Xpersona
agentCLAWHUBUnverified

Insurance Claims Intelligence

提供多模态医疗票据OCR识别、智能判责、反欺诈检测和全险种覆盖的保险理赔智能分析与自动化支持。 Skill: Insurance Claims Intelligence Owner: gechengling Summary: 提供多模态医疗票据OCR识别、智能判责、反欺诈检测和全险种覆盖的保险理赔智能分析与自动化支持。 Tags: advisory-only:1.2.0, ai-agent:1.1.0, anti-fraud:5.0.4, anti-fraud-checklist:1.2.0, banking:5.0.0, bilingual:1.1.0, china-insurance:1.2.0, chinese-market:1.0.0, claims:5.0.4, claims-advisory:1.2.0, claims-processing:1.1.0, compliance:1.2.0, decision-support:1.2.0, deepseek:1.1.0, dianjin:5.0.0, financ

OpenClaw
View on ClawHubHomepage

Rank

62

Safety

84

Downloads

1.9k

Updated

Oct 9, 2026

Version

5.0.5

Source

CLAWHUB

About

What it does, and when to use it.

Capability contract not published. No trust telemetry is available yet. 1.9K downloads reported by the source. Last updated 10/9/2026.

Avoid when

  • Contract metadata is missing or unavailable for deterministic execution.

Risk flags: missing_or_unavailable_contract, trust_data_unavailable, schema_references_missing

Public facts

Every fact links back to the source it came from.

Vendor
Clawhubvendor · observed Oct 9, 2026
Protocol compatibility
OpenClawcompatibility · observed Oct 9, 2026
Adoption signal
1.9K downloadsadoption · observed Oct 9, 2026
Latest release
5.0.5release · observed Sep 24, 2026
Handshake status
UNKNOWNsecurity

Install and run

Setup complexity: low.

clawhub skill install s17ewqc4f2s6gpcbm88hy7fgvn85kg1g:insurance-claims-intelligence
  1. Setup complexity is classified as HIGH. You must provision dedicated cloud infrastructure or an isolated VM. Do not run this directly on your local workstation.
  2. Final validation: Expose the agent to a mock request payload inside a sandbox and trace the network egress before allowing access to real customer data.

Contract: missing

curl -s "https://www.xpersona.co/api/v1/agents/clawhub-gechengling-insurance-claims-intelligence/snapshot"

Documentation

CLAWHUB

147,722 characters of source documentation, loaded on request.

Extracted files

3 files captured from the source.

SKILL.md

---
name: Insurance Claims Intelligence Expert
description: Advisory skill for insurance claims processing workflows — provides templates, checklists, and decision-support frameworks for medical OCR, liability determination, anti-fraud assessment, and claims reporting. Human review required for all claim decisions. Keywords: insurance claims, claims advisory, medical OCR, anti-fraud, insurance tech, China insurance, decision support, 智能理赔, 理赔风控, 医疗单据识别, 责任认定, 理赔报告, 秒赔, 理赔决策, 医疗险理赔, 重疾理赔, 车险理赔.
slug: insurance-claims-intelligence
version: 5.0.5

capabilities:
  - educational-reference
  - advisory-only
  - requires-human-review
  - illustrative-code-samples
---

# Insurance Claims Intelligence Expert / 保险行业智能理赔专家

> **⚠️ SECURITY NOTICE / 安全声明**
> - **Type:** Educational reference / analytical framework ONLY
> - **No runnable package is bundled:** the architecture sketches and short code
  fragments below are illustrative reference material for you to adapt in your own
  environment; this skill ships no installer, service, or executable payload
> - **No persistent storage, network calls, background execution, or credential collection**
> - **All outputs are for reference only and require human review before real-world application**
> - **This skill does NOT provide financial, legal, or insurance advice**
> - **Users must exercise their own judgment and consult qualified professionals**



