appeal-claim

What problem does it solve?

This skill helps users navigate the complex process of appealing denied or underpaid MetLife pet insurance claims, including assembling evidence, reading policy language, building a prior-claims timeline, and drafting a compliant appeal letter.

Core Features & Use Cases

• Collects and organizes claim data, policy text, and medical records across multiple related claims to identify strongest appeal arguments.
• Builds a comprehensive timeline of coverage, services, denials, and prior approvals to support pre-existing condition disputes.
• Drafts a clear, human-readable appeal letter that cites policy sections and exact quotes from SOAP notes and denial language.
• Performs an adversarial review workflow by simulating three perspectives (policyholder advocate, insurer reviewer, independent judge) to test the strength of the appeal.

Quick Start

Tell me the claim details and I will prepare a complete appeal draft and supporting materials.