{ "capabilities": [ { "capability_name": "Text Classification", "category": "A - NLP", "used_in_spaces": ["ClaimsGPT"], "models": ["claims-decision-agent"], "datasets": ["claims-synthetic-dataset"], "insurance_decisions": ["Classify claim type and urgency"], "governance_required": true }, { "capability_name": "Named Entity Recognition", "category": "A - NLP", "used_in_spaces": ["ClaimsGPT", "InsuranceKnowledgeAgent"], "models": ["claims-decision-agent", "insurance-knowledge-agent"], "datasets": ["claims-synthetic-dataset", "insurance-policy-docs-dataset"], "insurance_decisions": ["Extract claimant info, policy details"], "governance_required": true }, { "capability_name": "Text Summarization", "category": "A - NLP", "used_in_spaces": ["ClaimsGPT", "InsuranceKnowledgeAgent"], "models": ["claims-decision-agent", "insurance-knowledge-agent"], "datasets": ["claims-synthetic-dataset", "insurance-policy-docs-dataset"], "insurance_decisions": ["Summarize claim reports, policy clauses"], "governance_required": true }, { "capability_name": "Question Answering", "category": "A - NLP", "used_in_spaces": ["InsuranceKnowledgeAgent"], "models": ["insurance-knowledge-agent"], "datasets": ["insurance-policy-docs-dataset"], "insurance_decisions": ["Answer policy coverage questions"], "governance_required": true }, { "capability_name": "Sentiment Analysis", "category": "A - NLP", "used_in_spaces": ["ClaimsGPT"], "models": ["claims-decision-agent"], "datasets": ["claims-synthetic-dataset"], "insurance_decisions": ["Analyze customer feedback tone"], "governance_required": true }, { "capability_name": "OCR", "category": "B - Computer Vision", "used_in_spaces": ["ClaimsGPT"], "models": ["claims-decision-agent"], "datasets": ["claims-synthetic-dataset"], "insurance_decisions": ["Extract text from claim documents"], "governance_required": true }, { "capability_name": "Image Classification", "category": "B - Computer Vision", "used_in_spaces": ["ClaimsGPT"], "models": ["claims-decision-agent"], "datasets": ["claims-synthetic-dataset"], "insurance_decisions": ["Classify damage severity from photos"], "governance_required": true }, { "capability_name": "Object Detection", "category": "B - Computer Vision", "used_in_spaces": ["ClaimsGPT"], "models": ["claims-decision-agent"], "datasets": ["claims-synthetic-dataset"], "insurance_decisions": ["Detect vehicles/damage in claim photos"], "governance_required": true }, { "capability_name": "Document Understanding", "category": "D - Multimodal AI", "used_in_spaces": ["ClaimsGPT", "InsuranceKnowledgeAgent"], "models": ["claims-decision-agent", "insurance-knowledge-agent"], "datasets": ["claims-synthetic-dataset", "insurance-policy-docs-dataset"], "insurance_decisions": ["Parse claim forms and policy documents"], "governance_required": true }, { "capability_name": "Text Generation", "category": "E - Generative AI", "used_in_spaces": ["ClaimsGPT", "FraudSimulator-AI", "InsuranceKnowledgeAgent"], "models": ["claims-decision-agent", "fraud-risk-agent", "insurance-knowledge-agent"], "datasets": ["claims-synthetic-dataset", "fraud-simulator-dataset", "insurance-policy-docs-dataset"], "insurance_decisions": ["Generate decision rationales and explanations"], "governance_required": true }, { "capability_name": "Semantic Search", "category": "F - Retrieval & Search", "used_in_spaces": ["InsuranceKnowledgeAgent"], "models": ["insurance-knowledge-agent"], "datasets": ["insurance-policy-docs-dataset"], "insurance_decisions": ["Find relevant policy clauses"], "governance_required": true }, { "capability_name": "RAG", "category": "F - Retrieval & Search", "used_in_spaces": ["InsuranceKnowledgeAgent"], "models": ["insurance-knowledge-agent"], "datasets": ["insurance-policy-docs-dataset"], "insurance_decisions": ["Retrieve and generate policy answers"], "governance_required": true }, { "capability_name": "Document Retrieval", "category": "F - Retrieval & Search", "used_in_spaces": ["ClaimsGPT", "InsuranceKnowledgeAgent"], "models": ["claims-decision-agent", "insurance-knowledge-agent"], "datasets": ["claims-synthetic-dataset", "insurance-policy-docs-dataset"], "insurance_decisions": ["Find similar past claims or policy precedents"], "governance_required": true }, { "capability_name": "Anomaly Detection", "category": "G - Data, Analytics & Visualization", "used_in_spaces": ["FraudSimulator-AI"], "models": ["fraud-risk-agent"], "datasets": ["fraud-simulator-dataset"], "insurance_decisions": ["Detect unusual claim patterns"], "governance_required": true }, { "capability_name": "Risk Scoring", "category": "G - Data, Analytics & Visualization", "used_in_spaces": ["FraudSimulator-AI", "AutoRiskScoreEngine"], "models": ["fraud-risk-agent", "underwriting-risk-agent"], "datasets": ["fraud-simulator-dataset", "underwriting-risk-dataset"], "insurance_decisions": ["Score fraud risk and underwriting risk"], "governance_required": true }, { "capability_name": "Financial Analysis", "category": "G - Data, Analytics & Visualization", "used_in_spaces": ["FraudSimulator-AI", "AutoRiskScoreEngine"], "models": ["fraud-risk-agent", "underwriting-risk-agent"], "datasets": ["fraud-simulator-dataset", "underwriting-risk-dataset"], "insurance_decisions": ["Analyze claim amounts and policy financials"], "governance_required": true }, { "capability_name": "Tabular Classification", "category": "H - Tabular & Structured Data", "used_in_spaces": ["AutoRiskScoreEngine"], "models": ["underwriting-risk-agent"], "datasets": ["underwriting-risk-dataset"], "insurance_decisions": ["Classify policies by risk tier"], "governance_required": true }, { "capability_name": "Tabular Regression", "category": "H - Tabular & Structured Data", "used_in_spaces": ["AutoRiskScoreEngine"], "models": ["underwriting-risk-agent"], "datasets": ["underwriting-risk-dataset"], "insurance_decisions": ["Predict policy premium or claim amount"], "governance_required": true }, { "capability_name": "Feature Engineering", "category": "H - Tabular & Structured Data", "used_in_spaces": ["FraudSimulator-AI", "AutoRiskScoreEngine"], "models": ["fraud-risk-agent", "underwriting-risk-agent"], "datasets": ["fraud-simulator-dataset", "underwriting-risk-dataset"], "insurance_decisions": ["Create risk indicators from raw data"], "governance_required": true }, { "capability_name": "Model Evaluation", "category": "I - Models, Benchmarks & Evaluation", "used_in_spaces": ["ClaimsGPT", "FraudSimulator-AI", "AutoRiskScoreEngine", "InsuranceKnowledgeAgent"], "models": ["claims-decision-agent", "fraud-risk-agent", "underwriting-risk-agent", "insurance-knowledge-agent"], "datasets": ["claims-synthetic-dataset", "fraud-simulator-dataset", "underwriting-risk-dataset", "insurance-policy-docs-dataset"], "insurance_decisions": ["Validate model performance before deployment"], "governance_required": true }, { "capability_name": "Explainability (XAI)", "category": "I - Models, Benchmarks & Evaluation", "used_in_spaces": ["ClaimsGPT", "FraudSimulator-AI", "AutoRiskScoreEngine", "InsuranceKnowledgeAgent"], "models": ["claims-decision-agent", "fraud-risk-agent", "underwriting-risk-agent", "insurance-knowledge-agent"], "datasets": ["claims-synthetic-dataset", "fraud-simulator-dataset", "underwriting-risk-dataset", "insurance-policy-docs-dataset"], "insurance_decisions": ["Explain all decisions with evidence"], "governance_required": true }, { "capability_name": "Bias Detection", "category": "I - Models, Benchmarks & Evaluation", "used_in_spaces": ["ClaimsGPT", "FraudSimulator-AI", "AutoRiskScoreEngine", "InsuranceKnowledgeAgent"], "models": ["claims-decision-agent", "fraud-risk-agent", "underwriting-risk-agent", "insurance-knowledge-agent"], "datasets": ["claims-synthetic-dataset", "fraud-simulator-dataset", "underwriting-risk-dataset", "insurance-policy-docs-dataset"], "insurance_decisions": ["Ensure fairness in all decisions"], "governance_required": true }, { "capability_name": "Model Monitoring", "category": "I - Models, Benchmarks & Evaluation", "used_in_spaces": ["ClaimsGPT", "FraudSimulator-AI", "AutoRiskScoreEngine", "InsuranceKnowledgeAgent"], "models": ["claims-decision-agent", "fraud-risk-agent", "underwriting-risk-agent", "insurance-knowledge-agent"], "datasets": ["claims-synthetic-dataset", "fraud-simulator-dataset", "underwriting-risk-dataset", "insurance-policy-docs-dataset"], "insurance_decisions": ["Detect model drift over time"], "governance_required": true }, { "capability_name": "Decision Support Systems", "category": "J - Recommendation & Decision