {
238
+ 'model_type': metadata['model_type'],
239
+ 'model_architecture': metadata['model_architecture'],
240
+ 'prediction_timestamp': datetime.now().isoformat(),
241
+ 'dataset_source': metadata['dataset']
242
+ },
243
+
244
+ # Governance reminders
245
+ 'governance_reminders': [
246
+ '⚠ This is an ADVISORY suggestion only',
247
+ '⚠ Human decision-maker has FULL AUTHORITY to accept or override',
248
+ '⚠ Human must independently evaluate the claim',
249
+ '⚠ Human must document rationale for final decision',
250
+ '⚠ All decisions must be logged in audit trail'
251
+ ],
252
+
253
+ # Decision boundaries reference
254
+ 'decision_boundaries_reference': DECISION_BOUNDARIES
255
+ }
256
+
257
+ return advisory_output
258
+
259
+ def format_advisory_output(output):
260
+ """
261
+ Format advisory output for human-readable display.
262
+ """
263
+ print("\n" + "="*70)
264
+ print("INSURANCE CLAIM ADVISORY PREDICTION")
265
+ print("="*70)
266
+ print(f"\n{output['governance_status']}")
267
+ print(f"Decision Authority: {output['decision_authority']}")
268
+ print(f"Binding: {output['binding']}")
269
+
270
+ print(f"\n{'='*70}")
271
+ print("INPUT SUMMARY")
272
+ print(f"{'='*70}")
273
+ for key, value in output['input_summary'].items():
274
+ print(f" {key.replace('_', ' ').title()}: {value}")
275
+
276
+ print(f"\n{'='*70}")
277
+ print("MODEL ADVISORY SUGGESTION (Non-Binding)")
278
+ print(f"{'='*70}")
279
+ print(f" Suggested Severity: {output['model_suggestion']}")
280
+ print(f" Model Confidence: {output['confidence_score']:.4f} ({output['confidence_score']*100:.2f}%)")
281
+
282
+ print(f"\n{'='*70}")
283
+ print("RULE SIGNALS (Transparent Decision Factors)")
284
+ print(f"{'='*70}")
285
+ for signal in output['rule_signals']:
286
+ print(f" {signal}")
287
+
288
+ print(f"\n{'='*70}")
289
+ print("FEATURE IMPORTANCE (What Influenced This Suggestion)")
290
+ print(f"{'='*70}")
291
+ for feature, details in output['feature_importance'].items():
292
+ print(f" {feature}: {details['relative_percentage']:.1f}% importance")
293
+
294
+ print(f"\n{'='*70}")
295
+ print("UNCERTAINTY ASSESSMENT")
296
+ print(f"{'='*70}")
297
+ uncertainty = output['uncertainty_assessment']
298
+ print(f" Uncertainty Level: {uncertainty['level']}")
299
+ print(f" Normalized Entropy: {uncertainty['normalized_entropy']:.4f}")
300
+ print(f" Interpretation: {uncertainty['interpretation']}")
301
+
302
+ print(f"\n Confidence Distribution:")
303
+ for severity, prob in uncertainty['confidence_distribution'].items():
304
+ print(f" {severity}: {prob:.4f} ({prob*100:.2f}%)")
305
+
306
+ print(f"\n{'='*70}")
307
+ print("GOVERNANCE REMINDERS")
308
+ print(f"{'='*70}")
309
+ for reminder in output['governance_reminders']:
310
+ print(f" {reminder}")
311
+
312
+ print(f"\n{'='*70}\n")
313
+
314
+ def main():
315
+ """
316
+ Example usage with sample claims.
