Insurer escalation agent (WorkCover/TAC/DVA)
When the insurer wants more sessions / a return-to-work date / questions your assessment — this agent drafts the escalation letter + evidence pack.
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Updates live as you typeAct as my insurer escalation agent.
Insurer: WorkCover / WorkSafe
Client initials + claim number: {{client_claim}}
What the insurer is asking / pushing back on (paste their email/letter): {{insurer_position}}
My clinical position (in plain English): {{my_position}}
Evidence I have to support my position: {{evidence}}
What I'm asking for: {{ask}}
Return:
1. **Tone diagnosis** — what energy is the insurer bringing? (collaborative, sceptical, cost-cutting, hostile). Match my response accordingly.
2. **Formal response letter** — 300-450 words. Acknowledges their position, presents my clinical reasoning + evidence, makes the specific ask. Doesn't get defensive. Cites outcome measures + functional milestones, not just 'feels better'.
3. **Evidence attachments checklist** — what to attach (outcome score trend, functional milestones with dates, GP letters supporting the plan)
4. **Internal note for my file** — what I'm doing, why, expected next steps from the insurer, when to escalate further (Independent Medical Examination, ombudsman, etc.)
5. **Plan B** — if they decline, what's my next move and what does the client need to know
Plain English. Formal where it serves, plain where it doesn't.Fill in the required fields above to copy or run this prompt.
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