# Insurance claims AI control adjuster brief

## Claim context

Summarize loss facts, policy references, evidence received, missing documents, prior claim history, fraud indicators, customer communication state, and open review questions.

## AI-prepared support

Identify which parts are AI-prepared: summary, evidence gap list, routing recommendation, draft response, or coverage context. Keep coverage interpretation and settlement action under adjuster control.

## Review decision

Record whether the adjuster accepts, edits, escalates, or rejects the AI-prepared support. Capture the reason, evidence link, customer impact, and follow-up action.