محققو المطالبات والمفتشون والمحققون

مهن الأعمال والعمليات المالية · المهارات والكفاءات الوظيفية · SOC 13-1031 · 222 مهارة

سياق المهنة

تصف مهام O*NET هذه المهنة وتوضح سياق تصنيف SOC، لكنها لا تعني أن كل مهارة مدرجة تنفذ كل مهمة.

Examine claims forms and other records to determine insurance coverage.
Analyze information gathered by investigation and report findings and recommendations.
Pay and process claims within designated authority level.

تُعرض بيانات مهام O*NET بلغتها المصدرية (الإنجليزية). بيانات المهام مقتبسة من O*NET® 29.1 Database التابعة لـ USDOL/ETA، وتُستخدم بموجب CC BY 4.0.

مصادر تمثيلية

عينة محدودة من المهارات الشائعة المرتبطة بهذه المهنة، بمهارة واحدة على الأكثر من كل مستودع GitHub. وتليها القائمة الكاملة للمهارات المرتبطة.

warranty-claims-processor

a5c-ai/babysitter

Streamlined warranty claim validation and processing skill improving customer satisfaction and reducing processing time

mohitagw15856/pm-claude-skills

Triage an incoming insurance claim: check the coverage trigger against policy wording, band severity and complexity, screen for fraud indicators, set a first-pass reserve range, and route with an SLA. Use when asked to triage a claim, review a first notice of loss (FNOL), assess a new claim, decide fast-track vs adjuster routing, or screen a claim for SIU referral. Produces a structured triage note with coverage view, severity band, indicator screen, reserve range, and a routing recommendation.

travel-insurance-evaluator

FerroxLabs/wayland

Creates a travel insurance coverage comparison checklist and explains key policy clauses in plain language. Gathers trip details, traveler health profile, and risk factors to produce a side-by-side coverage comparison framework and a policy clause decoder that highlights what to look for and what exclusions to watch out for. Use when the user asks about travel insurance, how to choose a travel insurance policy, what travel insurance covers, or how to compare travel insurance options. Do NOT use for health insurance selection (use health-wellness or personal-finance skills), auto insurance, home insurance, or life insurance comparison.

marketing-performance-report

modu-ai/moai-cowork

GA4·네이버·메타·카카오·구글 광고 데이터를 묶어 채널별 ROAS·KPI를 분석하고, 인사이트와 다음 액션 플랜까지 담은 마케팅 성과 보고서를 만들어 드립니다. 다음과 같은 요청 시 사용하세요: - "지난달 마케팅 성과 보고서 만들어줘" - "ROAS 분석해줘" - "GA4 데이터 해석해줘" - "네이버랑 메타 광고 통합해서 분석해줘" - "채널별 KPI 리포트 써줘" - "분기 마케팅 성과를 경영진 보고용으로 정리해줘" - "광고비 어디서 새는지 분석해줘" 경영진 요약과 실무용 상세 분석, 예산 재배분 권고를 함께 만들고, 서술 부분은 moai-coworker:ai-slop-reviewer → moai-writer:korean-humanize으로 다듬습니다. [책임 경계] vs moai-coworker:collab-exec-summary: 이 스킬=마케팅 풀 리포트(전체), 저 스킬=임원 1pager 요약(압축). 이 스킬 출력을 그대로 collab-exec-summary에 넘겨 1pager로 만들 수 있습니다.

كل المهارات المرتبطة

تصفح دليل الارتباط الكامل حسب شعبية المستودع أو أحدث نشاط في المصدر.

تبقى أسماء المهارات وأوصافها باللغة التي يوفرها مستودع المصدر.

ترتيب حسب

warranty-claims-processor

a5c-ai/babysitter

Streamlined warranty claim validation and processing skill improving customer satisfaction and reducing processing time

mohitagw15856/pm-claude-skills

Triage an incoming insurance claim: check the coverage trigger against policy wording, band severity and complexity, screen for fraud indicators, set a first-pass reserve range, and route with an SLA. Use when asked to triage a claim, review a first notice of loss (FNOL), assess a new claim, decide fast-track vs adjuster routing, or screen a claim for SIU referral. Produces a structured triage note with coverage view, severity band, indicator screen, reserve range, and a routing recommendation.

mohitagw15856/pm-claude-skills

Triage an incoming insurance claim: check the coverage trigger against policy wording, band severity and complexity, screen for fraud indicators, set a first-pass reserve range, and route with an SLA. Use when asked to triage a claim, review a first notice of loss (FNOL), assess a new claim, decide fast-track vs adjuster routing, or screen a claim for SIU referral. Produces a structured triage note with coverage view, severity band, indicator screen, reserve range, and a routing recommendation.

coverage-gap-analysis

mohitagw15856/pm-claude-skills

Map an organisation's risks against its insurance policy portfolio to find what's uncovered, underinsured, or double-covered. Use when asked to run a coverage gap analysis, review an insurance programme against a risk register, check what risks aren't insured, or audit a policy portfolio. Produces a risk-by-coverage matrix, flagged gaps and overlaps, a deductible stack review, and recommendations ranked by expected-loss severity.

