Assess insurance claims against policy terms with cited coverage analysis.
npx skills add https://github.com/Sigmacodeat/subsumio-web --skill claims-assist
Please help me install this Agent Skill. Skill: claims-assist Source: https://github.com/Sigmacodeat/subsumio-web/tree/main/server/skills/claims-assist Command: npx skills add https://github.com/Sigmacodeat/subsumio-web --skill claims-assist
This Skill helps brokers assess insurance claims against policy terms without making insurer decisions, reducing missed coverage details, deadlines, and documentation requirements.
Use the claims-assist skill to review this claim against the policy, identify coverage considerations, deadlines, required documents, and draft a notification to the insurer.
High-intent search queries and answers about installing and using this skill.
Insurance claim preparation involves checking the reported loss against policy coverage, sub-limits, deductibles, and exclusions. This requires retrieving the policy text, analyzing coverage with citations, tracking notification deadlines, and drafting a structured carrier notification for broker review.
Coverage analysis is the process of evaluating a reported loss against relevant policy terms. It identifies applicable coverage, sub-limits, deductibles, and exclusions with direct citations, ensuring brokers understand policy-backed considerations before submitting a claim to the insurer.
Checking notification deadlines and required documents involves reviewing the policy terms for specific time limits and submission requirements. This identifies necessary loss assessment records and drafting steps to ensure the carrier notification includes all mandated information.
Automated claim assessment cannot make final insurer adjudication decisions. It is designed strictly to support broker workflows by separating claim preparation and coverage analysis from the insurer’s final adjudication, ensuring the carrier retains all decision-making authority.
Broker claim support requires full policy retrieval to function accurately. Cited coverage analysis, deadline tracking, and documentation requirement checks depend on accessing the complete policy terms to accurately evaluate sub-limits, exclusions, and notification conditions.
The best way to draft a carrier notification is to compile the documented loss assessment, verified coverage details, and required policy documents into a structured output. This ensures the submission aligns with policy terms while remaining subject to broker review before sending.
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