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Benefit Calculator

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Parent Worker AI-Powered Claims Processing System

Agent ID

benefit-calculator-agent

Portal Nexgile-WorkforceBenefitsAI Hub

Sector Employee Benefits Administration & Absence Management

Status

Operational

Problem Statement

The challenge addressed

Calculating disability benefits requires applying complex actuarial formulas including progressive tax brackets, regulatory caps, elimination periods, coordination of benefits, and Loss Development Fa...

Core Logic

How the agent solves it

Implements ERISA-compliant actuarial engine with O(log n) complexity using binary search on 2024 federal tax brackets (10%-37%). Applies plan-specific benefit percentages (STD: 50-70% salary, max $2,5... Implements ERISA-compliant actuarial engine with O(log n) complexity using binary search on 2024 federal tax brackets (10%-37%). Applies plan-specific benefit percentages (STD: 50-70% salary, max $2,500/week; LTD: 50-66.67%, max $15,000/week), calculates Social Security and Medicare deductions, and applies Loss Development Factors (STD: 1.15, LTD: 1.35) for reserve estimation.

System Navigation

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Portal

Nexgile-WorkforceBenefitsAI Hub

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AI-Powered Claims Processing System

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Benefit Calculator

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