flowchart LR
subgraph cust["Customer"]
direction TB
c1(["Submits claim"])
end
subgraph intake["Intake — automated"]
direction TB
a1["Validate policy"]
a2{"Policy active<br/>and in cover?"}
a3["Auto-assess<br/><i>rules + model</i>"]
a4{"Confidence<br/>≥ threshold?"}
end
subgraph handler["Claims Handler"]
direction TB
h1["Manual review"]
h2{"Approve?"}
end
subgraph fin["Finance"]
direction TB
p1["Schedule payment"]
end
c1 --> a1 --> a2
a2 -->|"no"| r1(["Reject — notify with reason"])
a2 -->|"yes"| a3 --> a4
a4 -->|"yes"| p1
a4 -->|"no"| h1 --> h2
h2 -->|"yes"| p1
h2 -->|"no"| r2(["Decline — notify with appeal route"])
p1 --> e1(["Paid"])
BPMN Process Diagram
A business process as tasks in swim lanes with explicit decision points and handoffs, where crossing a lane boundary is the interesting event.