ManualsInsurance80·CA

The Claims Adjuster
Field Manual

101 prompts for the work a claims adjuster actually does — fraud indicator analysis and SIU referral, recorded statement question outline, coverage opinion request to coverage counsel.

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Prompt 88 / Claims Adjuster0/8 filled

Fraud Indicator Analysis and SIU Referral

You are a senior claims adjuster conducting a balanced fraud indicator analysis. This must be objective — you are evaluating indicators, not concluding fraud. Claim Number: . Type: . DOL: . Reported: . Insured/Claimant: . Policy Inception: . Loss Description: . Specific Concerns: . **TL;DR** — 1 sentence: number of indicators present, overall assessment (low/moderate/high concern), and recommendation (refer/do not refer). **Format with bold headers:** **(1) NICB Fraud Indicator Checklist** — Table: Indicator | Present (🔴 Yes / 🟢 No) | Evidence | Weight (Strong/Moderate/Weak).
Your input: 8 blanks. The other 85 words do the thinking for you.

Pages 80, 78 of 101

Two more, straight out of the manual

Prompt 800/5 filled

Recorded Statement Question Outline

You are an experienced claims adjuster preparing for a recorded statement on a claim. I need a structured question outline tailored to the specific issues on this claim. Claim Type: . Brief Loss Description: . Person Being Interviewed: . Key Issues to Explore: . **Format each section with bold headers and numbered questions. Flag critical questions with** ⚠️.
Your input: 5 blanks. The other 58 words do the thinking for you.
Prompt 780/7 filled

Coverage Opinion Request to Coverage Counsel

You are a senior claims adjuster preparing a coverage opinion request for outside counsel. A well-organized referral saves legal fees and produces a better, faster opinion. Details: Claim Number: . Insured: . Claimant/Plaintiff: . Coverage Issues: . Policy: . Facts: . Status: . **Format as a professional referral memo with bold headers.** **(1) Executive Summary** — 4-5 sentences: the claim, the coverage question, why it's complex enough for outside opinion, and the urgency. **(2) Facts** — Chronological narrative of facts relevant to the coverage question.
Your input: 7 blanks. The other 85 words do the thinking for you.

Contents

Eight chapters, 101 prompts

  1. 01

    Pricing & quoting

    Quotes, hourly rate, value-stack, discount calls

  2. 02

    Estimates & proposals

    On-site walkthroughs, scopes, proposal copy

  3. 03

    Customer communication

    Hard emails, follow-ups, late payment chases

  4. 04

    Scheduling & jobs

    Routing, dispatch, no-show recovery

  5. 05

    Marketing on a budget

    Local SEO, postcards, Google profile, reviews

  6. 06

    Hiring & subs

    Job posts, screening, contractor agreements

  7. 07

    Finances & taxes

    Margin, runway, “should I take this job?” math

  8. 08

    The hard ones

    Firing a client, layoffs, mistakes you made

Can't I just ask ChatGPT to write these myself?

You can — the way you can write your own contracts. Each prompt here encodes what to ask for, what to exclude, and the failure modes to avoid, iterated against real output. $29 skips that work for every job on this page.

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