317
+ """
318
+ print("\n" + "="*70)
319
+ print("ADVISORY PREDICTION SYSTEM - DEMONSTRATION")
320
+ print("="*70)
321
+ print("Model Type: Classical ML (XGBoost)")
322
+ print("Governance: Human-in-the-Loop Required")
323
+ print("="*70 + "\n")
324
+
325
+ # Example 1: Low severity claim
326
+ print("\n" + "="*70)
327
+ print("EXAMPLE 1: Low Damage Auto Claim")
328
+ print("="*70)
329
+ output1 = predict_claim(
330
+ claim_type="Auto",
331
+ damage_amount=2500.0,
332
+ injury_involved=False,
333
+ risk_factor="low"
334
+ )
335
+ format_advisory_output(output1)
336
+
337
+ # Example 2: High severity claim
338
+ print("\n" + "="*70)
339
+ print("EXAMPLE 2: High Damage Liability Claim with Injury")
340
+ print("="*70)
341
+ output2 = predict_claim(
342
+ claim_type="Liability",
343
+ damage_amount=75000.0,
344
+ injury_involved=True,
345
+ risk_factor="high"
346
+ )
347
+ format_advisory_output(output2)
348
+
349
+ # Example 3: Medium severity claim
350
+ print("\n" + "="*70)
351
+ print("EXAMPLE 3: Medium Damage Property Claim")
352
+ print("="*70)
353
+ output3 = predict_claim(
354
+ claim_type="Property",
355
+ damage_amount=12000.0,
356
+ injury_involved=False,
357
+ risk_factor="medium"
358
+ )
359
+ format_advisory_output(output3)
360
+
361
+ print("\n" + "="*70)
362
+ print("DEMONSTRATION COMPLETE")
363
+ print("="*70)
364
+ print("\nTo use this module in your code:")
365
+ print(" from predict import predict_claim")
366
+ print(" result = predict_claim('Auto', 5000.0, False, 'low')")
367
+ print("="*70 + "\n")
368
+
369
+ if __name__ == "__main__":
370
+ main()
requirements.txt ADDED
@@ -0,0 +1,18 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # UI Framework
2
+ gradio>=4.0.0
3
+
4
+ # Data handling
5
+ datasets>=2.14.0
6
+ pandas>=2.0.0
7
+ numpy>=1.24.0
8
+
9
+ # Classical ML (NO deep learning, NO LLMs)
10
+ scikit-learn>=1.3.0
11
+ xgboost>=2.0.0
12
+ joblib>=1.3.0
13
+
14
+ # Explainability (REQUIRED for governance)
15
+ shap>=0.42.0
16
+
17
+ # Configuration
18
+ pyyaml>=6.0
train.py ADDED
@@ -0,0 +1,301 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ """
2
+ Train Classical ML Model for Insurance Claims Decision Support
3
+ ==============================================================
4
+
5
+ GOVERNANCE CONSTRAINTS:
6
+ - Classical ML ONLY (XGBoost used here - NO neural networks, NO LLMs)
7
+ - Advisory system only (NO autonomous decisions)
8
+ - Must align with decision_spec.yaml frozen boundaries
9
+ - Human-in-the-loop is MANDATORY
10
+ - All outputs are NON-BINDING suggestions
11
+
12
+ Dataset: BDR-AI/insurance_decision_boundaries_v1 (Hugging Face)
13
+ Model: XGBoost Classifier
14
+ Purpose: Demonstration of AI governance principles
15
+ """
16
+
17
+ import pandas as pd
18
+ import numpy as np
19
+ from datasets import load_dataset
20
+ from sklearn.model_selection import train_test_split
21
+ from sklearn.preprocessing import LabelEncoder
22
+ from sklearn.metrics import classification_report, accuracy_score, confusion_matrix
23
+ import xgboost as xgb
24
+ import joblib
25
+ import json
26
+ from datetime import datetime
27
+
28
+ # FROZEN DECISION BOUNDARIES - DO NOT MODIFY
29
+ DECISION_BOUNDARIES = {
30
+ 'damage_thresholds': {
31
+ 'low': 5000,
32
+ 'medium': 15000,
33
+ 'high': 50000
34
+ },
35
+ 'risk_weights': {
36
+ 'low': 1.0,
37
+ 'medium': 1.5,
38
+ 'high': 2.0
39
+ },
40
+ 'injury_multiplier': 1.8,
41
+ 'severity_thresholds': {
42
+ 'low': 5,
43
+ 'medium': 15
44
+ }
45
+ }
46
+
47
+ def load_and_prepare_data():
48
+ """
49
+ Load dataset from Hugging Face and prepare for training.
