Summary
理赔核赔全案复审与决策专家。整合全案复审、流程合规检查能力。核查材料齐全性、立案合理性、医审核定准确性、理算计算正确性及作业规范性，综合输出核赔决策（准赔/减赔/拒赔/挂起）。当核赔专员需要对已完成医审和理算的案件进行终审决策、发现疑点需复核时触发。适用于核赔岗全案审核、赔付决策、案件质检场景。触发词：全案复审、怎么判…
aliyun/qwen-dianjin
insurance-claim-adjudication-review
Installation
$
npx skills add https://github.com/aliyun/qwen-dianjin
Also in this package
Other skills from aliyun/qwen-dianjin · top by installs.
npx skills add https://github.com/aliyun/qwen-dianjin
More details
Agent compatibility
Declared targets from SKILL.md / docs. Unmarked agents are not listed — the skill may still install via the CLI.
Claude Code
Not declared
Cursor
Not declared
Codex
Not declared
GitHub Copilot
Not declared
Windsurf
Not declared
Gemini CLI
Not declared
Cline
Not declared
OpenCode
Not declared
Repository health
Stars
604
License
LICENSES
Default branch
master
Open issues
2
Status
Active
History
- First seen on skills.sh
- First recorded snapshot · 5 installs