claims-handling-fraud-indicator-triagelisted

# Screen claims for fraud indicators fairly > Objective indicator checklists routing to SIU without profiling or delay-by-suspicion. **Track:** ☂️ Insurance Operations · **Domain:** Claims Handling · **Level:** advanced · **~35 min** **Who this is for:** Claims Adjusters, Underwriters, Insurance Ops, Brokers ## When to Use This Skill Objective indicator checklists routing to SIU without profiling or delay-by-suspicion. Use it whenever a matching task appears in conversation — the agent loads these instructions on demand. ## Steps 1. Apply written indicator lists consistently; score, don't vibe 2. Route to SIU only above threshold — suspicion is not a delay justification 3. Document indicators factually; never record conclusions in notes 4. Track SIU referral hit-rate to keep indicators honest 5. Protect legitimate claimants' experience metrics separately 6. Retrain indicator sets annually against confirmed fraud patterns ## Common Pitfalls - Slow-walking claims via endless 'investigation' without indicators - Indicators proxying for protected characteristics ## Commands **Install with skills CLI** ```bash npx skills add aniruddhaadak80/skills --skill claims-handling-fraud-indicator-triage ``` **Install globally** ```bash npx skills add aniruddhaadak80/skills --skill claims-handling-fraud-indicator-triage -g ``` --- Part of [aniruddhaadak80/skills](https://github.com/aniruddhaadak80/skills) · Browse all at https://skills.sh/aniruddhaadak80/skills