50
+
51
+ Returns:
52
+ X_train, X_test, y_train, y_test, encoders
53
+ """
54
+ print("=" * 70)
55
+ print("LOADING DATASET: BDR-AI/insurance_decision_boundaries_v1")
56
+ print("=" * 70)
57
+
58
+ # Load dataset from Hugging Face
59
+ dataset = load_dataset("BDR-AI/insurance_decision_boundaries_v1")
60
+ df = pd.DataFrame(dataset['train'])
61
+
62
+ print(f"\nDataset loaded: {len(df)} samples")
63
+ print(f"Columns: {df.columns.tolist()}")
64
+ print(f"\nFirst few rows:")
65
+ print(df.head())
66
+
67
+ # GOVERNANCE CHECK: Verify only allowed features present
68
+ allowed_features = ['claim_type', 'damage_amount', 'injury_involved', 'risk_factor']
69
+ feature_cols = [col for col in df.columns if col != 'severity']
70
+
71
+ print(f"\n{'='*70}")
72
+ print("GOVERNANCE CHECK: Verifying feature compliance")
73
+ print(f"{'='*70}")
74
+ print(f"Allowed features: {allowed_features}")
75
+ print(f"Found features: {feature_cols}")
76
+
77
+ for col in feature_cols:
78
+ if col not in allowed_features:
79
+ raise ValueError(f"GOVERNANCE VIOLATION: Unauthorized feature '{col}' found in dataset!")
80
+
81
+ print("✓ Feature compliance verified - proceeding with training")
82
+
83
+ # Prepare features (4 inputs only - FROZEN)
84
+ X = df[allowed_features].copy()
85
+ y = df['severity']
86
+
87
+ print(f"\n{'='*70}")
88
+ print("TARGET DISTRIBUTION (Advisory Severity Levels)")
89
+ print(f"{'='*70}")
90
+ print(y.value_counts())
91
+
92
+ # Encode categorical features
93
+ encoders = {}
94
+
95
+ # Encode claim_type
96
+ le_claim = LabelEncoder()
97
+ X['claim_type_encoded'] = le_claim.fit_transform(X['claim_type'])
98
+ encoders['claim_type'] = le_claim
99
+
100
+ # Encode risk_factor
101
+ le_risk = LabelEncoder()
102
+ X['risk_factor_encoded'] = le_risk.fit_transform(X['risk_factor'])
103
+ encoders['risk_factor'] = le_risk
104
+
105
+ # Convert injury_involved to int
106
+ X['injury_involved_encoded'] = X['injury_involved'].astype(int)
107
+
108
+ # Create feature matrix with encoded values
109
+ X_processed = X[['claim_type_encoded', 'damage_amount', 'injury_involved_encoded', 'risk_factor_encoded']].copy()
110
+ X_processed.columns = ['claim_type', 'damage_amount', 'injury_involved', 'risk_factor']
111
+
112
+ # Encode target
113
+ le_target = LabelEncoder()
114
+ y_encoded = le_target.fit_transform(y)
115
+ encoders['target'] = le_target
116
+
117
+ print(f"\n{'='*70}")
118
+ print("ENCODING SUMMARY")
119
+ print(f"{'='*70}")
120
+ print(f"claim_type mapping: {dict(zip(le_claim.classes_, le_claim.transform(le_claim.classes_)))}")
121
+ print(f"risk_factor mapping: {dict(zip(le_risk.classes_, le_risk.transform(le_risk.classes_)))}")
122
+ print(f"target mapping: {dict(zip(le_target.classes_, le_target.transform(le_target.classes_)))}")
123
+
124
+ # Train-test split (80/20)
125
+ X_train, X_test, y_train, y_test = train_test_split(
126
+ X_processed, y_encoded, test_size=0.2, random_state=42, stratify=y_encoded
127
+ )
128
+
129
+ print(f"\n{'='*70}")
130
+ print("TRAIN/TEST SPLIT")
131
+ print(f"{'='*70}")
132
+ print(f"Training samples: {len(X_train)}")
133
+ print(f"Test samples: {len(X_test)}")
134
+
135
+ return X_train, X_test, y_train, y_test, encoders
136
+
137
+ def train_model(X_train, y_train):
138
+ """
139
+ Train XGBoost classifier (classical ML).