> **⚠️ DISCLAIMER / 免责声明**
> - **English:** This skill provides advisory templates, checklists, and decision-support frameworks ONLY. It does NOT contain executable models, trained GNN weights, or production OCR integrations. All accuracy figures (e.g., "92%-96%") are literature-reported benchmarks or design targets, NOT validated results of this skill. ALL claim approvals, denials, payout amounts, and fraud labels MUST be reviewed and confirmed by a licensed insurance professional before use. This skill is NOT a substitute for human judgment or regulatory compliance review.
> - **中文：** 本Skill仅提供咨询模板、检查清单和决策支持框架，不含可执行模型、已训练GNN权重或生产级OCR集成。所有准确率数据（如"92%-96%"）均来自文献基准或设计目标，非本Skill实测结果。所有理赔核准、拒付、赔付金额及欺诈标签，**必须经持证保险专业人士审核确认后方可使用**。本Skill不可替代人工判断或监管合规审查。

> **🔒 数据最小化前置声明 / Data Minimisation (apply before any OCR or analysis step)**
> 1. 先问“这一条数据是否必需”：非理赔必需的字段（如完整身份证号、无关病史、家庭成员信息）一律不采集、不粘贴、不上传。
> 2. 优先使用脱敏副本：姓名、证件号、联系电话默认以掩码形式处理（如 `张*`、`310***********1234`）。
> 3. 单次任务单次授权：明确本次处理的用途与范围，任务结束后删除临时文件与对话中的原始影像描述。
> 4. 任何需要写入文件或对外发送的结果，先在对话中完整展示给用户预览，经用户明确确认后再落盘/发送。

> **🔒 DATA SECURITY / 数据安全**
> - Medical invoices, diagnosis records, and claimant data are sensitive personal information under China's Personal Information Protection Law (PIPL). Before using OCR features, obtain user consent, redact/remove unnecessary PII, prefer on-prem/private deployment for production, and confirm the OCR vendor's data retention and cross-border transfer terms.
> - API keys and credentials MUST be stored in environment variables or a secret manager. Never hardcode keys in production system

_meta.json

{
  "ownerId": "kn74e704j3ygjcygnpf02rdvd185js13",
  "slug": "insurance-claims-intelligence",
  "version": "5.0.5",
  "publishedAt": 1790226938910
}

skill-card.md

## Description:

Advisory skill for insurance claims processing workflows that provides templates, checklists, and decision-support frameworks for medical OCR, liability determination, anti-fraud assessment, and claims reporting.

This skill is ready for commercial/non-commercial use.

## Publisher:

[gechengling](https://clawhub.ai/user/gechengling)

### License/Terms of Use:

MIT-0

## Use Case:

External insurance operations teams, claims reviewers, and developers use this skill to draft claims workflow guidance, OCR review checklists, liability review notes, anti-fraud triage prompts, and claims report templates. All claim decisions, payout amounts, denial language, and fraud labels require qualified human review.

### Deployment Geography for Use:

Global

## Known Risks and Mitigations:

Risk: Claims guidance may affect sensitive insurance outcomes if used as a final decision.

Mitigation: Use outputs only as drafts and require a qualified insurance professional to review all claim decisions, payout amounts, denial language, and fraud labels before use.

Risk: Claims workflows may involve personal, medical, or identifying data.

Mitigation: Do not paste unnecessary personal or medical data; redact identifiers where possible and follow data minimization practices before OCR or analysis.

Risk: Regulatory references and compliance practices can change over time.

Mitigation: Verify regulatory references against current official sources before relying on them in claims handling or reporting.

## Reference(s):

- [ClawHub release page](https://clawhub.ai/gechengling/skills/insurance-claims-intelligence)
- [Skill source artifact](artifact/SKILL.md)

## Skill Output:

**Output Type(s):** [Text, Markdown, Code, Configuration, Guidance]

**Output Format:** [Markdown drafts with checklists, tables, report templates, and illustrative code snippets]

**Output Parameters:** [1D]

**Other Properties Related to Output:** [Outputs are advisory drafts and must include a human-review disclaimer before operational use.]

## Skill Version(s):

5.0.5 (source: frontmatter, release metadata, changelog)

## Ethical Considerations:

Users should evaluate whether this skill is appropriate for their environment, review any generated or modified files before relying on them, and apply their organization's safety, security, and compliance requirements before deployment.

Related agents

Same protocol, similar job.

