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This is NOT Legal Advice

Insurance Claim Response Pro is NOT a law firm and does NOT provide legal advice.

This is a procedural, risk-aware, scope-limited system for preparing insurance claim correspondence only. It does not negotiate, argue, or replace professional representation.

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What This System IS

Procedural Correspondence Preparation System

  • Procedural only – Prepares structured correspondence outlines using fixed playbooks
  • Scope-limited – Maximum 20-30 lines per response, no negotiation, no persuasion
  • Risk-aware – Refuses output in dangerous scenarios requiring attorney representation
  • Classification-based – Uses structured inputs, not free-form narratives
  • Not legal advice – Does not interpret policy language or provide coverage advice

What This System is NOT

❌ This System is NOT:

  • NOT a law firm – We do not provide legal services or representation
  • NOT legal advice – We do not interpret policy language or advise on legal rights
  • NOT an insurance agent – We do not provide insurance advice or sell policies
  • NOT a negotiation service – We do not negotiate with insurers on your behalf
  • NOT a chatbot – We do not accept free-form narratives or "tell your story" inputs
  • NOT always available – We intentionally refuse output in dangerous scenarios
  • NOT a replacement for attorney – Complex matters require professional representation

When You MUST Consult an Attorney

⛔ Attorney Consultation MANDATORY For:

  • Fraud investigations – Any allegation of fraud or misrepresentation
  • Examination Under Oath (EUO) – EUO requests require attorney representation
  • Recorded statements – Recorded statements can be used against you
  • Reservation of rights – Coverage is being questioned
  • Attorney involvement – Any mention of attorneys or legal action
  • Bad faith allegations – Complex legal issues requiring attorney expertise
  • High-value claims – Personal claims over $50,000, commercial over $25,000
  • Coverage disputes – Policy interpretation or coverage questions
  • Subrogation disputes – Complex recovery or liability issues

If any of these apply, this system will refuse to generate output and recommend attorney consultation.

User Responsibility

⚠️ You Are Responsible For:

  • Verifying accuracy – All information and correspondence must be verified by you
  • Consulting professionals – Complex matters require attorney or insurance professional consultation
  • Understanding policy – You must understand your policy terms and obligations
  • Meeting deadlines – You are responsible for meeting all response deadlines
  • Making decisions – All decisions regarding your claim are yours alone
  • Compliance – You must comply with all applicable laws and regulations
⚠️

This is NOT Legal Advice

Insurance Claim Response Pro prepares procedural correspondence only. It is not legal advice and does not replace professional representation. For complex matters, consult an attorney.

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