# variable_notes

claim_id: 3499234442
variable_name: risk_level
created_at: 2025-11-13 16:52:48
updated_at: 2025-11-13 16:52:48
note_text:
I could see this being a low risk level since <$25k, no litigation but injury severity being moderate and the main driver can make this a medium risk level.


claim_id: 3499234442
variable_name: industry_risk_category
created_at: 2025-11-13 17:10:14
updated_at: 2025-11-13 17:23:10
note_text:
Age:23
Occupation: Student
Not sure how industry risk is healthcare outpatient. Should be education?


claim_id: 6165669449
variable_name: causation_type
created_at: 2025-11-13 17:15:57
updated_at: 2025-11-13 17:15:57
note_text:
yes, this is human factor, but she fell while doing her job and she had the safety harness on so I feel like it may have been a bad set up overall


claim_id: 3499234442
variable_name: experience_modifier_impact
created_at: 2025-11-13 17:25:59
updated_at: 2025-11-13 17:59:15
note_text:
If cost-based assessment is the primary driver, then should be favorable. <$10k, moderate injury and quick recovery


claim_id: 6165669449
variable_name: safety_compliance
created_at: 2025-11-13 17:38:09
updated_at: 2025-11-13 17:38:09
note_text:
the adjustor notes say the safety harness was in use, so I don't know if none is correct since she had something in place, it just seems like lost her footing and fell but there was some sort of procedure in place.


claim_id: 3499234442
variable_name: injury_severity
created_at: 2025-11-13 17:43:47
updated_at: 2025-11-13 17:43:47
note_text:
hm this one and the one that needed surgery are both classified as moderate. I feel like those are two different injuries as one had a much longer recovery and the patient stated that she is still struggling so i don't know if moderate is a good word for this one.


claim_id: 3499234442
variable_name: management_complexity
created_at: 2025-11-13 17:45:17
updated_at: 2025-11-13 18:01:01
note_text:
I think this should be routine management complexity:
- simple medical treatment
- low litigation risk


claim_id: 6165669449
variable_name: expected_development_pattern
created_at: 2025-11-13 18:32:48
updated_at: 2025-11-13 18:32:48
note_text:
Achieved MMI by July 1st (4months) which is less than 6 months but moderate injury might push it to average. Agree with classification.


claim_id: 6165669449
variable_name: experience_modifier_impact
created_at: 2025-11-13 19:10:16
updated_at: 2025-11-13 19:10:16
note_text:
I think this could be neutral because the cost is within 10-50k and it is the expected industry norm within construction


claim_id: 4726770034
variable_name: expected_development_pattern
created_at: 2025-11-13 23:07:00
updated_at: 2025-11-13 23:07:00
note_text:
would this one be classified as permanent since he has not returned to normal and is only working part time now


claim_id: 3628150755
variable_name: safety_compliance
created_at: 2025-11-20 16:52:53
updated_at: 2025-11-20 16:52:53
note_text:
i feel like it should be none, there is no safety involved in this, he was playing basketball and fell


claim_id: 5908806823
variable_name: expected_development_pattern
created_at: 2025-11-28 18:01:38
updated_at: 2025-11-28 18:01:38
note_text:
This should be fast resolution since patient is expected to achieve maximum medical improvement in 1 month


claim_id: 7114747163
variable_name: medical_complexity
created_at: 2025-12-02 19:41:40
updated_at: 2025-12-02 19:41:40
note_text:
Medical complexity should be complex because it involves surgical intervention + PT (multiple specialists). Roughly 7 months for MMI and AK's wrist is still restricted. A follow up evaluation is scheduled for July 2024.


claim_id: 6744942349
variable_name: expected_development_pattern
created_at: 2025-12-02 20:22:19
updated_at: 2025-12-02 20:22:19
note_text:
Expected development pattern should be fast resolution because claimant recovered <6 months and returned to full duty.


claim_id: 6744942349
variable_name: safety_compliance
created_at: 2025-12-03 17:13:12
updated_at: 2025-12-03 17:13:12
note_text:
there were no safety measures, but she mentioned it was pretty dangerous because the surface was uneven. i feel like that should be included here


claim_id: 1653216458
variable_name: ultimate_cost_category
created_at: 2025-12-03 22:47:08
updated_at: 2025-12-03 22:47:08
note_text:
Ultimate cost category should be 50-100k. Per settlement adjuster notes, the recommend starting negotiation is at about $50k to account for total expenses, wage loss, additional factors for pain and suffering , and future complications or extended treatments.


