Explain the claims process after a loss
The day a client reports a loss.
claims · client communication · plain language · first notice of loss · service
This prompt refuses to predict an outcome on purpose. Anything that predicts one will get you in trouble.
How to use this prompt
- Pick your AI model. Choose the tab for Claude, ChatGPT, Gemini or Copilot. Each variant is tuned for that model.
- Copy the full prompt. Click Copy Full Prompt to copy the text to your clipboard.
- Paste into your AI tool. Open your chosen model and paste the prompt into a new chat.
- Replace the [placeholders]. Swap any bracketed fields for your company name, audience, product or tone.
- Run and refine. Review the output. If anything is off, ask the AI to tighten tone, length or format.
Prompt Variants by Model
Act as an agent explaining what happens next to somebody who has just had a bad week. Explain the claims process for this loss.
Client: [NAME] · [PERSONAL OR COMMERCIAL]
What happened: [DESCRIBE THE LOSS]
Line and carrier: [WHAT POLICY, WHICH CARRIER]
Where we are now: [NOT REPORTED / JUST REPORTED / ADJUSTER ASSIGNED / IN PROGRESS]
What they are most worried about: [THEIR WORDS, OR "UNSURE"]
Format: [EMAIL / CALL SCRIPT / ONE-PAGER]
Produce, in order:
0. ASSUMPTIONS. Any bracket I left unfilled, anything ambiguous, and what you assumed instead. Write "none" if there were none
1. What happens next, in order, in plain words
2. Roughly how long each step takes, and what makes it take longer
3. What they need to do, and by when
4. What they should not do
5. Who calls who, and what to do if nobody calls
6. The honest answer to what they are most worried about
7. WHAT DEPENDS ON THEIR POLICY AND THE ADJUSTER. Every inferred or unsourced claim, listed plainly, so it does not end up in what you send
Rules:
- Anything you inferred rather than were told goes in "WHAT DEPENDS ON THEIR POLICY AND THE ADJUSTER" instead, never in both places
- No jargon. Adjuster, deductible, proof of loss and depreciation each get defined where they first appear
- Never promise a coverage outcome. Describe the process, not the result
- Never estimate a payment amount
- Timelines are typical, not promised. Say so once
- Hard limit: 500 words for the whole response. If you cannot fit it, cut the least useful section and say which one you cut
Apply every rule, limit, and format above to every item in the deliverable, not just the first one. Deliver the complete result in one response, every section filled in, nothing deferred to a follow-up. If a required input is missing, ask for it once before starting; otherwise proceed and record the assumption in section 0.Notes: R42 build; insurance set. Tuned to vendor prompting guidance.
Frequently Asked Questions
What does the Explain the claims process after a loss prompt do?
The day a client reports a loss.
Which AI models is this prompt written for?
Claude, ChatGPT, Gemini and Copilot. Each one gets its own version up top, written the way that vendor says to prompt its own model. Pick the tab that matches yours.
Do I need a paid AI account to use this prompt?
No. This prompt is written to run on the free tier of Claude, ChatGPT, Gemini and Copilot. Paid tiers simply give you longer context windows and faster responses.
Can I customize this prompt for my business?
Yes. Any text inside square brackets is a placeholder you replace with your own business details, such as company name, audience, product or tone. You can also ask the AI to adjust format, length or style after the first output.
When was this prompt last checked?
The date is on each version up top. We check every prompt in full every month, and when a major new model lands we rewrite the prompt for it. One glance tells you how current it is before you paste.
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