Coverage Gap Map

Coverage Gap Map MCP Connector for Claude

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Match insurance expenses against policy terms to identify coverage gaps.

4 tools Official Updated Oct 1, 2026 Official Vinkius Partner

Coverage Gap Map connects AI agents to insurance policy data. It allows for precise matching of requested expenses against policy clauses, limits, and exclusions. Use analyze_expense_coverage to check individual items, identify_policy_limit_violations to monitor category caps, validate_incident_eligibility to check for exclusions, and generate_claim_action_summary to produce final adjuster reports.

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4 tools expose this connector's capabilities to your AI agent.

analyze_expense_coverage

Determine if individual expenses are covered by the policy

generate_claim_action_summary

Aggregate findings into a high-level summary for adjusters

identify_policy_limit_violations

Check if total requested amounts exceed policy limits

validate_incident_eligibility

Determine if the incident is excluded by the policy

See how to talk to your AI agent using Coverage Gap Map.

Analyze these expenses against the policy: items: [{'itemId': '1', 'description': 'Water damage repair', 'amount': 500}], policy: [{'clauseId': 'C1', 'clauseText': 'Covers water damage', 'type': 'coverage', 'limitAmount': 1000}], incident: 'Pipe burst in kitchen'.

The expense for water damage repair is covered under clause C1.

Check if the total for 'Mitigation Cost' exceeds the limit of 500. Expenses: [{'itemId': '2', 'category': 'Mitigation Cost', 'amount': 600}].

The total requested amount of 600 for Mitigation Cost exceeds the limit of 500 by 100.

Is a claim for 'Flood damage' eligible if the policy excludes 'Natural disasters'?

No, the claim is not eligible because flood damage falls under the natural disasters exclusion.

The tool uses `analyze_expense_coverage` to compare expense descriptions against policy clauses and incident details to find mismatches or exclusions.

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