Github ReposUpdated 13h agoRank 70

AionUi

Free, local, open-source 24/7 Cowork app and OpenClaw for Gemini CLI, Claude Code, Codex, OpenCode, Qwen Code, Goose CLI, Auggie, and more | 🌟 Star if you like it!

MCPOPENCLAW
Github ReposUpdated 6mo agoRank 70

activepieces

AI Agents & MCPs & AI Workflow Automation • (~400 MCP servers for AI agents) • AI Automation / AI Agent with MCPs • AI Workflows & AI Agents • MCPs for AI Agents

OPENCLAW
Github ReposUpdated 6mo agoRank 70

cherry-studio

AI productivity studio with smart chat, autonomous agents, and 300+ assistants.

MCPOPENCLAW
Github ReposUpdated 7mo agoRank 70

CopilotKit

The Frontend for Agents & Generative UI. React + Angular

OPENCLAW

Machine-readable data

The same record, as JSON, for agents and crawlers.

{
  "facts": [
    {
      "factKey": "vendor",
      "category": "vendor",
      "label": "Vendor",
      "value": "Clawhub",
      "href": "https://clawhub.ai/gechengling/skills/insurance-claims-intelligence",
      "sourceUrl": "https://clawhub.ai/gechengling/skills/insurance-claims-intelligence",
      "sourceType": "profile",
      "confidence": "medium",
      "observedAt": "2026-10-09T23:01:57.293Z",
      "isPublic": true
    },
    {
      "factKey": "protocols",
      "category": "compatibility",
      "label": "Protocol compatibility",
      "value": "OpenClaw",
      "href": "https://www.xpersona.co/api/v1/agents/clawhub-gechengling-insurance-claims-intelligence/contract",
      "sourceUrl": "https://www.xpersona.co/api/v1/agents/clawhub-gechengling-insurance-claims-intelligence/contract",
      "sourceType": "contract",
      "confidence": "medium",
      "observedAt": "2026-10-09T23:01:57.293Z",
      "isPublic": true
    },
    {
      "factKey": "traction",
      "category": "adoption",
      "label": "Adoption signal",
      "value": "1.9K downloads",
      "href": "https://clawhub.ai/gechengling/insurance-claims-intelligence",
      "sourceUrl": "https://clawhub.ai/gechengling/insurance-claims-intelligence",
      "sourceType": "profile",
      "confidence": "medium",
      "observedAt": "2026-10-09T23:01:57.293Z",
      "isPublic": true
    },
    {
      "factKey": "latest_release",
      "category": "release",
      "label": "Latest release",
      "value": "5.0.5",
      "href": "https://clawhub.ai/gechengling/insurance-claims-intelligence",
      "sourceUrl": "https://clawhub.ai/gechengling/insurance-claims-intelligence",
      "sourceType": "release",
      "confidence": "medium",
      "observedAt": "2026-09-24T05:15:38.910Z",
      "isPublic": true
    },
    {
      "factKey": "handshake_status",
      "category": "security",
      "label": "Handshake status",
      "value": "UNKNOWN",
      "href": "https://www.xpersona.co/api/v1/agents/clawhub-gechengling-insurance-claims-intelligence/trust",
      "sourceUrl": "https://www.xpersona.co/api/v1/agents/clawhub-gechengling-insurance-claims-intelligence/trust",
      "sourceType": "trust",
      "confidence": "medium",
      "observedAt": null,
      "isPublic": true
    }
  ],
  "events": [
    {
      "eventType": "release",
      "title": "Release 5.0.5",
      "description": "新增OCR置信度分级、判责与反欺诈示例、报告填写示例；合规与监管表新增维度；更新至2026-09-24",
      "href": "https://clawhub.ai/gechengling/insurance-claims-intelligence",
      "sourceUrl": "https://clawhub.ai/gechengling/insurance-claims-intelligence",
      "sourceType": "release",
      "confidence": "medium",
      "observedAt": "2026-09-24T05:15:38.910Z",
      "isPublic": true
    }
  ]
}

Record generated Oct 10, 2026.

Sponsored

Ads related to Insurance Claims Intelligence and adjacent AI workflows.