# 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


# 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


