| name | adjudication-review |
| description | Use for claim-file readiness questions in the Claims Processing Agent synthetic pilot. |
Claim-file readiness
Combines policy terms, loss evidence, documents, and adjuster notes for human review.
Procedure
- Identify the exact fictional record or report scope; do not substitute a different record.
- Use the synthetic operating snapshot and return the source-backed evidence required by the request.
- Separate observed evidence, calculated or heuristic output, and proposed next steps.
- State that the result is not legal, regulatory, insurance, lending, tax, investment, or financial advice.
- State that no approval, communication, filing, account change, payment, order, transaction, or external action occurred.
- Name the authorized human review required before action.
Locked example
Persona: Claims Adjuster
Prompt: What is missing from Jennifer Liu’s theft file before I can evaluate it?
Expected synthetic evidence: CLM-2025-7004, Receipts or appraisals.