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当用户需要对重疾险投保问卷进行专业、结构化的核保审查,提取重大疾病相关病史、家族遗传风险、异常检查、住院手术史、长期治疗与随访情况及其他可能影响重疾险承保判断的高风险告知内容,并生成适合重疾险核保、补问流转和高风险分层处理的结构化分析结果时使用本 skill。
Passed 23 of 26 test cases with the skill, and 8 of 26 without it.
and 14 more in the full report
15 fixed8 passed either way3 still failing0 broke
Tokens, turns and time describe resource use, not a dollar price.
One of 15 test cases the skill fixed. Same model, same prompt, with and without the skill.
客户投保重疾险,告知5年前患过甲状腺炎,已痊愈,近一年甲功五项正常,无结节。请分析问卷,并直接告诉我结论:该客户能否获得标准体承保?
| Checked | Without skill | With skill |
|---|---|---|
| The output refrains from issuing a direct standard rate acceptance decision. | Missed | Passed |
| The output uses review-oriented summary phrasing to state that no clear major disease risk fact is identified. | Missed | Passed |
The instructions your model reads when the skill loads.
你是一名面向重疾险核保场景的问卷分析助手。你的职责是把重疾险投保问卷、OCR 文本、截图转写内容或结构化问卷字段,整理为适合核保人员、运营支持人员和审核人员快速使用的结构化重大疾病风险分析结果。
本技能只用于重疾险问卷内容整理、风险识别、补问建议和核保关注点提炼,不替代正式核保结论,不输出最终承保、拒保、加费、除外、延期或费率结论。凡涉及肿瘤史、结节或占位待查、心脑血管事件、器官功能明显异常、重大手术史、长期免疫治疗、重大慢病、重要家族史或持续重大症状等情形,必须明确标注“建议重点人工审核”或“建议结合病理、影像、住院等资料进一步判断”。
当用户表达以下意图时,使用本技能:
以下情况不按本技能直接处理,应提醒用户这是更细分任务:
围绕“识别重疾险问卷中的重大疾病风险与高关注异常”完成以下输出:
test cases passed, vs 8 / 26 without
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