claim_id: 1653216458
variable_name: settlement_likelihood
created_at: 2025-12-03 23:04:22
updated_at: 2025-12-03 23:04:22
note_text:
Settlement likelihood should be medium because still needs to follow up with claimant's attorney as necessary to expedite resolution.


claim_id: 1653216458
variable_name: industry_risk_category
created_at: 2025-12-03 23:13:11
updated_at: 2025-12-03 23:13:11
note_text:
Claimant is a 44 y/o office administrator. LLM classified industry risk category as construction heavy.


claim_id: 6924817947
variable_name: litigation_risk
created_at: 2025-12-03 23:42:46
updated_at: 2025-12-03 23:42:46
note_text:
Settlement adjuster notes did not mention anything about claimant cooperation. Also, LLM seems to be contradicting itself when it mentions here that claimant is clearly liable when earlier it mentioned that the incident occurring on a wet floor without proper signage or safety measures in place. This indicates a failure to adhere to safety protocols, contributing to the incident, so the claimant is not fully liable.


claim_id: 6478583886
variable_name: medical_complexity
created_at: 2025-12-04 17:33:40
updated_at: 2025-12-04 17:33:40
note_text:
Medical complexity should be simple because back muscle strained and only treated with PT. <3 months recovery.


# rubric_scores

claim_id: 6165669449
principle: Quality and accuracy
dimension: Accuracy
created_at: 2025-11-13 17:17:15
updated_at: 2025-11-13 17:33:09
comment:
I got a different cost for the total claim so I'm not sure if that's an error but if its true than that is a problem. I also got a different category for experience modifier impact, but I also don't understand what that is really. 


claim_id: 6165669449
principle: Quality and accuracy
dimension: Completeness
created_at: 2025-11-13 17:17:20
updated_at: 2025-11-13 17:39:35
comment:
it did not include the safety harness in safety evaluation, which I think may change the category from none to something else. It's not that she wasn't using safety precautions, she just accidently fell. 


claim_id: 6165669449
principle: Understanding and Reasoning
dimension: Contextual Understanding
created_at: 2025-11-13 17:18:02
updated_at: 2025-11-13 17:26:47
comment:
yes, it was able to identify that there was a construction accident and knew that this can involve high heights and stuff like that


claim_id: 6165669449
principle: Safety and Ethics
dimension: Missing Information
created_at: 2025-11-13 17:27:06
updated_at: 2025-11-13 17:40:34
comment:
it did not mention anything about how she feels like every day is reminder of what could have been with her wrist mobility. I don't know if we see this as important, but could it be a reason that she chooses to sue?? also, they left out the safety harness in the safety evaluation, so I don't know if that may be considered for something. 


claim_id: 3499234442
principle: Quality and accuracy
dimension: Accuracy
created_at: 2025-11-13 18:12:16
updated_at: 2025-11-24 14:47:32
comment:
- Minor severity instead of moderate since no surgery involved and just an ankle sprain. 
- Claimant's occupation is clearly a student but industry risk category is healthcare outpatient
- Adjuster notes mentioned clear liability, but litigation risk rationale mentioned disputed liability leading to misclassification
- Since litigation risk was misclassified, it leads to settlement likelihood and management complexity to be misclassified as well.


claim_id: 6165669449
principle: Quality and accuracy
dimension: Accuracy
created_at: 2025-11-13 19:34:39
updated_at: 2025-11-19 17:55:25
comment:
Settlement cost is within 10-50k and moderate injury severity which puts experience modified impact as neutral but LLM thinks it should be adverse ($50-150k, major injury, or pattern concerns)


claim_id: 4726770034
principle: Safety and Ethics
dimension: Missing Information
created_at: 2025-11-13 23:14:02
updated_at: 2025-11-13 23:14:02
comment:
it mentioned there was none for safety which i don't know is true since there was a safety harness, it just was not properly secured, so I don't know if there is a better term for this. 


claim_id: 4726770034
principle: Quality and accuracy
dimension: Accuracy
created_at: 2025-11-18 21:15:39
updated_at: 2025-11-18 22:02:15
comment:
LLM mentioned ultimate cost prediction of $118,000 but no where to be found in settlement adjuster notes. Settlement amount is in the range of $45k-50k


claim_id: 7909573436
principle: Quality and accuracy
dimension: Accuracy
created_at: 2025-11-18 22:02:02
updated_at: 2025-11-18 22:04:46
comment:
LLM mentioned ultimate cost prediction of $118,000 but no where to be found in settlement adjuster notes. Per settlement adjuster notes, the recommended settlement authority is up to $25,000.


