Claims Guide & Decision Logic

What it does

An interactive claims guide that walks users through insurance incidents from first response to final settlement. It uses decision trees to identify the claim type (accident, illness, liability, house/auto damage, death, disability, travel, legal) and produces tailored immediate-action checklists, a complete claim report template, deadlines tracker, and a regulator/ombudsman escalation path. The skill is written with Swiss law/standards as the default context but provides guidance useful in other jurisdictions with adaptation.

When to use it

Use this skill when a user reports any insurance-related incident and needs a structured, practical walkthrough: immediate safety steps, documentation required, who to notify, what forms to file, and how to escalate disputes or denials. It is intended for self-service claim preparation and early-stage regulator or legal escalation planning.

What's included

• Scripts: none detected in repo for this SKILL (has_scripts=false).
• References: none bundled (has_references=false), but the body references references/swiss-claims-reference.md and legal standards (VVG, KVG, UVG, OR).
• Instructions: detailed step-by-step decision tree, category-specific checklists, a universal claim-report template, communication dos/don'ts, timelines, and an outputable Markdown claim dossier with optional JSON export.

Compatible agents

MCP-capable assistants and general-purpose LLM agents that can render and follow stepwise workflows (e.g., Copilot/Code assistants, Claude/Gemini-style assistants).