1. What does the Skill do?
Local Claims Desk turns one synthetic TPA or international-assistance case packet into a source-linked administrative readiness report, keeping human reviewers in control.
2. Target user and problem
Claims intake analysts and assistance coordinators reconcile invoices, receipts, authorization notes and case chronologies across scattered documents. Missing evidence and conflicting dates delay handovers; uploading these packets to general cloud chat creates an additional data-disclosure decision.
3. Proposed solution
A bounded NAS workflow checks an operator-supplied administrative checklist, extracts minimal case facts, flags inconsistencies and candidate duplicates, and drafts a review handover. This prototype accepts synthetic cases only. It never diagnoses, adjudicates, approves payment or contacts providers.
4. Core user flow
Confirm synthetic inputs, one case folder, checklist and verified local model route. List up to 20 documents. Extract administrative fields and compare sources. Review missing evidence and conflicts. Approve the exact report before optionally saving a new local Markdown copy. Originals remain unchanged.
5. Substantive difference
Instead of an unconstrained chatbot or automated claims verdict, it produces a case-scoped evidence trail: what is present, missing, contradictory or unreadable. NAS-resident source documents and an explicitly verified local processing route are design requirements, not assumed compliance guarantees.
6. UGREEN AI NAS capabilities
File discovery locates the authorized packet. Document extraction reads invoices and receipts; source-cited document QA compares the checklist and chronology. Knowledge text-save writes the approved report with read-back verification. No external APIs, email, telemetry or claims-system integration are requested.
7. Technical approach
Created with the official UGOS creation kit v0.7.7 and catalog 2.2.0. The Skill delegates file discovery to file-agent, extraction/QA to document-agent and approved saving to knowledge-agent. It requests scoped read access plus optional output-write access. If local model routing cannot be confirmed, it stops before reading content.
8. Current development status
Implemented: original Markdown orchestration, report format and synthetic test specifications. The official bundled checker reports static-pass with zero errors or warnings. NAS installation, extraction accuracy, local routing and end-to-end execution remain unvalidated; no real cases or company materials were used.
9. Final validation plan
Core tests: a complete synthetic TPA packet yields a cited human-review checklist; an assistance packet exposes missing authorization, a date conflict and separate currencies. Edge test: an unreadable invoice plus a cross-case receipt produces an incomplete result and no external transmission. Verify approvals, coverage, unchanged originals and saved-output read-back.
10. Known limitations
OCR, citation coverage, language support and local-model availability depend on the assigned NAS. Candidate duplicates are not fraud findings. No clinical or coverage decisions, currency conversion or live-data deployment. Healthcare-adjacent privacy risks require review; production would need separate legal, security and operational approval.
Third-party and rights disclosure
Development resources: UGREEN UGOS Skill Creation Tool v0.7.7 and capability catalog 2.2.0, from https://ai.ugreen.com/pages/hackathon-starter-kit. Vendor tools are used for authoring and checking only, under their supplied terms, and are not redistributed. The submitted package contains original Markdown and invented test specifications only; no third-party code, datasets, models, credentials or real personal data. No external runtime services are requested. Submission and judging use Devpost/UGREEN under the contest rules. Original materials: rights retained, subject to those rules; no separate open-source license is granted in this draft.
