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50+ Insurance Software Testing Prompts (2026)

Explore 50+ ready-to-use prompts for insurance software testing to improve automation, ensure accurate results, and validate core workflows end-to-end.

Author

Prince Dewani

January 8, 2026

Introduction

Testing insurance software means validating critical workflows across policies, underwriting, billing, claims, fraud checks, and compliance, each with strict business rules and financial accuracy requirements. This prompt library brings together the key areas every insurance QA engineer needs to test.

These prompts support automation testing by helping you:

  • Create accurate test scenarios: Generate detailed cases that match real insurance rules.
  • Expand coverage faster: Reduce manual effort and accelerate regression and E2E testing.
  • Improve reliability: Produce consistent, repeatable tests across complex workflows.
  • Test with confidence: Ensure calculations, decisions, and processes behave exactly as expected.

#1. Core Insurance Domain Functional Testing

This category covers critical insurance workflows like policies, underwriting, claims, billing, endorsements, and renewals. These prompts help testers validate financial accuracy, business rules, and end-to-end policy lifecycle behavior with confidence.

1. Claims Processing Workflow Testing

You are a senior insurance QA engineer with over 30 years of experience testing claims systems. For the claims module described below, explain how you would validate the full claim processing workflow for <claim_type> including submission with document uploads, form-level validations, eligibility checks, coverage validation for <policy_type>, adjudication logic, settlement authorization, payment processing (direct deposit/check), and the appeals flow for denied claims; ensure scenarios remain tied to the claim rules, codes, and edge cases provided in <claim_rules_and_code_table> so results are accurate and actionable.

Module Details:

<claims_processing_module_details_go_here>

2. Policy Underwriting & Pricing Validation

You are a senior QA engineer specializing in underwriting systems. Using the underwriting workflow described below, outline how you would validate risk assessment based on <applicant_profile>, premium calculations for <coverage_type>, underwriting rules (approve/decline/refer), medical underwriting inputs such as <health_questionnaire_field>, automated rating factors, and coverage limit determination based on risk profile; ensure tests exercise rule priorities and override paths defined in <underwriting_rule_set> for precise validation.

Module Details:

<policy_underwriting_or_pricing_details_go_here>

3. Policy Endorsements & Amendments Testing

You are a senior insurance QA engineer with decades of policy servicing experience. For the policy endorsements module described below, explain how you would test endorsements/amendments such as address changes, beneficiary updates, coverage modifications, riders, premium adjustments, effective dates, pro-rations, document re-issuance, and approval workflows for <policy_type> based on the endorsement rules in <endorsement_rules_matrix>.

Module Details:

<policy_endorsement_or_amendment_details_go_here>

4. Renewal & Lapse Management Testing

You are a senior QA engineer specializing in policy lifecycle management. Based on the renewal/lapse workflow below, describe how you would test renewal generation for <policy_type>, grace period rules, lapse triggers due to non-payment, reinstatement conditions for <customer_segment>, premium recalculations on renewal, communication workflows, and notification templates defined in <renewal_lapse_rules>.

Module Details:

<renewal_or_lapse_management_details_go_here>

5. Agent Commission & Incentive Calculation Testing

You are a QA expert with deep experience validating agent/distributor compensation systems. For the compensation module described below, explain how you would validate commission rules for <agent_type>, tiered incentive slabs, product-specific commission percentages, clawback logic for cancelled/short-paid policies, and reconciliation of payouts with <sales_reporting_system> using the commission schedules and reconciliation rules in <commission_rules>.

Module Details:

<agent_commission_or_incentive_rules_go_here>

6. Customer Portal & Policy Management Testing

You are a senior insurance QA engineer specializing in customer-facing portals. For the portal described below, outline how you would test secure login (MFA), policy view/download for <policy_category>, premium payment flows, service requests (endorsement requests, claim initiation), profile management for fields like <customer_field_1>, and PII/PHI handling consistent with <security_privacy_policies>.

Module Details:

<customer_portal_or_policy_management_features_go_here>

7. Premium Billing & Payment Gateway Validation

You are a senior insurance QA engineer with 30+ years of billing and payments experience. Using the premium billing workflow described below, outline how you would validate billing frequency logic for <billing_cycle_type>, invoice generation and delivery, automated payment retries, partial payments, refunds, chargebacks, payment reversal flows, settlement reconciliation with <financial_system_name>, tax/surcharge handling, and end-of-day reconciliation as defined in <premium_billing_spec>.

Module Details:

<premium_billing_workflow_details_go_here>

8. Policy Cancellation & Refund Processing Testing

You are a senior QA engineer skilled in servicing financial flows. Using the cancellation workflow below, outline how you would validate cancellation eligibility, short-rate/pro-rata refund calculations, earned premium handling, non-refundable fees, notification triggers, ledger entries, and reinstatement logic per the rules in <cancellation_and_refund_spec>.

