InsClaimBench: Benchmarking Insurance Claim Adjudication Across the Decision Chain

תקציר מקורי באנגליתarXiv:2610.09671v1 Announce Type: new Abstract: Recent advances in reasoning-oriented large language models (LLMs) have motivated increasing evaluation of their ability to perform professional decision tasks. Insurance claim adjudication is one such task, requiring models to connect case evidence, insurance rules, intermediate judgments, and payout calculations across a structured decision process. We introduce InsClaimBench, an end-to-end benchmark for evaluating insurance claim adjudication across the decision chain. Grounded in real claim materials and structured insurance rules, InsClaimBench contains 3,780 cases in 375 case families across auto, property, and health insurance, comprising 86,656 atomic rule judgments. It evaluates each claim from atomic rules through adjudication modul