Sample output: Bad Faith Risk Triage
This is an illustrative sample of what the Bad Faith Risk Triage skill produces. Every party, date, document, and fact is fictional — invented for illustration only.
The fictional scenario
Sample Request — bad-faith-risk-triage
Fictional illustration. All parties, facts, figures, and documents below are invented for this example. The example contains no real or invented legal authority.
Please run bad-faith-risk-triage on a first-party property claim file and surface the claim-handling risk themes for coverage counsel.
Matter facts
- Insured: Harborview Restaurant Group LLC (fictional).
- Insurer: Summit Mutual Insurance Co. (fictional).
- The user's role: coverage counsel reviewing the file for the insured.
- Policy type: commercial property (first-party).
- Claim type: water-damage property loss.
- Claim stage: claim filed; partial payment made; coverage dispute emerging.
- Jurisdiction: governing law
not provided.
Materials provided (fictional claim file)
- Adjuster Diary, entries 1-7 — shows a gap of several weeks between two inspection steps with no entry explaining the gap.
- Letter B (insurer to insured) — requests additional documentation.
- Letter C (insured to insurer) — partial response.
- Coverage Letter D (insurer to insured) — explains a partial-payment position.
- Email Thread, p.2-3 — internal and external messages on the scope of loss.
- Payment Ledger, line 1 — partial payment.
Stated facts
- Counsel wants the claim-handling risk themes triaged before deciding whether a claim-handling assessment is warranted.
- The file does not contain a supervisor or escalation note.
- A completed
claims-chronology-buildertimeline is available.
Please: surface neutrally framed claim-handling risk themes; flag chronology gaps, communication issues, and missing documents; raise jurisdiction-specific questions for counsel; do not conclude whether bad faith occurred or did not occur; do not decide whether claim handling was reasonable; and do not estimate exposure, damages, or reserves.
What the skill produced
Sample Output — bad-faith-risk-triage
Draft work product for attorney review. Not legal advice. Every party, fact, figure, document, and reference below is fictional and illustrative. This example contains no real or invented legal authority. It shows the shape of the skill's deliverable — not a model answer for any matter.
Capability and Reliance Notice
This is a draft claim-handling risk triage for a qualified, licensed attorney. It does not provide legal advice, conclude that bad faith occurred or did not occur, decide whether claim handling was reasonable or unreasonable, assess extracontractual exposure, damages, or reserves, or apply any jurisdiction's bad-faith standard. Every theme below is a neutral item for counsel to evaluate. A qualified attorney must review it before any claim-handling assessment.
Gates Table
| Gate | Status | Source |
|---|---|---|
| Policy type | Commercial property (first-party) | User request |
| User's role | Coverage counsel; insured-side | User request |
| Claim type | Water-damage property loss | User request |
| Claim stage | Claim filed; partial payment made; coverage dispute emerging | User request |
| Jurisdiction / governing law | not provided [verify jurisdiction] — bad-faith and claim-handling standards are jurisdiction-specific | — |
| Document set | Adjuster Diary 1-7, Letters B-C, Coverage Letter D, Email Thread, Payment Ledger | Provided file |
Risk-Theme List
| Theme | Factual trigger | Source | Why an attorney would examine it | Jurisdiction-specific question for counsel |
|---|---|---|---|---|
| Investigation timeline gap | A gap of several weeks between two inspection steps, with no entry explaining it | Adjuster Diary 1-7 | An unexplained gap in the investigation timeline is something an attorney would review | What does the governing jurisdiction expect of claim-investigation timing? |
| Coverage-explanation clarity | Coverage Letter D explains a partial-payment position | Coverage Letter D | How a partial-payment position is explained should be examined for clarity and consistency | What does the jurisdiction require in explaining a claim position? |
| Information-request follow-up | Letter B requests documents; Letter C is a partial response; no further follow-up appears | Letters B-C | Whether outstanding items were followed up is an attorney review point | How does the jurisdiction treat information requests and follow-up? |
| Documentation completeness | No supervisor or escalation note is in the file | Claim file (full review) | Whether the file documents review and supervision is something an attorney would examine | What claim-file documentation does the jurisdiction expect? |
| Communications consistency | Email Thread p.2-3 discusses the scope of loss | Email Thread p.2-3 | Whether scope-of-loss communications are consistent with the coverage letters should be reviewed | How does the jurisdiction treat communication consistency in claim handling? |
Chronology Gaps
- An unexplained gap of several weeks between two inspection steps in the Adjuster Diary (entries 1-7).
- No entry showing follow-up after the partial response in Letter C.
- See the completed
claims-chronology-buildertimeline for the full sequence; one email date is[date unknown].
Communication Issues
- The consistency between Coverage Letter D's partial-payment explanation and the scope-of-loss discussion in the Email Thread should be checked.
- Whether the insured was kept informed during the investigation-timeline gap is
not foundin the file.
Missing Documents
- A supervisor or escalation note —
not foundin the file. - Any follow-up correspondence after Letter C —
not found. - The proof-of-loss form referenced in Letter B —
not provided.
Questions for Counsel
- The governing jurisdiction's claim-handling and bad-faith standards — these must be supplied and applied by the attorney; this triage states none.
- Whether the identified themes warrant a full claim-handling assessment.
- Whether additional claim-file documents should be obtained before any assessment.
Attorney Verification Questions
- [ ] Confirm governing law and jurisdiction
[verify jurisdiction]; the bad-faith standard is for the attorney to supply. - [ ] Confirm whether the investigation-timeline gap has an explanation outside the provided file.
- [ ] Confirm whether supervisor, escalation, or follow-up documents exist.
- [ ] Confirm the themes against the complete claim file before any assessment.
Assumptions
- Assumed the provided file is the complete claim file for the purpose of marking documents
not found—[CONFIRM]. - No bad-faith conclusion, no reasonableness determination, and no exposure, damages, or reserve estimate is drawn; every theme is a neutral item for the attorney.