# Send Insurance Claims Processor to your agent Hand the extracted package to your coding agent with a concrete install brief instead of figuring it out manually. ## Fast path - Download the package from Yavira. - Extract it into a folder your agent can access. - Paste one of the prompts below and point your agent at the extracted folder. ## Suggested prompts ### New install ```text I downloaded a skill package from Yavira. Read SKILL.md from the extracted folder and install it by following the included instructions. Then review README.md for any prerequisites, environment setup, or post-install checks. Tell me what you changed and call out any manual steps you could not complete. ``` ### Upgrade existing ```text I downloaded an updated skill package from Yavira. Read SKILL.md from the extracted folder, compare it with my current installation, and upgrade it while preserving any custom configuration unless the package docs explicitly say otherwise. Then review README.md for any prerequisites, environment setup, or post-install checks. Summarize what changed and any follow-up checks I should run. ``` ## Machine-readable fields ```json { "schemaVersion": "1.0", "item": { "slug": "afrexai-insurance-claims", "name": "Insurance Claims Processor", "source": "tencent", "type": "skill", "category": "数据分析", "sourceUrl": "https://clawhub.ai/1kalin/afrexai-insurance-claims", "canonicalUrl": "https://clawhub.ai/1kalin/afrexai-insurance-claims", "targetPlatform": "OpenClaw" }, "install": { "downloadUrl": "/downloads/afrexai-insurance-claims", "sourceDownloadUrl": "https://wry-manatee-359.convex.site/api/v1/download?slug=afrexai-insurance-claims", "sourcePlatform": "tencent", "targetPlatform": "OpenClaw", "packageFormat": "ZIP package", "primaryDoc": "SKILL.md", "includedAssets": [ "README.md", "SKILL.md" ], "downloadMode": "redirect", "sourceHealth": { "source": "tencent", "status": "healthy", "reason": "direct_download_ok", "recommendedAction": "download", "checkedAt": "2026-04-23T16:43:11.935Z", "expiresAt": "2026-04-30T16:43:11.935Z", "httpStatus": 200, "finalUrl": "https://wry-manatee-359.convex.site/api/v1/download?slug=4claw-imageboard", "contentType": "application/zip", "probeMethod": "head", "details": { "probeUrl": "https://wry-manatee-359.convex.site/api/v1/download?slug=4claw-imageboard", "contentDisposition": "attachment; filename=\"4claw-imageboard-1.0.1.zip\"", "redirectLocation": null, "bodySnippet": null }, "scope": "source", "summary": "Source download looks usable.", "detail": "Yavira can redirect you to the upstream package for this source.", "primaryActionLabel": "Download for OpenClaw", "primaryActionHref": "/downloads/afrexai-insurance-claims" }, "validation": { "installChecklist": [ "Use the Yavira download entry.", "Review SKILL.md after the package is downloaded.", "Confirm the extracted package contains the expected setup assets." ], "postInstallChecks": [ "Confirm the extracted package includes the expected docs or setup files.", "Validate the skill or prompts are available in your target agent workspace.", "Capture any manual follow-up steps the agent could not complete." ] } }, "links": { "detailUrl": "https://openagent3.xyz/skills/afrexai-insurance-claims", "downloadUrl": "https://openagent3.xyz/downloads/afrexai-insurance-claims", "agentUrl": "https://openagent3.xyz/skills/afrexai-insurance-claims/agent", "manifestUrl": "https://openagent3.xyz/skills/afrexai-insurance-claims/agent.json", "briefUrl": "https://openagent3.xyz/skills/afrexai-insurance-claims/agent.md" } } ``` ## Documentation ### Insurance Claims Processor Process, analyze, and optimize insurance claims. Covers property, liability, workers' comp, auto, and professional indemnity. ### What This Does Takes raw claim details and produces: Structured claim summary with policy coverage mapping Liability assessment with supporting/weakening factors Reserve estimate with confidence range Subrogation opportunity analysis Red flag detection (fraud indicators, coverage gaps) Settlement recommendation with negotiation range Regulatory compliance checklist by jurisdiction ### Usage Provide claim details in any format — adjuster notes, policyholder statement, incident