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Agent Reimbursement Pre-Audit & Acceleration System

AI Pre-Audit + Human Adjudication · Clear 300 Pending Reimbursements in 5 Days

Built for finance departments in precision-manufacturing and other large enterprises, the system uses the paradigm of "agent pre-audit + risk tiering + human adjudication": AI takes over the four repeated steps — invoice verification, duplicate detection, standard matching, and image check — while the finance manager keeps the final adjudication right. We ran a 6-day PoC for a 480-person manufacturing client and cleared all 300 pending reimbursements within 5 business days: manual review workload dropped 76%, average handling time fell from 15 to 4 minutes, and every abnormal judgment came with evidence — 100% explainable.

Product Demo

Core Modules

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Before: 300 Pending Reimbursements on the Original ERP

PRODUCT MODULE
Before: 300 Pending Reimbursements on the Original ERP
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Expense Review Queue Workbench

PRODUCT MODULE
Expense Review Queue Workbench
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Multi-Dimensional Risk Filtering

PRODUCT MODULE
Multi-Dimensional Risk Filtering
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Policy & Evidence Library

PRODUCT MODULE
Policy & Evidence Library

Core Philosophy

AI does not replace finance accountability — it takes over the standardized, repeatable labor. Audit shifts from "investigate four steps from scratch" to "adjudicate on Agent-supplied evidence."

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Scope Discipline First

SCOPE_DISCIPLINE

Stay on the single line of "reimbursement audit" — no ERP rebuild, no post-audit flow, no non-reimbursement work, no auto-payment. Not creeping the scope is the prerequisite for 6-day delivery.

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Tiering Is the Leverage

TIERING_AS_LEVERAGE

Low-risk auto-pass (manager spot-check), medium/high routed to the human review workbench. Reviewers shift from "look up four steps" to "adjudicate on Agent-supplied evidence".

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100% Explainable

FULLY_EXPLAINABLE

Every abnormal judgment must attach evidence fragments and rule basis. Managers can send the rejection reason to employees directly without further explanation — explainability is the prerequisite for finance to trust the system.

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On-Premises Deployment

ON_PREM

The whole stack runs on the client's virtualized in-house resources: data never leaves the network, rules are configurable, ERP is read-only via API — no intrusion into the core ledger, simple ops.

Industry Status & Pain Points

FDE cross-validated the pain points through system data, policy materials, and 7 stakeholder interviews during the PoC. The pain points were not directly given by the client.

Fully Manual Per-Claim Review

Reviewers hand-run "verify → check amount → check standard → check duplicate", ~15 min per claim. 300 claims ≈ 9–10 person-days, chronic backlog.

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Invoice Authenticity by "Feel"

No verification API, reviewers judge by experience. Sampling found 3 cases of abnormal invoice codes — risk of fake/cloned invoices slipping through.

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Duplicates by "Memory"

Whether the same invoice/amount has been reimbursed depends on memory and Excel cross-check. Cross-validation found 11 suspected duplicates.

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Inconsistent Expense Standards

Travel/entertainment standards conflict in interviews: B says "lodging ≤400/night", D says "tier-1 ≤500, others ≤350". Policy files are missing; same case, different decisions.

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Missing/Blurry Receipt Images

Of 4,222 images, 217 lack claim linkage or are unclear. Manual flipping is easy to miss, with no system prompt.

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No Priority, No Tiering

300 claims mix high-risk (large amount, over-standard) and low-risk (small amount, complete docs) in one queue — resources misallocated.

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Conclusions Not Traceable

Rejection reasons are mostly verbal/abbreviated, lacking structured evidence. Employees dispute, managers cannot audit.

Core Capabilities · 10 Functions

Designed around the full chain "ingest → pre-audit → tier → adjudicate → feedback". Every capability has clear priority and boundaries.

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Multi-Source Data Ingest

Pull claims, invoice ledger, and receipt images via open-platform API; build claim–invoice–image linkage (F1).

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Receipt Image OCR

Recognize seller, amount, tax ID, invoice number, and date from images; output structured fields (F2).

Invoice Verification / Consistency

Cross-check invoice number, code, and amount against ledger and OCR; if tax-authority API available do real-time verify, otherwise rule-approximate with confidence label (F3).

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Duplicate Reimbursement Detection

Flag second occurrence of same invoice number / same amount + same seller. Cross-checked 11 suspected duplicates in the ledger (F4).

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Expense-Standard Rule Engine

Validate lodging, meals, transport upper limits by type. Rules visual + configurable, finance team self-service (F5).

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Budget / Department Attribution Check

Verify claim department matches budget attribution and does not exceed department budget (F6).

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Risk Tiering

Output low/medium/high risk; low risk auto-passes, medium/high goes to human review (F7).

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Human Review Workbench

List claims to review with Agent-flagged items, evidence fragments, and suggested conclusions; single-screen review (F8).

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Structured Rejection & Audit Trail

Rejections must include structured reasons; all judgments leave a trace and are exportable (F9).

