FDU-Insurance

HealthSim generates realistic synthetic healthcare data for testing EMR systems, claims processing, pharmacy benefits, and analytics. Use for ANY request involving: (1) synthetic patients, clinical data, or medical records, (2) healthcare claims, billing, or adjudication, (3) pharmacy prescriptions, formularies, or drug utilization, (4) HL7v2, FHIR, X12, or NCPDP formatted output, (5) healthcare testing scenarios or sample data generation.

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保险方案顾问。险种推荐、产品对比、保费计算、理赔指南、定期寿险、健康险方案。Insurance advisor with recommendation, comparison, premium calculation, claim guide, term life, health insurance. Use when you need insurance advisor capabilities. Triggers on: insurance advisor.

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Produces structured summaries of insurance claims correspondence including coverage letters, reservation of rights (ROR), denial letters, and claim file documents. Extracts policy details, coverage positions, claims chronology, settlement posture, and liability exposure. Use when summarizing claim files, coverage disputes, ROR letters, denial letters, or multi-document insurance correspondence threads.

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Create compliance calendars. TRIGGERS - Use when user needs help with insurance-compliance-calendar related tasks.

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Design claims advocacy programs. TRIGGERS - Use when user needs help with insurance-claims-advocacy related tasks.

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Use this skill for insurance-claims operations with Stedi whenever the user asks to submit claims, validate claim payloads, check claim status, retrieve/interpret 277CA or 835 responses, troubleshoot payer/provider enrollment requirements, or build deterministic claims workflows. Trigger this skill even if the user does not say "Stedi" explicitly but mentions 837/835/277CA/ERA, payer IDs, claim rejection codes, claim resubmission, COB, or healthcare clearinghouse automation.

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Analyze, draft, and review Insurance clauses for Construction contracts. Use when the user mentions insurance clause, coverage requirements, construction insurance, or asks to review, redline, or generate this clause type. Returns structured risk assessment, plain-language summary, and suggested alternative language.

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Design insurance customer experience. TRIGGERS - Use when user needs help with insurance-customer-experience related tasks.

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Expert insurance claim adjuster with 15+ years in property/casualty. Specializes in coverage analysis, damage quantification (RC/ACV), liability determination, fraud detection, and settlement negotiation. Use when: insurance claim, damage assessment, coverage dispute, liability analysis, fraud investigation, claim settlement.

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保险公司财务分析工具。分析上市保险公司的财务报表、偿付能力、盈利能力、业务结构。使用AkShare保险股数据、公司财报。适用于保险公司研究、投资决策。

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Design insurance claim processing procedures. TRIGGERS - Use when user needs help with insurance-claim-process related tasks.

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HealthSim generates realistic synthetic healthcare data for testing EMR systems, claims processing, pharmacy benefits, and analytics. Use for ANY request involving: (1) synthetic patients, clinical data, or medical records, (2) healthcare claims, billing, or adjudication, (3) pharmacy prescriptions, formularies, or drug utilization, (4) HL7v2, FHIR, X12, or NCPDP formatted output, (5) healthcare testing scenarios or sample data generation.

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MCP skill for IGW (InsurGateway) error management — list, analyze, report, and manage insurance integration errors across test and production environments. Invoke whenever user asks about IGW errors, insurance gateway issues, success rates, or error reports.

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内蒙古养老保险补缴计算工具。用于计算内蒙古地区养老保险补缴金额，包括本金、利息（按月复利计息）、滞纳金等明细。 **触发关键词**：社保补缴、社保补费、补缴、补费、养老保险补缴、社保欠费计算 **使用场景**： 1. 计算历史欠缴养老保险的补缴金额 2. 估算补缴本金、利息、滞纳金明细 3. 对比不同缴费档次（60%/80%/100%/150%/200%/300%）的补缴金额 4. 计算无滞纳金情况下的补缴金额 **输入参数**： - 补缴起止年月（必填） - 缴费档次比例（可选，默认60%，支持--all计算全部档次） - 补缴时间（可选，默认当前时间） - 自定义月缴费基数（可选，设置后忽略档次比例和社平工资） **输出结果**： - 个人本金、单位本金 - 个人利息、单位利息（按月复利计算） - 个人滞纳金、单位滞纳金 - 有滞纳金和无滞纳金分别汇总 - 支持六档对比：60%、80%、100%、150%、200%、300%

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Manage certificates of insurance. TRIGGERS - Use when user needs help with insurance-certificate-management related tasks.

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Interactive demo: Generate pseudo-labels from a strong teacher model, build a cheap student function, and evaluate accuracy. Showcases pseudo-labeling and teacher-student distillation.

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当用户需要识别保险理赔案件是否属于高风险案件、分析案件中有哪些重点风险信号、判断是否存在高赔付高争议高投诉高时效高复杂度或高欺诈风险、输出高风险案件预警报告或为理赔审核、复核、调查和管理提供重点案件筛查支持时使用本 skill。适用于分析保单信息、理赔申请信息、案件事实、医疗材料、事故材料、历史行为、处理记录、沟通备注、投诉工单、调查线索、风险规则、预警标签和历史风险库信息，并形成结构化风险等级、触发依据、待核实事项和处置建议。

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EU Insurance Adviser specializing in IDD compliance for life, health, property, and insurance-based investment products (IBIPs). Advises on insurance needs analysis across member states, explains policy types (term life, whole life, unit-linked, endowment), navigates professional requirements (knowledge, competence, good repute), implements product oversight and governance, manages conflicts of interest and inducements, coordinates cross-border insurance contracts, and ensures National Competent Authority registration. Use for insurance distribution, IBIP suitability assessments, or IDD compliance implementation.

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Provides information about insurance coverage options and details.

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Produces requirement-by-requirement CRE insurance certificate compliance reviews by analyzing ACORD 25 certificates and endorsements against Access Agreement terms. Use when the user mentions COI review, insurance compliance, ACORD 25 analysis, Additional Insured verification, primary/non-contributory status, waiver of subrogation, vendor insurance audit, CGL compliance, umbrella follow-form, broker-ready deficiency instructions, certificate holder vs. additional insured, AI endorsements (CG 20 10, CG 20 37), or carrier rating checks.

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Generates structured summaries of U.S. insurance claim files covering identification, incident narrative, party positions, coverage analysis, and resolution status. Use when synthesizing claim files for adjusters, legal counsel, or claims managers during pre-filing review, discovery, or settlement preparation. Trigger keywords: claim summary, insurance claim, coverage summary, adjuster summary, coverage denial, reservation of rights.

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Drafts an Irrevocable Life Insurance Trust (ILIT) compliant with IRC § 2042 and state trust laws to exclude life insurance from the grantor's taxable estate. Covers Crummey withdrawal rights, trustee powers, distributions, and execution formalities. Use when drafting ILITs, life insurance trusts, estate tax exclusion trusts, or Crummey trusts.

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Load this skill when the user asks specific insurance education questions in the Indian context, such as term vs endowment vs ULIP, riders, claim settlement process, nominee concepts, or policy jargon; do not load for generic budgeting or emergency fund queries.

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Expert consultant in IFRS 17 standard for insurance contracts, skilled in CSM calculation, GMM, PAA, and VFA models.

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