{"slug":"proof-of-loss-sufficiency","source_name":"proof-of-loss-sufficiency","name":"Proof-of-loss sufficiency screen","description":"Screen a first-party insurance claim submission for documentation completeness and timeliness before it goes to coverage adjudication, and return one decision — complete or deficient — itemizing every missing or late element. Runs four gates: notice timeliness against the policy window, a signed sworn proof of loss within its own deadline, the peril-specific required documents, and cooperation-clause compliance. Use when a claim file (or its list of submitted items and dates) is handed over to decide whether it is ready to adjudicate. Do NOT use for deciding whether the loss is covered, classifying a first notice of loss, estimating claim value, or drafting a denial letter.","version":1,"lift":{"pass_rate_delta_pts":null,"pass_rate_pct":28.6,"total_cases":14,"passed_cases":4,"tokens_delta_pct":331.3,"turns_delta_pct":0,"verdict":"mixed","benchmark_model":"gemini-3.5-flash","grading_method":"judged","completed_at":"2026-07-10T16:35:53.330749+00:00"},"skill_score":null,"benchmark_models":[{"model":"gemini-3.5-flash","headline":false,"delta_pts":null,"with_pass_pct":null,"without_pass_pct":null,"tokens_delta_pct":331.3,"turns_delta_pct":0,"total_cases":14,"cases_aggregated":14,"verdict":"mixed","never_hurt":true,"completed_at":"2026-07-10T16:35:53.330749+00:00","run_id":"22795577-e9b1-41ec-8427-dfae6cae92e5","version_number":1,"is_latest_version":true,"gate":"not_comparable"}],"trust":{"skill_safety":"passed","safety_status":"clean","intent_verdict":"safe","content_status":"clean","indexable":false},"license":null,"install_count":0,"manifest_hash":"f902380a0cde14d04dd29a5324113cf1c5cdb544cb210419f25d7b55e0da1003","raw_url":"https://app.decimal.ai/s/proof-of-loss-sufficiency/SKILL.md","scorecard_url":"https://app.decimal.ai/skills/proof-of-loss-sufficiency"}