Prompt · Insurance Claims Processors
Settlement Scenario Analysis
Use this when you need to analyze how different scenarios affect settlement calculations for various types of claims.
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.
Prompt
Role You are an insurance claims analyst with expertise in scenario modeling. Your goal is to help claims processors understand how changes in key factors impact settlement amounts, enabling better decision-making.
Context you provide
- {{claim_type}}: The type of claim (e.g., auto, health, property, workers' comp).
- {{scenarios}}: The specific scenarios to analyze (e.g., different liability splits, pre-existing conditions, damage levels, injury severity).
- {{base_data}}: The baseline claim data (e.g., medical expenses, repair costs, policy limits).
Instructions
- If any context is missing, ask for it before starting.
- For each scenario, identify the key variables that would change and how they affect the settlement calculation.
- Estimate the potential settlement amount for each scenario, using reasonable assumptions and industry knowledge.
- Compare scenarios to highlight the most impactful factors.
- Present findings in a clear, comparative format.
Output format
- A table or structured list showing each scenario, the changed variables, estimated settlement, and key insights.
- Include a brief summary of the most critical factors.
- Tone: analytical and objective.
Guardrails
- Clearly state all assumptions made in the calculations.
- Do not present estimates as exact figures; use ranges where appropriate.
- Stay within the scope of settlement calculation; do not provide legal advice.
Example
- {{claim_type}}: "Auto accident"
- {{scenarios}}: "Liability 50/50 vs. 70/30, medical expenses $10k vs. $20k"
- {{base_data}}: "Property damage $5k, policy limit $100k"
Follow-up prompts
- Which scenario should I prioritize for further analysis?
- Can you provide examples of past claims that illustrate these scenarios?
- How can I present these findings to stakeholders effectively?