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Large Language ModelsAI Business & IndustryAmazon AI BlogPublished: Oct 1, 2026, 01:00 JST

Amazon Bedrock Knowledge Bases hits 90.5% claim retrieval recall

Amazon Bedrock Knowledge Bases hits 90.5% claim retrieval recall

3 Key Points

  1. What happened

    Amazon published a guide showing its Bedrock Knowledge Bases with AgenticRetrieveStream answers natural-language claim questions with citations, scoring 90.5% retrieval recall and 81.2% citation recall on 40 questions.

  2. Why it matters

    Insurers could let policyholders and adjusters query claim files in plain language with verifiable source citations, potentially reducing the need to transfer calls to specialists.

  3. What to watch

    The results are from a 30-document synthetic corpus using Retrieve and RetrieveAndGenerate, not AgenticRetrieveStream, so real-world performance hinges on validating against actual claim documents.

WHO IT HITSClaim adjusters, contact center agents, and insurance IT teams evaluating whether to deploy AI assistants that answer policyholder questions from claim documents with auditable citations.

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Context & Analysis

Amazon's post walks through building a conversational claims assistant using Amazon Bedrock Knowledge Bases, a managed retrieval-augmented generation (RAG) service that takes claim documents stored in Amazon S3 and makes them searchable in plain language. The setup handles PDFs, Word files, and text notes, and pairs each document with a metadata sidecar file so the assistant can filter by claim ID, type, status, amount, and date filed. This addresses a real operational mess: claim answers live in adjuster diaries, repair estimates, police reports, and payment ledgers rather than a single database field, and revised estimates or reversed payments can contradict earlier records.

The retrieval side relies on AgenticRetrieveStream, which lets the model plan an answer, split multi-part questions into sub-queries, run several retrieval rounds, and check whether the evidence is sufficient before generating a response. It streams trace events that expose the retrieval plan and attaches citations linking each answer segment to a source document, so contact center agents can verify a source before repeating it to a policyholder and supervisors can audit how an answer was reached.

The results Amazon reports come from a 30-document synthetic corpus and 40 test questions, with automated grading rather than human review. The post itself warns these are directional findings and that human review on a real corpus is needed before exposing an assistant to policyholders. The real test for insurers weighing this approach will be whether retrieval and citation quality hold up on their own claim files and whether the metadata filters correctly enforce access boundaries derived from authenticated sessions.

FAQ
What API does the claims assistant use to query documents?
Amazon Bedrock's AgenticRetrieveStream API, which plans an answer, breaks multi-part questions into sub-queries, and runs retrieval passes with cited responses.
How does the system prevent fabricated answers?
A contextual grounding guardrail blocks answers that are unsupported by retrieved records, and every answer includes citations mapping to source claim documents.
Can the assistant filter claims by policy number or amount?
Yes, metadata filters can restrict documents by attributes such as claim ID, claim type, status, amount, and date filed before semantic search runs.
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