policy-renewal-review

mohitagw15856/pm-claude-skills

Run a pre-renewal review of an insurance programme: scan coverage gaps against current operations, test limit adequacy against inflation and exposure growth, read the claims experience into pricing expectations, frame market alternatives, and arm the broker negotiation. Use when asked to prepare for a policy renewal, review cover before renewal, check if limits are still adequate, or build renewal negotiation points. Produces a structured renewal review with gap findings, limit assessment, pricing outlook, and negotiation points.

underwriting-narrative

mohitagw15856/pm-claude-skills

Write the underwriting file narrative for a risk: the risk story, exposure quantification, loss-history read, mitigating and aggravating factors, terms and subjectivities rationale, appetite fit, and a refer-or-bind recommendation. Use when asked to write up an underwriting file, document why we're writing a risk, prepare a referral to a senior underwriter, or justify terms and exclusions on a submission. Produces a complete underwriting narrative ready for the file or referral.

the-insurance-adjuster

mohitagw15856/pm-claude-skills

Simulate the adjuster's settlement call after your accident or loss — the recorded-statement asks, the quick-settlement anchor, the friendly minimization — run against your actual claim, with a debrief on every answer that shrank it. Use when asked the adjuster wants a recorded statement, practice the settlement call, is this settlement offer low, or what will the insurance company try. Produces the call transcript with the adjuster's file notes, the offer trajectory, and a debrief separating fair process from pressure tactics — plus the bright lines that protect a claim.

freight-rate-quote

mohitagw15856/pm-claude-skills

Build a freight rate that covers the cost of actually running the load — the per-mile economics, the deadhead and detention nobody prices, and the accessorials that decide whether the lane is profitable. Use when asked to quote a freight rate, price a lane, work out cost per mile, decide whether to accept a load, or explain why a lane is losing money. Produces the fully-loaded cost per mile, the lane economics including empty miles, the accessorial schedule, the break-even and target rate, and the accept-or-decline recommendation.

claim-denial-decoder

mohitagw15856/pm-claude-skills

保険金の支払拒否通知を解読する——引用された理由が実際何を意味するか、よく覆るタイプかどうか、そして一点ずつ反論する不服申立ての手紙。「保険金請求が拒否された、どうすれば」「この拒否通知を解読して」「この拒否は不服申立てできるか」「保険の不服申立てを書いて」と聞かれたときに使う。覆る見込みの枠組み付きの拒否解読、証拠チェックリスト、一点ずつ反論する申立書、保険会社を越えるエスカレーションの梯子を産出する。

insurance-policy-decoder

mohitagw15856/pm-claude-skills

住宅・賃貸・自動車の保険証券を、必要になる前に、実際に何が補償され、何が除外され、支払いの計算が本当はどうなるかへと解読する。「自分の保険は実際何をカバーしているのか」「証券を解読して」「この免責額は普通か」「実損てん補と再調達価額の違いは」と聞かれたときに使う。実際の支払いシナリオ付きの補償別解読、ランク付けされた除外の危険信号、ACV と再調達価額の計算、更新前に代理店へ聞く質問を産出する。

travel-insurance-evaluator

FerroxLabs/wayland

Creates a travel insurance coverage comparison checklist and explains key policy clauses in plain language. Gathers trip details, traveler health profile, and risk factors to produce a side-by-side coverage comparison framework and a policy clause decoder that highlights what to look for and what exclusions to watch out for. Use when the user asks about travel insurance, how to choose a travel insurance policy, what travel insurance covers, or how to compare travel insurance options. Do NOT use for health insurance selection (use health-wellness or personal-finance skills), auto insurance, home insurance, or life insurance comparison.

marketing-performance-report

modu-ai/moai-cowork

GA4·네이버·메타·카카오·구글 광고 데이터를 묶어 채널별 ROAS·KPI를 분석하고, 인사이트와 다음 액션 플랜까지 담은 마케팅 성과 보고서를 만들어 드립니다. 다음과 같은 요청 시 사용하세요: - "지난달 마케팅 성과 보고서 만들어줘" - "ROAS 분석해줘" - "GA4 데이터 해석해줘" - "네이버랑 메타 광고 통합해서 분석해줘" - "채널별 KPI 리포트 써줘" - "분기 마케팅 성과를 경영진 보고용으로 정리해줘" - "광고비 어디서 새는지 분석해줘" 경영진 요약과 실무용 상세 분석, 예산 재배분 권고를 함께 만들고, 서술 부분은 moai-coworker:ai-slop-reviewer → moai-writer:korean-humanize으로 다듬습니다. [책임 경계] vs moai-coworker:collab-exec-summary: 이 스킬=마케팅 풀 리포트(전체), 저 스킬=임원 1pager 요약(압축). 이 스킬 출력을 그대로 collab-exec-summary에 넘겨 1pager로 만들 수 있습니다.