Module Details:

<policy_cancellation_or_refund_workflow_go_here>

9. Policy Riders & Add-On Coverage Validation

You are a senior QA engineer specializing in product configuration. Using the rider framework below, explain how you would validate rider eligibility for <rider_type>, premium impact, exclusion handling, interactions with base policy limits, endorsement issuance, and renewal behavior defined in <rider_configuration_rules>.

Module Details:

<policy_rider_or_addon_details_go_here>

10. Policy Quote Generation & Comparison Engine Testing

You are a senior QA engineer experienced in quoting systems. Using the quote engine configuration below, explain how you would validate quote accuracy for <customer_profile>, dynamic rate refresh, product comparisons per <comparison_rules>, discount application, add-on pricing, and conversion flow to issuance as specified in <quote_engine_spec>.

Module Details:

<policy_quote_or_comparison_engine_details_go_here>

11. Multi-Channel Distribution Testing (POS, Bancassurance, Brokers)

You are a senior QA engineer specializing in distribution. Using the channel rules below, explain how you would validate onboarding and sales flows for <distribution_channel>, channel-specific product availability, commission application, cross-sell eligibility, and compliance disclosures in <distribution_channel_matrix>.

Module Details:

<distribution_model_rules_go_here>

12. Subscription / Usage-Based Insurance Model Testing

You are a senior QA engineer experienced in usage/subscription products. Using the product/billing rules below, explain how you would validate usage metering for <usage_parameter>, billing increments, pause/resume behavior, proration rules for mid-cycle changes, minimum charges, and renewal flows as per <usage_product_spec>.

Module Details:

<subscription_or_usage_based_product_details_go_here>

13. Policy Lifecycle Regression Suite Design

You are a senior QA strategist. Using the policy scope below, outline how you would design a regression suite covering quote → underwriting → issuance → servicing → claim → renewal → lapse for <policy_type>, prioritize cases using <business_priority_matrix>, and identify stable automation candidates and manual checks in <regression_design_spec>.

Module Details:

<policy_lifecycle_scope_go_here>

14. Multi-Policy Bundle (Home + Auto + Life) Testing

You are a senior QA engineer experienced in bundling products. Using the bundle rules below, outline how you would validate bundle eligibility for <product_combo>, discount application, shared deductible behavior, claim interactions across bundled policies, and renewal/cancellation linkage in <bundle_rules>.

Module Details:

<multi_policy_bundle_rules_go_here>

#2. Specialized Insurance Domain & Product Line Testing

This category focuses on advanced insurance areas such as COB, reinsurance, medical coding, telematics, AI-driven underwriting, and smart FNOL. These prompts help you test complex domain logic that requires deep product understanding and precision.

15. Coordination of Benefits (COB) Testing

You are a senior insurance QA specialist with extensive experience validating COB logic. For the COB scenario described below, explain how you would test primary vs secondary insurer determination, COB calculations when multiple policies apply, payment splitting between <insurer_1> and <insurer_2>, deductible coordination, and subrogation workflows including recovery handling for <liable_party>, using the COB precedence and calculation rules provided in <COB_rules_and_priority_table>.

Module Details:

<coordination_of_benefits_details_go_here>

16. Insurance Fraud Detection & Investigation Testing

You are a senior QA engineer specializing in insurance fraud detection workflows. For the fraud detection module described below, outline how you would validate automated fraud scoring for <claim_pattern>, duplicate claim detection, staged loss indicators, OCR/document authenticity checks, case management triggers, and investigator handoff using thresholds and rules in <fraud_detection_config>.

Module Details:

<fraud_detection_or_investigation_module_go_here>

17. Medical Coding & Claim Mapping Validation (ICD/CPT/HCPCS)

You are a senior QA specialist with medical coding expertise. Using the coding rules and mapping tables below, outline how you would validate ICD/CPT/HCPCS mappings, bundling/unbundling, exclusion handling, reimbursement logic for <procedure_type>, and DRG/grouping scenarios using <code_mapping_tables>.

Module Details:

<medical_coding_validation_details_go_here>

18. Provider Network & Credentialing Testing (Health Insurance)

You are a senior QA engineer with provider network expertise. Using the credentialing workflow below, explain how you would validate provider onboarding for <provider_type>, license verification, contract rate application, network enrollment/de-panelment rules, and reimbursement logic during claims as per <provider_contract_rules>.

Module Details:

<provider_network_or_credentialing_details_go_here>

19. Reinsurance & Treaty Calculation Testing

You are a senior QA engineer with reinsurance experience. Using the treaty rules below, outline how you would validate proportional/non-proportional sharing, ceded premium calculations, retention/attachment points, catastrophe triggers, and recoveries for <loss_scenario> using <treaty_spec>.

