Claude Skills by FDU-INS

Analyzes claim denials and structures appeal documentation with supporting clinical evidence. Use when appealing denied claims, analyzing denial patterns, or preparing appeal documentation.

Structures financial sector cyber risk assessment with scenario quantification and insurance evaluation. Use when assessing cyber risk, quantifying cyber exposure, or evaluating cyber insurance.

Coordinates private placement execution with investor targeting, NAIC designation analysis, and shelf registration requirements. Use when managing PP offerings, targeting insurance company investors, or structuring private notes.

Assigns CDT codes with procedure-specific documentation and insurance submission requirements. Use when coding dental procedures, submitting dental claims, or managing CDT code selection.

Structures insurance capital model analysis with economic capital, regulatory capital, and rating agency capital comparison. Use when modeling insurance capital, comparing capital frameworks, or assessing capital adequacy.

Structures insurance distribution analysis with channel economics, producer management, and compensation modeling. Use when analyzing distribution, evaluating producer performance, or modeling commission structures.

Structures insurance fraud detection with red flag identification, investigation protocols, and SIU referral documentation. Use when detecting insurance fraud, investigating suspicious claims, or documenting fraud indicators.

Evaluates insurance needs with gap analysis, product comparison, and coverage adequacy assessment. Use when analyzing insurance needs, comparing insurance products, or identifying coverage gaps.

Structures corporate insurance program analysis with coverage adequacy and renewal documentation. Use when managing insurance programs, analyzing coverage, or documenting insurance renewals.

Structures statutory filing preparation with SAP differences, risk-based capital, and annual statement schedules. Use when preparing statutory filings, calculating RBC, or managing regulatory submissions.

Evaluates insurance technology solutions with business case analysis and implementation assessment. Use when evaluating insurtech, assessing technology solutions, or analyzing digital insurance platforms.

Structures underwriting evaluation with risk assessment, pricing analysis, and terms documentation. Use when evaluating underwriting risk, analyzing pricing adequacy, or documenting underwriting decisions.

God-level internet research and data synthesis for any topic. Use when the user wants to research, compare, analyze, or find the best options for anything: business ideas, products (phones, laptops, gadgets), services (credit cards, banks, insurance), travel (hotels, flights, destinations), market trends, industry data, competitor analysis, pricing comparisons, consumer reviews, emerging opportunities, or any general-purpose research task. Triggers on: 'research', 'find the best', 'compare', ...

Insurance risk assessment market intelligence. Triggers: "claims market trends", "risk assessment trends", "total loss frequency trends", "replacement cost trends", "which vehicles are losing value fastest for claims", "EV vs gas claims exposure", "regional claims cost differences", "market report for underwriting", "depreciation rankings for insurance", "settlement trend analysis", "what's happening in the auto market for insurers", "claims cost forecast", "which segments have the highest to...

Analyze medical billing and revenue cycle management software including claims processing pipelines, EDI transaction handling (837P/837I/835/270/271/276/277), ICD-10 and CPT code validation with NCCI edit checking, payer rules engine configuration, denial management and appeal workflows, prior authorization tracking, charge capture completeness, AR aging analysis, underpayment detection, and compliance review for False Claims Act, No Surprises Act, and price transparency requirements.

Medical insurance specialist specializing in claims processing, CPT/ICD-10 coding, and healthcare billing compliance. Use when resolving claim denials, verifying insurance eligibility, or navigating Medicare/Medicaid billing. Use when: healthcare, medical-insurance, claims-processing, healthcare-billing, cpt-coding.

当用户需要对医疗险投保问卷进行专业、结构化的核保审查，提取既往症、门诊就医史、住院史、手术史、当前治疗、复查随访、近期检查异常和其他可能影响医疗险承保判断的高风险健康信息，并生成适合医疗险核保、补问流转和短中期风险分层处理的结构化分析结果时使用本 skill。

Explain member coverage and benefits in plain language.

Apply curated claims into canon, preserve unresolved backlog, and commit the consolidation.

Curate extracted claims against canon and annotate accept, reject, or defer decisions.