report, photos, or free text. The agent structures everything. ### Quick Claim Analysis Analyze this claim: [paste details] ### Full Processing Process claim for: - Policy type: [commercial general liability / property / WC / auto / PI] - Incident date: [date] - Reported date: [date] - Claimant: [name/entity] - Description: [what happened] - Claimed amount: [if known] - Policy limits: [if known] - Jurisdiction: [state/country] ### 1. Coverage Determination Map incident to policy provisions Identify applicable endorsements and exclusions Flag coverage disputes early Check occurrence vs claims-made triggers ### 2. Liability Assessment Score 1-10 on insured liability exposure: 1-3: Strong defense position, deny or minimal settlement 4-6: Mixed liability, negotiate 7-10: Clear insured liability, reserve and settle Factors evaluated: Comparative/contributory negligence (jurisdiction-specific) Statutory obligations Contractual indemnity provisions Prior loss history pattern ### 3. Reserve Estimation Three-point estimate: Low: Best case with strong defense Mid: Most likely outcome High: Worst case including litigation costs Include: Indemnity reserve Defense costs (inside/outside limits) Allocated loss adjustment expense (ALAE) Unallocated loss adjustment expense (ULAE) ### 4. Fraud Detection Red flags scored by severity: Claim timing patterns (Monday morning, policy inception proximity) Prior claim frequency Documentation inconsistencies Witness availability issues Financial stress indicators Description vs damage inconsistency ### 5. Subrogation Analysis Third-party recovery potential Evidence preservation requirements Statute of limitations by jurisdiction Cost-benefit of pursuit ### 6. Settlement Strategy Opening position and authority range Mediation vs litigation cost comparison Jurisdiction-specific verdict ranges Structured settlement considerations for large claims ### Property Claims Replacement cost vs actual cash value Business interruption calculations (gross earnings, extra expense) Ordinance or law coverage triggers Catastrophe event coordination ### Workers' Compensation Compensability determination Return-to-work timeline Medical treatment guidelines by state Permanent disability rating estimates ### Professional Liability Discovery rule and statute of repose Prior acts coverage analysis Consent to settle provisions Panel counsel selection criteria ### Auto/Fleet Comparative fault allocation UM/UIM stacking analysis Medical payment coordination Total loss threshold calculations ### Compliance Checklist Generator Produces jurisdiction-specific compliance timeline: Acknowledgment deadlines Investigation completion requirements Payment timing obligations Required notices and disclosures Bad faith exposure triggers ### Output Format Every analysis produces: Executive Summary — 3-line claim snapshot Coverage Analysis — provisions, exclusions, disputes Liability Score — 1-10 with reasoning Reserve Recommendation — low/mid/high with breakdown Red Flags — fraud indicators if any Action Items — next steps with deadlines Settlement Range — if applicable Built by AfrexAI — AI agent context packs for every industry. Get the full Insurance & Risk Management Context Pack with claims processing, underwriting automation, policy analysis, and actuarial modeling: AfrexAI Storefront Calculate what AI agents save your claims operation: AI Revenue Calculator ## Trust - Source: tencent - Verification: Indexed source record - Publisher: 1kalin - Version: 1.0.0 ## Source health - Status: healthy - Source download looks usable. - Yavira can redirect you to the upstream package for this source. - Health scope: source - Reason: direct_download_ok - Checked at: 2026-04-23T16:43:11.935Z - Expires at: 2026-04-30T16:43:11.935Z - Recommended action: Download for OpenClaw ## Links - [Detail page](https://openagent3.xyz/skills/afrexai-insurance-claims) - [Send to Agent page](https://openagent3.xyz/skills/afrexai-insurance-claims/agent) - [JSON manifest](https://openagent3.xyz/skills/afrexai-insurance-claims/agent.json) - [Markdown brief](https://openagent3.xyz/skills/afrexai-insurance-claims/agent.md) - [Download page](https://openagent3.xyz/downloads/afrexai-insurance-claims)