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当用户需要识别保险理赔案件是否可能触发除外责任条款、分析案件中有哪些免责条款风险、结合保单和条款判断案件是否存在责任免除、梳理案件事实与免责条款的匹配关系或输出适合理赔审核与复核使用的除外责任识别意见时使用本 skill。适用于分析理赔系统案件记录、报案信息、门诊或住院病历、诊断证明、手术记录、出院小结、医疗发票与费用清单、身故证明、事故
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