Analyze mental health clinic and therapy practice software including appointment scheduling optimization with no-show backfill, therapist-client matching algorithms (specialization, modality, caseload balance), session documentation workflows (SOAP, DAP, BIRP templates), crisis detection and safety plan management (C-SSRS, PHQ-9 Item 9 flagging), insurance claims processing (CPT 90834/90837/90847), sliding scale fee management, waitlist intelligence, and measurement-based care outcome trackin...

This skill should be used when the user asks to query MetLife Pet Insurance, check pet insurance claims, list claims, get claim details, download EOBs, download policy documents, or interact with the mypets.metlife.com API.

Hub skill for the midnight-verify plugin. Classifies claims by domain, routes to the appropriate domain skill, dispatches sub-agents based on the domain skill's routing, and synthesizes final verdicts. Loaded by the /midnight-verify:verify command — the main thread acts as orchestrator.

Mega-Skill for HR, Payroll & Recruitment ERP module. Employee management, attendance tracking, salary calculation, social insurance, PIT, and Vietnam labor law.

Specialized Mercado Pago integrations for specific industries and regional payment methods. Covers insurance payments, Yape (Peru), and Fintoc (Chile).

You must use this when investigating complex claims across diverse sources or fact-checking contradictory information.

Step-by-step guidance for DACH-specific governmental procedures including Anmeldung, Finanzamt registration, health insurance enrollment, and social security coordination. Use after arriving in a DACH country and needing to complete mandatory registrations, before a specific appointment to understand what to expect, when an initial registration attempt was rejected, when transitioning between DACH countries, or when handling registrations for dependents alongside your own.

Generate CQL Library and FHIR ValueSet artifacts for Taiwan NHI (National Health Insurance) reimbursement rules from rule text. Use when user asks to create CQL/ValueSet for 健保給付規則, 藥品審查, NHI CQL, 健保代碼, or payment審查. This skill applies patterns learned from 50+ GT examples.

非车险产品开发全流程技能，覆盖从标的分析到条款输出的7个核心步骤。内置242个产品条款模板库、 6个太平科技保险深度案例（含可研报告+条款+费率表）、精算定价方法、监管合规知识及自动化Word输出能力。 功能包括： (1) 确定保险标的概念 - 标的合法性、可保性检查与分类 (2) 明确投保人、被保险人身份 - 资格审查、保险利益认定 (3) 初步明确保险责任范围 - 主险/附加险责任设计、除外责任 (4) 撰写产品条款开发可行性研究报告 - 开发背景、风险分析、风险管控 (5) 撰写保险产品条款 - 完整的13章节条款撰写（总则到释义） (6) 产品定价和风险因子设定 - 基准费率计算、调整因子体系、精算分析 (7) 输出保险条款和费率表（Word格式）- 条款文档和定价报告Word输出 适用险种：财产险、责任险、工程险、信用保证险、网络安全保险、绿色保险、碳汇保险、 低空经济保险、无人机保险、知识产权保险、专利保险、科技保险、数据资产保险、 生物医药保险、安全生产责任险、雇主责任险、产品责任险、公众责任险等。 触发词：保险产品开发、非车险开发、开发一款保险产品、设计一款...

Extract and audit claims for norvid tracking system

Access 161+ AI-powered skills for registered dietitians, nutritionists, and wellness coaches. Use when: user asks about meal planning, nutrition counseling, client assessments, insurance billing, HIPAA compliance, practice management, client education, or any nutrition practice administration task.

Drafts a Master Service Agreement for upstream oilfield services (Operator-Contractor). Covers knock-for-knock indemnification, anti-indemnity statute compliance (TX, LA, WY, NM), work order framework, HSE, insurance minimums, and IP/data ownership. Use when drafting oilfield MSAs, drilling service agreements, well service contracts, or upstream operator-contractor master agreements.

Tooling Privacy Preserving Data Broker. Use when work requires policy-scoped data mediation for Tool Reliability and Execution Quality with guardrails, traceable execution, and measurable outcomes.

Collab Privacy Preserving Data Broker. Use when work requires policy-scoped data mediation for Collaboration and Negotiation with guardrails, traceable execution, and measurable outcomes.

IT check, Security audit, Network scan, Am I secure, Admin check, VA update, Documents, Insurance, Subscriptions, What needs to get done, What should I focus on, Priorities, COS brief, Staff update. Unified operations covering IT security, life administration, and Chief of Staff orchestration across all Life OS domains.