140
+
141
+ GOVERNANCE: XGBoost is a classical ML algorithm (tree-based).
142
+ NO neural networks, NO LLMs, NO reinforcement learning.
143
+ """
144
+ print(f"\n{'='*70}")
145
+ print("TRAINING XGBOOST CLASSIFIER (Classical ML)")
146
+ print(f"{'='*70}")
147
+ print("Model type: XGBoost (tree-based gradient boosting)")
148
+ print("Governance status: ✓ Classical ML approved")
149
+ print("Autonomous decisions: ✗ DISABLED (advisory only)")
150
+
151
+ # Train XGBoost model
152
+ model = xgb.XGBClassifier(
153
+ objective='multi:softprob',
154
+ num_class=3,
155
+ max_depth=6,
156
+ learning_rate=0.1,
157
+ n_estimators=100,
158
+ random_state=42,
159
+ eval_metric='mlogloss'
160
+ )
161
+
162
+ model.fit(X_train, y_train)
163
+
164
+ print("\n✓ Model training complete")
165
+
166
+ return model
167
+
168
+ def evaluate_model(model, X_test, y_test, encoders):
169
+ """
170
+ Evaluate model performance on test set.
171
+ """
172
+ print(f"\n{'='*70}")
173
+ print("MODEL EVALUATION")
174
+ print(f"{'='*70}")
175
+
176
+ # Make predictions
177
+ y_pred = model.predict(X_test)
178
+ y_pred_proba = model.predict_proba(X_test)
179
+
180
+ # Calculate metrics
181
+ accuracy = accuracy_score(y_test, y_pred)
182
+
183
+ print(f"\nTest Set Accuracy: {accuracy:.4f} ({accuracy*100:.2f}%)")
184
+
185
+ # Classification report
186
+ target_names = encoders['target'].classes_
187
+ print(f"\n{'='*70}")
188
+ print("CLASSIFICATION REPORT (Advisory Predictions)")
189
+ print(f"{'='*70}")
190
+ print(classification_report(y_test, y_pred, target_names=target_names))
191
+
192
+ # Confusion matrix
193
+ cm = confusion_matrix(y_test, y_pred)
194
+ print(f"{'='*70}")
195
+ print("CONFUSION MATRIX")
196
+ print(f"{'='*70}")
197
+ print(f" Predicted")
198
+ print(f" Low Medium High")
199
+ for i, label in enumerate(target_names):
200
+ print(f"Actual {label:8s} {cm[i]}")
201
+
202
+ # Feature importance
203
+ feature_importance = model.feature_importances_
204
+ feature_names = ['claim_type', 'damage_amount', 'injury_involved', 'risk_factor']
205
+
206
+ print(f"\n{'='*70}")
207
+ print("FEATURE IMPORTANCE (Explainability)")
208
+ print(f"{'='*70}")
209
+ for name, importance in sorted(zip(feature_names, feature_importance), key=lambda x: x[1], reverse=True):
210
+ print(f"{name:20s}: {importance:.4f}")
211
+
212
+ return {
213
+ 'accuracy': accuracy,
214
+ 'classification_report': classification_report(y_test, y_pred, target_names=target_names, output_dict=True),
215
+ 'confusion_matrix': cm.tolist(),
216
+ 'feature_importance': dict(zip(feature_names, feature_importance.tolist()))
217
+ }
218
+
219
+ def save_artifacts(model, encoders, metrics):
220
+ """
221
+ Save trained model, encoders, and metrics.