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Acceptance Metrics Dashboard

Real-time display of throughput, auto-pass rate, abnormal recall, manual effort, and more (F10).

TO-BE Flow: From Ingest to Adjudication

Employee submits → system ingest layer (API + OCR) → agent pre-audit engine → risk tiering → low-risk auto-post / medium-high human adjudication → conclusion feedback + metrics dashboard.

Engineering Flow
1
Employee Submission
Employees submit claims and receipt images in the original ERP. Submit-side unchanged, zero migration cost.
2
System Ingest Layer
Open-platform API pulls claims / invoice ledger / images. OCR structures seller / amount / tax ID / invoice number / date. Build claim–invoice–image linkage.
3
Agent Pre-Audit Engine
Four-step parallel judgment: invoice verify + duplicate detect + standard check + image completeness. Each step attaches rule basis and evidence fragments.
4
Risk Tiering
Synthesize the four steps into low/medium/high risk labels. Low-risk auto-passes; medium/high routed to human.
5
Low-Risk Auto-Posting
Low-risk claims auto-post back to ERP. Manager spot-checks per sampling ratio (Q7) to ensure no leaks.
6
Human Review Workbench
Medium/high claims enter the workbench. Reviewers see Agent-flagged items, evidence fragments, and suggested conclusions. Per-claim operation ≤ 3 minutes.
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Adjudication & Feedback
Finance manager decides pass/reject with structured reasons. All judgments leave a trace ≥ 24 months for audit. Conclusions feed the metrics dashboard.

Key Results · 7 Core Metrics

Based on 6-day PoC measurements: baseline = pre-PoC fully-manual; target = post-PoC AI pre-audit + human adjudication.

5 days
300-Claim Backlog Cleared
Baseline ≈ 9–10 person-days (300 × 15 min)
4 min
Avg. Review Time
Baseline ≈ 15 min (down 73%)
58%
Low-Risk Auto-Pass Rate
Baseline 0%; target ≥ 55% achieved
96%
Abnormal Recall
Target ≥ 95%; validated on 50-claim gold set
91%
Abnormal Precision
Target ≥ 90%; validated on 50-claim gold set
76%
Manual Review Workload Down
Baseline 300 full-volume; target ≥ 75% achieved
100%
Explainability Rate
Every abnormal has evidence + rule basis, auditable

Key Breakthroughs

The difficulty is not single-point rules but connecting discover–tier–adjudicate–feedback into an auditable, quantifiable, reusable pipeline.

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Scope Discipline for Delivery

Stuck to the single line of "reimbursement audit" for 6 days. No ERP rebuild, no post-audit flow, no non-reimbursement work, no auto-payment. Not creeping the scope is what made 6-day delivery possible.

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Tiering as Leverage

Not "AI replaces human review" but "AI frees humans from repeatable labor": low-risk auto-passes (manager spot-check), medium/high enters the workbench, reviewers shift from "look up four steps" to "adjudicate on Agent-supplied evidence".

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100% Explainable

Every abnormal judgment must attach evidence and rule basis. Managers can send the rejection reason to employees directly without further explanation — explainability is the prerequisite for finance to trust the system.

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On-Premises Runnable

The whole stack runs on the client's in-house virtualized resources. Data never leaves the network, ERP is read-only via API, rules are visual + configurable. 300-claim batch pre-audit ≤ 4 hours.

Business Value

Convert technical capability into quantifiable, reusable business value.

Improvements Delivered
Clear the 300-claim backlog in 5 business days (baseline ≈ 9–10 person-days) — finance no longer dragged down by backlog.
Manual review workload down 75%+. Reviewers shift from "look up four steps" to "adjudicate on Agent-supplied evidence".
Avg. handling time 15 → 4 min (down 73%). Absorb business growth without adding headcount.
Abnormal recall 95%+, abnormal precision 90%+. Fast but not leaky, fast but not wrong.
100% explainability. Rejection reasons attach evidence and rule basis. Employee disputes resolved at the root.
On-prem deployment, data never leaves the network, read-only API to ERP — no intrusion into the core ledger, simple IT ops.
Applicable Scenarios
Finance department clearing a large backlog of pending reimbursements (month-end / quarter-end / year-end concentrated submission).
Group / multi-subsidiary unified audit caliber — eliminate "same case, different decision".
Travel / entertainment / procurement expense standard dynamic update and caliber conflict resolution.
Receipt image compliance audit and quantified policy-execution review.
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Content Under Active Update

Product content has been published based on internal materials. The following areas are planned for further development:

Finer-grained precision/recall analysis on 100-claim validation set (including v1.1 field-mapping optimization → predicted accuracy ≥ 90%)
Integration with the National Taxation Bureau / third-party real-time verification API (v1.2 out of scope but high-frequency client ask)
Rule-config permission shifted to finance self-service (de-IT)
Broader expense-type coverage and multi-tier policy standards (role × city × EXECUTIVE)
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