Systems", "used_in_spaces": ["ClaimsGPT", "FraudSimulator-AI", "AutoRiskScoreEngine"], "models": ["claims-decision-agent", "fraud-risk-agent", "underwriting-risk-agent"], "datasets": ["claims-synthetic-dataset", "fraud-simulator-dataset", "underwriting-risk-dataset"], "insurance_decisions": ["Recommend approve/reject/escalate/investigate"], "governance_required": true }, { "capability_name": "Scenario Simulation", "category": "J - Recommendation & Decision Systems", "used_in_spaces": ["FraudSimulator-AI"], "models": ["fraud-risk-agent"], "datasets": ["fraud-simulator-dataset"], "insurance_decisions": ["Simulate fraud scenarios for testing"], "governance_required": true }, { "capability_name": "Knowledge Graph Construction", "category": "L - Knowledge Graphs & Reasoning", "used_in_spaces": ["FraudSimulator-AI"], "models": ["fraud-risk-agent"], "datasets": ["fraud-simulator-dataset"], "insurance_decisions": ["Map claim relationships to detect fraud rings"], "governance_required": true }, { "capability_name": "Logical Reasoning", "category": "L - Knowledge Graphs & Reasoning", "used_in_spaces": ["InsuranceKnowledgeAgent"], "models": ["insurance-knowledge-agent"], "datasets": ["insurance-policy-docs-dataset"], "insurance_decisions": ["Apply policy rules to determine coverage"], "governance_required": true }, { "capability_name": "Workflow Orchestration", "category": "M - Automation & Workflow", "used_in_spaces": ["ClaimsGPT"], "models": ["claims-decision-agent"], "datasets": ["claims-synthetic-dataset"], "insurance_decisions": ["Orchestrate multi-step claim processing"], "governance_required": true }, { "capability_name": "Audit Logging", "category": "N - Security, Governance & Compliance", "used_in_spaces": ["ClaimsGPT", "FraudSimulator-AI", "AutoRiskScoreEngine", "InsuranceKnowledgeAgent"], "models": ["claims-decision-agent", "fraud-risk-agent", "underwriting-risk-agent", "insurance-knowledge-agent"], "datasets": ["claims-synthetic-dataset", "fraud-simulator-dataset", "underwriting-risk-dataset", "insurance-policy-docs-dataset"], "insurance_decisions": ["Log all decisions for regulatory audit"], "governance_required": true }, { "capability_name": "Data Privacy (PII Handling)", "category": "N - Security, Governance & Compliance", "used_in_spaces": ["ClaimsGPT", "FraudSimulator-AI", "AutoRiskScoreEngine", "InsuranceKnowledgeAgent"], "models": ["claims-decision-agent", "fraud-risk-agent", "underwriting-risk-agent", "insurance-knowledge-agent"], "datasets": ["claims-synthetic-dataset", "fraud-simulator-dataset", "underwriting-risk-dataset", "insurance-policy-docs-dataset"], "insurance_decisions": ["Protect sensitive claimant information"], "governance_required": true }, { "capability_name": "Drift Monitoring", "category": "N - Security, Governance & Compliance", "used_in_spaces": ["ClaimsGPT", "FraudSimulator-AI", "AutoRiskScoreEngine", "InsuranceKnowledgeAgent"], "models": ["claims-decision-agent", "fraud-risk-agent", "underwriting-risk-agent", "insurance-knowledge-agent"], "datasets": ["claims-synthetic-dataset", "fraud-simulator-dataset", "underwriting-risk-dataset", "insurance-policy-docs-dataset"], "insurance_decisions": ["Monitor for data/model drift"], "governance_required": true }, { "capability_name": "Bias Monitoring", "category": "N - Security, Governance & Compliance", "used_in_spaces": ["ClaimsGPT", "FraudSimulator-AI", "AutoRiskScoreEngine", "InsuranceKnowledgeAgent"], "models": ["claims-decision-agent", "fraud-risk-agent", "underwriting-risk-agent", "insurance-knowledge-agent"], "datasets": ["claims-synthetic-dataset", "fraud-simulator-dataset", "underwriting-risk-dataset", "insurance-policy-docs-dataset"], "insurance_decisions": ["Continuously check for unfair biases"], "governance_required": true }, { "capability_name": "Regulatory Compliance", "category": "N - Security, Governance & Compliance", "used_in_spaces": ["ClaimsGPT", "FraudSimulator-AI", "AutoRiskScoreEngine", "InsuranceKnowledgeAgent"], "models": ["claims-decision-agent", "fraud-risk-agent", "underwriting-risk-agent", "insurance-knowledge-agent"], "datasets": ["claims-synthetic-dataset", "fraud-simulator-dataset", "underwriting-risk-dataset", "insurance-policy-docs-dataset"], "insurance_decisions": ["Ensure IFRS, AML, GCC compliance"], "governance_required": true } ], "metadata": { "version": "1.0.0", "last_updated": "2026-01-01", "total_capabilities": 33, "total_systems": 4, "total_models": 4, "total_datasets": 4 } }