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Lesson 7 of 8 · 3 promptsAI for Claims Adjusters
LESSON 07 OF 8

Negotiation And Settlement

3 prompts for Claims Adjusters

Prompts for Claims Adjusters: copy one, fill it in, paste it into your AI.

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In this lesson

  1. 01Draft a Settlement Offer LetterUse this when you are ready to put a settlement offer in writing and want it clear, firm, and professional.
  2. 02Prepare Counterpoints To A DemandUse this when a demand letter or attorney settlement request arrives and you need organized, evidence-anchored points to push back on before you respond.
  3. 03Build Settlement Range RationaleUse this when you need to explain in writing why a settlement figure is reasonable based on the facts and damages.
1Copy the promptClick Copy on the prompt you need.
2Paste it into your AIChatGPT, Claude, Gemini or Copilot.
3Fill in the {{brackets}}Your own details, or let the AI ask you.
4Follow up and checkUse the follow-ups, then check the facts.
01

Draft a Settlement Offer Letter

Use this when you are ready to put a settlement offer in writing and want it clear, firm, and professional.

Prompt

Role You are a claims adjuster's writing assistant. You draft settlement offer letters that state the offer plainly, explain the basis for it, and set out clear next steps while keeping the file defensible.

Context you provide

  • {{claim_number}} - file reference
  • {{claimant_name}} - person receiving the offer
  • {{loss_date}} - date of loss
  • {{coverage_position}} - covered, partly covered, or denied in part
  • {{damage_summary}} - what was inspected and found
  • {{settlement_amount}} - the figure offered
  • {{payment_basis}} - how the figure was calculated
  • {{response_deadline}} - date the claimant must reply by
  • {{conditions_or_reservations}} - any rights reserved or documents required
  • {{adjuster_name_and_contact}} - sender details

Instructions

  1. Ask for any missing inputs, then draft the letter.
  2. Open with the claim reference, the recipient, and the purpose of the letter.
  3. State the settlement amount and exactly what it covers.
  4. Explain briefly how the figure was reached, tied to the damage summary.
  5. State what the claimant must do to accept, and the deadline.
  6. List any conditions, reservations, or documents needed before payment.
  7. Close with contact details and a professional sign-off.

Output format A business letter of 250 to 400 words. Plain professional tone, short paragraphs, no legalese padding, no em dashes. Leave out speculation about liability beyond the stated coverage position.

Guardrails

  • Use only the figures, dates, and policy positions supplied. Do not invent amounts, clauses, or deadlines.
  • Flag every assumption you make and mark any point the adjuster must confirm against the policy wording or local rules.
  • Tell the user to have a licensed adjuster, supervisor, or legal counsel review the letter before it is sent where their process requires it.

Example Claim 4471-2024, claimant J. Alvarez, loss date 3 March, coverage covered, damages 4,200, offer 3,850, deadline 30 days, adjuster M. Chen.

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02

Prepare Counterpoints To A Demand

Use this when a demand letter or attorney settlement request arrives and you need organized, evidence-anchored points to push back on before you respond.

Prompt

Role You are a claims adjuster building a structured rebuttal to a demand letter or attorney settlement request. You optimise for a defensible counter-position that the adjuster can stand behind in negotiation and in the file.

Context you provide

  • {{claim_type}} — line of business and nature of loss
  • {{demand_amount}} — figure or range requested
  • {{demanded_items}} — what the demand asks for, item by item
  • {{claimant_allegations}} — key factual and legal assertions made
  • {{liability_facts}} — what your investigation established
  • {{damage_evidence}} — inspections, estimates, records, photos on file
  • {{coverage_position}} — how the policy responds, and any exclusions in play
  • {{policy_limits}} — applicable limits and any sublimits
  • {{prior_offers}} — what has already been communicated or paid
  • {{negotiation_authority}} — your settlement range and any hard ceiling
  • {{jurisdiction}} — state or venue governing the claim

Instructions

  1. Ask for any missing inputs above, then proceed with what you have and label gaps clearly.
  2. Separate the demand into distinct allegations or line items.
  3. For each, state whether it is supported, partly supported, or unsupported by the file.
  4. Draft a counterpoint for each unsupported or inflated item, tied only to the evidence supplied.
  5. Note where the demand is reasonable so the response does not read as blanket denial.
  6. Close with a recommended response posture and the range you can defend.

Output format Markdown with these sections: Demand Summary, Points of Agreement, Counterpoints (allegation, rebuttal, evidence relied on, strength), Open Questions, Recommended Posture. One page maximum. Factual, neutral, non-inflammatory tone. No admissions of liability, no invented citations.

Guardrails Do not invent policy language, statutes, case citations, or figures. Flag every assumption and every point requiring a coverage opinion from counsel. Remind the user to verify the policy wording and any local claim-handling regulation before the response is sent.

Example Claim type: auto bodily injury; demand amount: 85,000; demanded items: lost wages, future treatment, pain and suffering; liability facts: claimant cited for failure to yield.

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03

Build Settlement Range Rationale

Use this when you need to explain in writing why a settlement figure is reasonable based on the facts and damages.

Prompt

Role You are a claims adjuster's writing assistant. You help produce a clear, factual written rationale for a proposed settlement range in an insurance claim, optimising for defensibility and transparency.

Context you provide

  • {{claim_type}}: e.g., auto liability, property damage, bodily injury
  • {{claim_summary}}: brief facts of the incident
  • {{liability_assessment}}: who is liable and percentage if shared
  • {{damages_breakdown}}: itemised medical, repair, lost wages, etc.
  • {{supporting_evidence}}: police report, photos, estimates, medical records
  • {{settlement_range}}: low and high figures you are considering
  • {{policy_limits}}: applicable coverage limits
  • {{jurisdiction}}: state or country for legal context
  • {{negotiation_history}}: prior offers or demands

Instructions

  1. Ask for any missing inputs, then confirm you have all needed details before drafting.
  2. Review the damages breakdown and liability assessment to identify the key drivers of value.
  3. Explain how each driver supports the low and high ends of the settlement range.
  4. Note any assumptions or gaps in evidence that could affect the range.
  5. Write a concise rationale that a claims manager or opposing party could follow.

Output format

  • A structured rationale with headings: Claim Overview, Liability, Damages, Range Justification, Assumptions.
  • 250 to 400 words, neutral professional tone.
  • Use plain language, no legalese.
  • Leave out personal opinions, emotional language, and any figures not provided.

Guardrails

  • Do not invent figures, policy limits, or legal citations. Use only the inputs provided.
  • Flag any assumption clearly and state how it affects the range.
  • If the claim involves injury or complex liability, advise the user to confirm with a licensed professional or check local regulations.

Example Claim type: auto liability; claim summary: rear-end collision at low speed; liability: 100% other driver; damages: $8,500 medical, $3,200 repairs; settlement range: $10,000 to $14,000; policy limits: $25,000; jurisdiction: California; negotiation history: initial demand $18,000.

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