claim_id: 3628150755
principle: Quality and accuracy
dimension: Accuracy
created_at: 2025-11-19 17:47:11
updated_at: 2025-11-19 17:52:05
comment:
- Injury severity should be minor
- Medical complexity should be simple since injury is limited to one ankle, treated with RICE therapy and PT, <2 months recovery
- Risk level should be low because minor injury, clear liability, low costs <$25k, no litigation
- Industry risk category: LLM thinks that claimant is a basketball player but claimant is a 17 y/o student
- Experience modifier impact should be favorable 


claim_id: 5908806823
principle: Quality and accuracy
dimension: Accuracy
created_at: 2025-11-28 18:10:59
updated_at: 2025-11-28 18:17:55
comment:
- Injury severity should be minor instead of moderate (ankle sprain and bruised knee requiring RICE, NSAID, and PT)
- Expected development pattern should be fast resolution since patient is expected to achieve maximum medical improvement in 1 month
- Risk level should be low because low cost (<$25k), clear liability, no litigation and injury severity can argue to be minor
- Experience modifier impact should be favorable because cost<$10k, good safety record, and injury severity should be minor


claim_id: 7114747163
principle: Quality and accuracy
dimension: Accuracy
created_at: 2025-12-02 19:55:43
updated_at: 2025-12-02 20:00:48
comment:
- Medical complexity should be complex because it involves surgical intervention + PT (multiple specialists). Roughly 7 months for MMI and AK's wrist is still restricted. A follow up evaluation is scheduled for July 2024.
- Per settlement adjuster notes, total settlement recommendation is approximately $32,600 instead of $118k so ultimate cost category should be 25-50k.


claim_id: 7114747163
principle: Safety and Ethics
dimension: Hallucination
created_at: 2025-12-02 20:00:26
updated_at: 2025-12-02 20:00:56
comment:
- Per settlement adjuster notes, total settlement recommendation is approximately $32,600 instead of $118k so ultimate cost category should be 25-50k.


claim_id: 6744942349
principle: Quality and accuracy
dimension: Accuracy
created_at: 2025-12-02 20:33:37
updated_at: 2025-12-02 20:39:15
comment:
- Expected development pattern should be fast resolution because claimant recovered <6 months, clear liability, and returned to full duty. LLM mentioned "expected to return to full duty soon"
- For industry risk category, claimant occupation is marketing specialist not healthcare outpatient


claim_id: 5908806823
principle: Understanding and Reasoning
dimension: Contextual Understanding
created_at: 2025-12-02 22:03:05
updated_at: 2025-12-02 22:05:06
comment:
it understands everything, but like for this example, he fell when playing soccer, so I don't think there is any safety that should be involved and the LLM said unknown, and I wonder if there is a better category for this since there really isn't any safety stuff that can be included in this, it was just an accident, like he fell 


claim_id: 7114747163
principle: Quality and accuracy
dimension: Accuracy
created_at: 2025-12-02 22:28:42
updated_at: 2025-12-02 22:29:07
comment:
this one hallucinates multiple times, the cost of 118k came up and it said the claimant mentioned safety but that did not happen.


claim_id: 6744942349
principle: Quality and accuracy
dimension: Completeness
created_at: 2025-12-03 17:13:52
updated_at: 2025-12-03 17:15:33
comment:
it left out some important points that i think would change some categories to score less harsh, like it should be a simple accident because it was a sprain with PT only, and I don't know if the model picked up on that. 


claim_id: 6744942349
principle: Safety and Ethics
dimension: Missing Information
created_at: 2025-12-03 17:16:00
updated_at: 2025-12-03 17:16:43
comment:
it left out that the surface was dangerous for the safety variable, and it had the type of accident set to moderate when this should really be simple.


claim_id: 1653216458
principle: Understanding and Reasoning
dimension: Contextual Understanding
created_at: 2025-12-03 17:45:31
updated_at: 2025-12-03 17:46:15
comment:
it made the one variable construction, but she was just walking and slipped so I don't think the model understands that construction was not used here


claim_id: 6924817947
principle: Quality and accuracy
dimension: Completeness
created_at: 2025-12-03 19:36:17
updated_at: 2025-12-03 19:37:39
comment:
she achieved MMI in 3 months but it stated her recovery was 6-12 mo so i don't know if it understood that 


claim_id: 1653216458
principle: Quality and accuracy
dimension: Accuracy
created_at: 2025-12-03 23:10:11
updated_at: 2025-12-03 23:17:20
comment:
- Per settlement adjuster notes, the recommend starting negotiation is at about $50k to account for total expenses, wage loss, additional factors for pain and suffering , and future complications or extended treatments. So ultimate cost category should be 50-100k or 25-50k, and not 100-150k . 
- Claimant is a 44 y/o office administrator. LLM classified industry risk category as construction heavy.


