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MNMohammed Nisaruddin
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RAGProductionEnterprise engagement · insurance & benefits domain

RAG-Based Benefit Matching Engine

A retrieval-augmented matching engine built with Python, LangChain, ChromaDB and Hugging Face embeddings. It takes benefits as they are worded in a policy and finds the best-matching entry in a standard benefit catalogue.

~85%
of catalogue alignment automated

Problem statement

Problem statement

Once benefits are extracted from a policy, they still have to be mapped to a standard catalogue. The wording in policies rarely matches the catalogue wording, so the mapping was done by hand.

Business challenge

Business challenge

Exact and keyword matching fail when two descriptions mean the same thing but share few words. Pure semantic matching, on the other hand, can confidently pair things that only sound alike. The engine needed both signals.

Solution architecture

  1. 01

    The benefit catalogue is embedded with a Hugging Face sentence-embedding model and indexed in ChromaDB.

  2. 02

    Each extracted benefit is embedded and used to retrieve the nearest catalogue candidates by vector similarity.

  3. 03

    Candidates are re-scored by combining semantic similarity with fuzzy string matching on names and key terms.

  4. 04

    High-confidence matches are aligned automatically; the rest are returned as ranked recommendations for a reviewer.

  1. 01Indexing (offline)

    • Benefit catalogue

      Standard names & descriptions

    • Embedding model

      Hugging Face sentence embeddings

    • ChromaDB

      Vector index + metadata

  2. 02Query (per benefit)

    • Extracted benefit

      Name + description from policy

    • Query embedding

      Same model as the index

    • Top-k retrieval

      Nearest catalogue candidates

  3. 03Scoring

    • Fuzzy matcher

      Token & string similarity

    • Score fusion

      Semantic + lexical signals

  4. 04Decision

    • Auto-align

      Above confidence threshold

    • Recommend

      Ranked options for review

Architecture diagram — RAG-Based Benefit Matching Engine

Workflow

  1. 1

    Index the catalogue

    Catalogue entries are normalized, embedded and stored in ChromaDB with their metadata.

  2. 2

    Embed the benefit

    Each extracted benefit is cleaned and embedded with the same model used for the index.

  3. 3

    Retrieve candidates

    A similarity search returns the top-k nearest catalogue entries.

  4. 4

    Re-score

    Fuzzy matching on names and key terms is combined with the semantic score.

  5. 5

    Decide

    Matches above the threshold are aligned automatically; others become ranked recommendations.

  6. 6

    Learn from review

    Reviewer decisions feed back into thresholds and catalogue synonyms.

Workflow diagram — RAG-Based Benefit Matching Engine

Technology stack

  • Python
  • LangChain
  • ChromaDB
  • Hugging Face embeddings
  • Sentence Transformers
  • Fuzzy matching
  • Vector search

Implementation details

  • The same embedding model and text normalization are used at index and query time — a mismatch here is the most common silent failure in RAG systems.
  • Catalogue metadata (category, benefit type) is stored with each vector so retrieval can be filtered before similarity is computed.
  • The confidence threshold is a tunable setting, set from a labelled sample rather than guessed.
  • Low-confidence matches are never dropped silently; they are surfaced with their scores so a reviewer can decide.

Engineering challenges

  • Similar wording, different benefits

    Embeddings alone can pair benefits that read alike but differ in a key term. Combining semantic and lexical scores reduced these false positives.

  • Choosing the threshold

    Too low and bad matches are auto-aligned; too high and reviewers do all the work. The threshold was calibrated against reviewed examples.

  • Catalogue drift

    Catalogues change. Re-indexing had to be a routine, repeatable step rather than a one-time setup.

Business value and results

Business value

  • Most catalogue alignment happens without manual effort.
  • Reviewers spend their time on the genuinely ambiguous cases.
  • Matching decisions are explainable: every match carries its scores.

Measured results

  • ~85%of catalogue alignment automated

Figure is approximate and reflects the share of benefits aligned without manual intervention.

Screenshots, code and demo

Screenshots

Not published — the interface belongs to a client engagement.

Source code

Private — client-owned code.

Live demo

No public demo. Ask for a walkthrough.

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