🗺️ Insurance Operations · Journey Playbooks

Playbook: Level up claims operations

Fast fair resolutions with fraud screening that stays ethical.

journey~75 minClaims AdjustersUnderwritersInsurance Ops

Journey Steps

1Step 1 — Drive claims from FNOL to fair resolution fast: start with "Capture FNOL completely: who/what/when/where plus policy number verification"
2Step 2 — Screen claims for fraud indicators fairly: start with "Apply written indicator lists consistently; score, don't vibe"
3How it fits together: Indicators route work; they never justify delay by themselves.

Commands

Install all referenced skills

$ npx skills add aniruddhaadak80/skills --skill claims-handling-fnol-to-resolution && npx skills add aniruddhaadak80/skills --skill claims-handling-fraud-indicator-triage

Tags

#playbook#journey#insurance

Install this skill

$ npx skills add aniruddhaadak80/skills --skill playbook-insurance-claims-excellence -a opencode

SKILL.md

# Playbook: Level up claims operations

> Fast fair resolutions with fraud screening that stays ethical.

## When to Use This Skill

Fast fair resolutions with fraud screening that stays ethical.

## Steps

1. Step 1 — Drive claims from FNOL to fair resolution fast: start with "Capture FNOL completely: who/what/when/where plus policy number verification"
2. Step 2 — Screen claims for fraud indicators fairly: start with "Apply written indicator lists consistently; score, don't vibe"
3. How it fits together: Indicators route work; they never justify delay by themselves.

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