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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.
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.