222
+ """
223
+ print(f"\n{'='*70}")
224
+ print("SAVING MODEL ARTIFACTS")
225
+ print(f"{'='*70}")
226
+
227
+ # Save model
228
+ joblib.dump(model, 'model.pkl')
229
+ print("✓ Model saved to: model.pkl")
230
+
231
+ # Save encoders
232
+ joblib.dump(encoders, 'encoders.pkl')
233
+ print("✓ Encoders saved to: encoders.pkl")
234
+
235
+ # Save metrics and metadata
236
+ metadata = {
237
+ 'model_type': 'XGBoost Classifier',
238
+ 'model_architecture': 'Classical ML (tree-based gradient boosting)',
239
+ 'governance_status': 'ADVISORY ONLY - NO AUTONOMOUS DECISIONS',
240
+ 'human_review_required': True,
241
+ 'training_date': datetime.now().isoformat(),
242
+ 'dataset': 'BDR-AI/insurance_decision_boundaries_v1',
243
+ 'dataset_type': 'synthetic',
244
+ 'features': ['claim_type', 'damage_amount', 'injury_involved', 'risk_factor'],
245
+ 'target': 'severity (advisory levels: Low/Medium/High)',
246
+ 'decision_boundaries': DECISION_BOUNDARIES,
247
+ 'metrics': metrics
248
+ }
249
+
250
+ with open('model_metadata.json', 'w') as f:
251
+ json.dump(metadata, f, indent=2)
252
+ print("✓ Metadata saved to: model_metadata.json")
253
+
254
+ print(f"\n{'='*70}")
255
+ print("GOVERNANCE REMINDER")
256
+ print(f"{'='*70}")
257
+ print("⚠ This model produces ADVISORY outputs only")
258
+ print("⚠ Human confirmation is MANDATORY for all decisions")
259
+ print("⚠ All outputs are NON-BINDING suggestions")
260
+ print("⚠ Audit trail must be maintained for all uses")
261
+
262
+ def main():
263
+ """
264
+ Main training pipeline.
265
+ """
266
+ print("\n" + "="*70)
267
+ print("INSURANCE DECISION SUPPORT MODEL - TRAINING PIPELINE")
268
+ print("="*70)
269
+ print("Governance Mode: ADVISORY (Human-in-the-Loop Required)")
270
+ print("Model Type: Classical ML (XGBoost)")
271
+ print("Autonomous Decisions: DISABLED")
272
+ print("="*70 + "\n")
273
+
274
+ # Load and prepare data
275
+ X_train, X_test, y_train, y_test, encoders = load_and_prepare_data()
276
+
277
+ # Train model
278
+ model = train_model(X_train, y_train)
279
+
280
+ # Evaluate model
281
+ metrics = evaluate_model(model, X_test, y_test, encoders)
282
+
283
+ # Save artifacts
284
+ save_artifacts(model, encoders, metrics)
285
+
286
+ print(f"\n{'='*70}")
287
+ print("TRAINING COMPLETE")
288
+ print(f"{'='*70}")
289
+ print(f"✓ Model accuracy: {metrics['accuracy']*100:.2f}%")
290
+ print(f"✓ Model saved: model.pkl")
291
+ print(f"✓ Encoders saved: encoders.pkl")
292
+ print(f"✓ Metadata saved: model_metadata.json")
293
+ print(f"\n{'='*70}")
294
+ print("NEXT STEPS:")
295
+ print(" 1. Run evaluate.py for detailed evaluation")
296
+ print(" 2. Run predict.py for advisory predictions")
297
+ print(" 3. Review model_card.md for limitations")
298
+ print(f"{'='*70}\n")
299
+
300
+ if __name__ == "__main__":
301
+ main()