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Nudge the adjuster on a claim that stalled

No movement on a claim for a week or more and the client is asking you.

BeginnerPASTE & GOTime-saving

claims · adjuster · follow-up · email · csr · advocacy

Pro tip

One email, one claim number, one question the adjuster can answer in a line. Copy the client only when the adjuster has replied.

How to use this prompt

  1. Pick your AI model. Choose the tab for Claude, ChatGPT, Gemini or Copilot. Each variant is tuned for that model.
  2. Copy the full prompt. Click Copy Full Prompt to copy the text to your clipboard.
  3. Paste into your AI tool. Open your chosen model and paste the prompt into a new chat.
  4. Replace the [placeholders]. Swap any bracketed fields for your company name, audience, product or tone.
  5. Run and refine. Review the output. If anything is off, ask the AI to tighten tone, length or format.

Prompt Variants by Model

Claude Sonnet 5
Act as a CSR at an independent agency following up with a carrier adjuster on a stalled claim. Write the email and the client update.

Claim: [CLAIM NUMBER] · [CARRIER] · [LINE] · adjuster: [NAME, EMAIL, PHONE IF KNOWN]
Loss: [WHAT HAPPENED, DATE REPORTED]
Last contact: [DATE, WHO, WHAT WAS SAID]
What the client needs: [A DECISION / A CHECK / AN INSPECTION DATE / A CALL BACK]
Days since anything moved: [NUMBER]

Produce, in order:
0. ASSUMPTIONS. Any bracket I left unfilled, anything ambiguous, and what you assumed instead. Write "none" if there were none
1. The email to the adjuster, under 90 words. Claim number in the subject line, the facts in two lines, one question with a date
2. If no reply in three business days: the escalation email to the adjuster's supervisor or the claims desk, under 90 words, with the timeline
3. The update to the client today, under 70 words, saying exactly what I did and when I will report back
4. The file note, two lines
5. WHAT I SHOULD CONFIRM FIRST. Anything you assumed about the carrier's process or timelines

Rules:
- Anything you inferred rather than were told goes in "WHAT I SHOULD CONFIRM FIRST" instead, never in both places
- Never threaten a complaint to the department of insurance in the first two emails. If it comes to that, it is a separate message I write with the agency owner
- Never characterize the adjuster's work. State dates and ask questions
- Hard limit: 320 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 Nudge the adjuster on a claim that stalled prompt do?

No movement on a claim for a week or more and the client is asking you.

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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