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Estimate policy-term settlement, coverage limits, and deductibles for claims processing.
Copy the install command and let the AI configure it · recommended for beginners
Please install the "settlement-recommendation" skill from askskill: 1. Download https://raw.githubusercontent.com/microsoft/aibast-agents-library/main/solutions/claims-processing/manual/skills/aibast_settlement-recommendation_04/SKILL.md 2. Save it as ~/.claude/skills/aibast_settlement-recommendation_04/SKILL.md 3. Reload skills and tell me it's ready
Using the specified fictional claim record, provide a policy-term settlement estimate and list the coverage limit, deductible, observed evidence, calculated results, and recommended next steps. Clearly state that this is not an approval or payment.
A nonbinding estimate based on the record, clearly separating evidence, calculated output, and next steps.
Show the policy-term estimate and clearly state whether the claim has been approved, settled, or paid.
The estimate is returned with a clear statement that no approval, settlement, or payment action occurred.
Generate a policy-term estimate from the specified claim record, note that the result is for reference only and not legal or financial advice, and identify the authorized human review required before any action.
Returns the estimate with disclaimers and identifies the required authorized human review.
Claims staff can use it to review estimated settlement amounts, coverage limits, and deductibles for a specified fictional record. The result is informational only and does not represent a formal decision.
When users need to explain the basis of an estimate, it separates observed evidence, calculated or heuristic output, and proposed next steps for easier review.
In demos or pilot workflows, it is useful for making clear that the result is only an estimate and that no approval, communication, payment, or other external action took place.
The document describes a policy-term settlement estimate skill for a synthetic claims-processing pilot. It produces nonbinding estimates for settlement amount, coverage limits, and deductibles based on a specified fictional record and synthetic operating snapshot. The guidance says to separate observed evidence, calculated or heuristic output, and next steps, while clearly stating that the result is not legal, insurance, or financial advice and that no approval, payment, or other external action occurred. Authorized human review is required before any action.
Calculates a nonbinding coverage-limit and deductible estimate without approving, denying, reserving, settling, or paying.
Persona: Claims Manager
Prompt: Show the policy-term estimates and state clearly whether any claim was approved or paid.
Expected synthetic evidence: CLM-2025-7002, No approval.
It answers policy-term settlement estimate questions and provides nonbinding coverage-limit and deductible estimates. It is intended for the Claims Processing Agent synthetic pilot.
No. The documentation explicitly says it only calculates estimates and does not approve, deny, reserve, settle, or pay.
The output should separate observed evidence, calculated results, and next steps, and it should state that it is not legal, regulatory, insurance, or financial advice. Authorized human review is required before action.
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Verify revenue, pricing, refunds, and billing truth with evidence-backed answers.
Preview and coordinate vendor procurement for insurance claims investigations and reviews.