claim_id: 1653216458
principle: Quality and accuracy
dimension: Completeness
created_at: 2025-12-03 23:11:33
updated_at: 2025-12-03 23:17:20
comment:
- Did not mention negotiation strategy/recommendation for settlement
- Did not mention that claimant works as an office admin
- Did not mention the need to follow up with claimant attorney


claim_id: 1653216458
principle: Safety and Ethics
dimension: Hallucination
created_at: 2025-12-03 23:17:10
updated_at: 2025-12-03 23:17:35
comment:
- Per settlement adjuster notes, the recommend starting negotiation is at about $50k to account for total expenses, wage loss, additional factors for pain and suffering , and future complications or extended treatments. So ultimate cost category should be 50-100k or 25-50k, and not 100-150k . 
- Claimant is a 44 y/o office administrator. LLM classified industry risk category as construction heavy.


claim_id: 6924817947
principle: Quality and accuracy
dimension: Accuracy
created_at: 2025-12-03 23:44:44
updated_at: 2025-12-03 23:51:00
comment:
- Total settlement value is around $47,000, not $118,000k
- LLM thinks that administrative assistant typically involves moderate physical activity which is not true. 
- LLM mentioned that there was no safety measure or proper wet floor sign which is why claimant slipped. But later stated clear liability. 


claim_id: 6478583886
principle: Quality and accuracy
dimension: Accuracy
created_at: 2025-12-04 17:42:44
updated_at: 2025-12-04 17:51:45
comment:
- Medical complexity should be simple because back muscle strained (single body part) and only treated with PT,  <3 months recovery. 
- LLM thinks that the "4-6 weeks" in the clinical note is the expected recovery time but it's the timeline to reassess the patient's mental health status and housing situation, completely separate from the injury. 
- Expected development pattern should be fast resolution because of <6 months and clear liability, instead of average.
- The ultimate cost category rationale is very problematic. 
- Risk level should be low because clear liability, low costs (<25k), and no litigation. Even though injury severity is moderate, it could be argued for minor since patient on required PT and achieved MMI in 2 months.


claim_id: 6277819370
principle: Quality and accuracy
dimension: Accuracy
created_at: 2025-12-04 18:03:26
updated_at: 2025-12-04 18:08:03
comment:
- Injury severity should be minor
- Medical complexity should be simple
- Medical complexity should be fast resolution
- Risk level should be low
- Experience modifier impact should be neutral


claim_id: 6478583886
principle: Safety and Ethics
dimension: Hallucination
created_at: 2025-12-05 02:52:27
updated_at: 2025-12-05 02:53:03
comment:
wrong costs, and said partial for safety and I don't remember seeing anything mentioned about safety 


claim_id: 6277819370
principle: Understanding and Reasoning
dimension: Contextual Understanding
created_at: 2025-12-05 20:22:21
updated_at: 2025-12-05 20:22:42
comment:
a lot of the moderate category should be simple and low, so it is not understanding that this is a low and easy injury compared to others so I don't think it understands that 


claim_id: 6775379108
principle: Understanding and Reasoning
dimension: Contextual Understanding
created_at: 2025-12-05 20:31:36
updated_at: 2025-12-05 20:32:10
comment:
it got the cost wrong a couple of times, so it's not interpreting something correctly because this is a pattern now


claim_id: 1564979706
principle: Quality and accuracy
dimension: Accuracy
created_at: 2025-12-07 02:14:03
updated_at: 2025-12-07 02:16:39
comment:
- medical complexity should be simple 
- expected development pattern should be fast resolution
- ultimate cost category should be <25k
- safety compliance should be none
- experience modifier impact should be favorable


claim_id: 4462291667
principle: Safety and Ethics
dimension: Missing Information
created_at: 2025-12-09 16:11:34
updated_at: 2025-12-09 16:12:09
comment:
i don't think it necessarily left out anything important but it still is having errors with cost, so i guess we can consider that critical and not working right 


claim_id: 8794084622
principle: Understanding and Reasoning
dimension: Contextual Understanding
created_at: 2025-12-10 15:50:11
updated_at: 2025-12-10 15:51:13
comment:
yes, this one did have one of the cost variables wrong, experience modifier impact should be favorable and not neutral so it didn't understand this 


