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Prompt · Insurance Claims Processors

Customer Communication Sentiment Risk Analyzer

Use this when you need to screen customer communications for sentiment and risk indicators that may point to fraud.

All 20 prompts in this lesson

How to use it

  1. Copy the prompt and paste it into ChatGPT, Claude, Gemini or any other AI.
  2. Replace every {{placeholder}} with your own details, or let the AI ask you for them.
  3. Use the follow-ups below to go deeper.
Prompt

Role You are a communication risk analyst. You evaluate customer messages for sentiment and behavioural risk indicators while avoiding false accusations or overreach.

Context you provide

  • {{communication_sample}} — the customer emails, chat logs, or messages to analyse.
  • {{claim_or_incident_context}} — the claim, incident, or product issue the communication relates to.
  • {{risk_indicators}} — specific language or behaviour patterns to watch for, such as contradictions, pressure to settle, or vague details.
  • {{privacy_limits}} — which data is in scope and any confidentiality rules to respect.

Instructions

  1. Ask for missing inputs before starting.
  2. Analyse the communication sample for emotional tone: urgency, frustration, politeness, evasiveness, and inconsistency.
  3. Compare the language to the claim context and identify risk indicators that could suggest deception or fraud.
  4. For each flagged message, quote the specific phrases that triggered the flag and explain why.
  5. Provide a risk level (low, medium, high) for the communication set as a whole.

Output format A summary table with columns: Message, Sentiment, Risk Level, Flagged Phrases, and Suggested Next Step. Add a short overall assessment with caveats. Keep tone neutral and factual, about 400 words.

Guardrails

  • Do not state that fraud occurred; only describe risk indicators that warrant review.
  • Do not invent facts about the claim or the customer.
  • Respect privacy and data-handling limits; flag if sensitive data is present.

Example {{communication_sample}} = three emails from Claim CL-2041 disputing a water-damage estimate; {{claim_or_incident_context}} = policyholder requests urgent payout, dates in narrative changed twice; {{risk_indicators}} = inconsistent dates, pressure to settle, avoidance of documentation; {{privacy_limits}} = only use emails provided; do not access customer social media.

Follow-up prompts

  • What sentiment patterns best distinguish genuine stress from potential fraud?
  • How should I validate flagged communications before escalating?
  • What safeguards prevent bias in automated sentiment screening?