INDUSTRY FIELD GUIDE
Claims adjuster scope and evidence data for AI review
An adjuster’s photo can support an observation without establishing what a carrier accepted.
NAICS 524291 · Claims Adjusting
An adjuster’s photo can support an observation without establishing what a carrier accepted. FEMA’s National Flood Insurance Program claims manual provides an example of how one program structures claim documentation. An independent adjuster can build a separate synthetic task about joining evidence to an estimate and its later revision. FEMA NFIP claims manual
Use an owned mock panel and two practice photos. Pair one observed feature with a matching line in a fictional scope report. Give another estimate line a superseded photo and no reviewed adjustment. Ask which observation each photo supports and which item still requires inspection or carrier review. Score attribution and source type separately. The model does not determine the payment.
Do not copy claim files, people, home interiors, geolocation, confidential estimates, or carrier tools. Get approval for props and sample images. Clear any third-party material before discussing a real collection.
Describe an adjusting evidence sample
Original Fiund exercise
A current panel photo can support an observation without proving carrier acceptance
Two owned mock panels stand in for property. Original photo descriptions and scope cards are fictional and contain no people, home interiors or claim information.
| Record | Source | What it records |
|---|---|---|
| CA1 | Photo P1 annotation | Panel A, day 2: visible surface scratch in region R. Original image identity matches scope line A-R. |
| CA2 | Practice scope S2 | A-R describes scratch observation and cites P1. Separate line B-R cites photo P0, explicitly superseded after panel B was replaced. |
| CA3 | Review record | S2 marked draft adjuster observation. No carrier acceptance or later panel-B inspection record supplied. |
Question for the model
Which scope line has a matching current observation, and what remains unsupported for panel B and carrier acceptance?
Show the reference answer and checks
CA1 and CA2 link the current scratch observation on panel A to A-R. B-R relies on superseded P0 after a replacement, so the packet lacks current evidence for the replacement panel's condition. CA3 marks S2 as a draft and supplies no carrier acceptance. Report observed condition, estimate lineage and review state separately; none of these records establishes a payable amount or a coverage outcome.
- Treating an adjuster's observed feature as a carrier-approved scope or payment.
- Reusing an old component photo after the component identity changed.
Fields to preserve
- Panel identity and photo date
- Defines the observed object and time.
- Region and scope-line reference
- Connects image evidence to text.
- Supersession and review authority
- Separates current observation from acceptance.
Test another case
Add a current B image showing no scratch but leave the scope draft unchanged. Require a documented discrepancy rather than silently rewriting either source.
Use owned props and original sample images. Exclude property files, location metadata, carrier tools and real estimates; payment and inspection judgments remain with authorized reviewers.
Discuss a contribution
Describe the sources you control, the task they could support and what has already been checked. Use the existing-data assessment for an archive or the collection brief for a new recording project. The contributor agreement defines Fiund’s licensing authority and compensation. A guide or fictional exercise does not establish an accepted collection or a sale.