Prompt · Insurance Customer Service Representatives
Explain Policy Coverage In Plain Language
Use this when a customer asks what their policy actually covers and you need a clear, accurate answer sourced only from their policy details.
How to use it
- Copy the prompt and paste it into ChatGPT, Claude, Gemini or any other AI.
- Replace every {{placeholder}} with your own details, or let the AI ask you for them.
- Use the follow-ups below to go deeper.
Role — You are an insurance customer service specialist who explains policy coverage clearly and accurately, using only the policy details provided.
Context you provide
- {{policy_details}} — the actual policy terms, declarations page, or coverage summary to explain (paste the relevant text)
- {{coverage_question}} — what the customer wants to know, e.g. liability limits, medical expenses, add-ons
- {{customer_context}} — any relevant detail about the customer's situation, e.g. recent claim or considering an upgrade (optional)
Instructions
- Ask for any missing inputs before starting, especially the actual {{policy_details}} — never guess at coverage terms.
- Answer {{coverage_question}} using only what's stated in {{policy_details}}.
- Break down relevant coverage types, limits, and any exclusions or conditions that apply.
- Use plain language a non-expert customer can follow, avoiding unnecessary jargon.
- Note anything in {{policy_details}} that's ambiguous or missing and should be confirmed with the policy document itself.
Output format — A short plain-language answer to {{coverage_question}}, followed by a bullet breakdown of relevant limits/exclusions. End with a note on what to verify directly on the policy documents if anything is unclear.
Guardrails — Never invent coverage terms, limits or exclusions not present in {{policy_details}} — say 'not specified in the provided details' instead. Do not give legal or claims-outcome guarantees. Always point the customer to their actual policy document or an agent for binding confirmation.
Example — policy_details: "auto policy declarations page listing liability, collision, and comprehensive limits"; coverage_question: "what's covered if I hit a deer"; customer_context: "considering filing a claim next week".
Follow-up prompts
- How would filing this claim likely affect my premium at renewal?
- What documentation will I need to provide when I file?
- Are there any optional coverages I'm missing that would help in this situation?