Map paper claims to code, config, tests, and artifacts for end-to-end traceability. Use when users ask for claim audit trails, evidence mapping, implementation to paper alignment, or submission traceability checks.

Retrieves and formats a complete patient demographic summary from FHIR Patient, RelatedPerson, and Coverage resources. Use when user asks to "pull demographics", "get patient info", "show patient details", "who is this patient", "patient summary", "emergency contacts", "insurance info", or needs a quick overview of non-clinical patient data. Do NOT use for clinical summaries, lab results, medication lists, or diagnosis reviews.

Establishes a comprehensive framework for the intake and registration of new patients, encompassing data collection, insurance verification, risk stratification, and pharmacy network validation.

Trade like Paul Tudor Jones — macro trend following, risk management obsessed, ride big moves. Use this skill whenever the user asks about: Paul Tudor Jones, PTJ, macro trend following, trend following crypto, ride the big move, 200-day moving average strategy, risk-first trading, Tudor Investment, great inflation trade, BTC inflation hedge, portfolio insurance, PTJ approach, institutional trend following, managed futures crypto, CTA strategy crypto, trend following system, macro trend rider,...

Use this skill whenever the user wants to fill out a PDF form, analyze PDF form fields, troubleshoot form field mapping, verify field identification accuracy, or export a filled PDF. This includes tax forms (IRS 1040, W-2, W-4, W-9, 1099), government applications, contracts, legal documents, insurance forms, medical forms, and any PDF — with or without AcroForm fields. Also triggers when the user reports wrong field mapping ("it put 1f into 1d"), vision analysis failures, wants to improve fie...

Read, extract text, fill forms, and overlay text on PDF files using pdftk and pdfjs-dist. Use when working with PDFs — extracting content, filling fillable form fields, or adding text to non-fillable PDFs via coordinate-based overlays. Handles insurance forms, applications, contracts, and any PDF document processing.

Compare pet insurance options with coverage. TRIGGERS - Use when user needs help with pet-insurance-comparison related tasks.

Guide pet insurance selection. TRIGGERS - Use when user needs help with pet-insurance-guide related tasks.

Extracts and reconciles medical provider, wage-loss, and insurance/lien data from personal injury plaintiff fact sheets and initial disclosures against builder draft responses. Use when the user mentions PFS analysis, medical provider reconciliation, wage loss audit, insurance lien tracking, PI discovery reconciliation, builder response validation, MDL plaintiff data extraction, FRCP 26(a)(1) disclosures, treatment chronologies, or specials spreadsheets.

A certified pharmacy technician (CPhT/PTCB) with expertise in prescription processing, medication dispensing, inventory management, pharmacy calculations (dose conversions, day supplies), pharmacy law (DEA schedules, refill regulations), insurance billing... Use when: healthcare, pharmacy, medication-dispensing, prescription, rx.

Generates structured personal injury demand summaries covering liability analysis, chronological injury documentation, itemized damages, and settlement positioning. Covers MVA, premises liability, product defect, and medical malpractice claims. Use when preparing settlement packages, demand letters, pre-trial evaluations, or insurance adjuster negotiations for plaintiff-side PI matters.

Drafts a structured personal injury client intake form for initial consultations covering client identification, incident details, injury/treatment history, insurance, prior legal history, and authorizations. Supports conflict checking, case evaluation, and engagement setup. Use when onboarding a new PI client, creating intake questionnaires, or building pre-filing client records. Trigger keywords: personal injury intake, client onboarding, PI questionnaire, accident intake, injury claim intake.

Detects and redacts personally identifiable information from documents and agent outputs. Identifies names, addresses, email addresses, phone numbers, national insurance numbers, passport details, bank account numbers, and other PII categories with configurable redaction styles and audit logging for GDPR compliance.

End-to-end source processing -- seed, reduce, process all claims through reflect/reweave/verify, archive. The full pipeline in one command. Triggers on "/pipeline", "/pipeline [file]", "process this end to end", "full pipeline".

End-to-end source processing -- seed, reduce, process all claims through reflect/reweave/verify, archive. The full pipeline in one command. Triggers on "/pipeline", "/pipeline [file]", "process this end to end", "full pipeline".