Module Details:

<reinsurance_or_treaty_details_go_here>

20. Rate Filing & Regulatory Pricing Change Validation

You are a senior QA engineer experienced in pricing governance. Using the rate filing and pricing change details below, explain how you would validate rate application by geography/age/tenure, effective date/version behavior, rollback on rejection, and audit trails tied to <rate_tables_and_filing_workflow>.

Module Details:

<rate_filing_or_regulatory_change_details_go_here>

21. Telematics-Based Auto Insurance Testing

You are a senior QA engineer with telematics domain knowledge. Using the telematics model below, explain how you would validate device onboarding for <telematics_device_type>, data ingestion, driving behavior scoring for <telematics_parameter>, anomaly handling, premium adjustment rules, and retention/renewal impacts per <telematics_spec>.

Module Details:

<telematics_or_auto_insurance_rules_go_here>

22. Smart FNOL (Photo/Video + AI Estimation) Testing

You are a senior QA engineer specializing in digital FNOL. Using the FNOL module below, outline how you would validate self-service media capture (photo/video), AI damage estimation for <damage_type>, media validation rules, fraud flags, user guidance flows, and estimator escalation defined in <FNOL_spec>.

Module Details:

<smart_FNOL_module_details_go_here>

23. AI-Based Underwriting Model Testing

You are a senior QA engineer experienced in ML governance. Using the AI underwriting model described below, explain how you would validate prediction quality for <risk_profile_segment>, calibration and thresholds, override rules, bias/fairness checks, data drift monitoring, model explainability fields in <explainability_spec>, and audit trails for decisions.

Module Details:

<underwriting_AI_model_details_go_here>

24. Explainability & Auditability Testing for AI-Based Claims Systems

You are a senior QA engineer in AI governance. Using the AI claims model below, explain how you would validate explainability artifacts, decision traceability, fairness checks for <claim_scenario>, monitors for model drift, and audit reporting fields in <AI_governance_spec>.

Module Details:

<AI_claim_system_details_go_here>

25. Predictive Renewal & Churn Prevention Workflow Testing

You are a senior QA engineer experienced in retention. Using the churn model below, outline how you would validate churn prediction accuracy for <customer_profile>, renewal recommendation rules, retention offer application, orchestration flows, and feedback loops into the model per <retention_spec>.

Module Details:

<renewal_churn_AI_model_details_go_here>

26. Geolocation-Based Risk Adjustment Testing

You are a senior QA engineer for pricing. Using the geolocation risk model below, validate how premiums for <coverage_type> change by risk zones in <risk_zone_definitions>, environmental and hazard factors in <risk_factor_rules>, and pricing cap/floor rules in <pricing_cap_floor_rules>.

Module Details:

<geolocation_risk_model_details_go_here>

27. Claims Accessibility for Elderly and Special-Needs Customers

You are a senior QA usability engineer. Using the accessibility framework below, explain how you would validate simplified claim submission and tracking flows, readable policy language, assistive guidance, and voice/phone alternatives for <special_needs_group> as defined in <accessibility_framework>.

Module Details:

<claim_accessibility_framework_go_here>

#3. Technical, Integration & Non-Functional Testing

This category addresses performance, integrations, upgrades, security, DR/BCP, automation strategy, and data migration. These prompts guide testers in validating system reliability, scalability, and seamless interoperability across the insurance tech stack.

28. Large-Scale Load Testing & Seasonal Spike Simulation

You are a senior performance QA engineer experienced in insurance peak cycles. For the system described below, explain how you would design and execute performance, stress, and spike tests for seasonal events such as <peak_event> (renewal season, year-end, campaign launches), including load profiles, throughput targets, failure criteria, degradation metrics, and auto-scaling validation for <critical_module> using the performance SLAs and environment map in <performance_testing_spec>.

Module Details:

<performance_or_peak_load_details_go_here>

29. Document Management & OCR Extraction Testing

You are a senior QA engineer specializing in document automation. Based on the document processing module below, explain how you would validate OCR accuracy for fields in <document_field_mapping>, multi-format ingestion (PDF, image, DOCX), duplicate detection, versioning, metadata tagging, PII/PHI redaction policies in <redaction_rules>, and repository retention/archival behavior in <document_repository_rules>.

Module Details:

<document_management_or_OCR_module_details_go_here>

30. Insurance Data Migration & Conversion Validation

You are a senior QA specialist experienced in complex insurance migrations. For the migration described below, outline how you would validate field-level mapping for <entity_type>, referential integrity, policy status carryover, premium and outstanding balance accuracy, claim history completeness, and reconciliation between source and target using <data_mapping_rules> and <migration_validation_checks>.

Module Details:

<data_migration_or_conversion_details_go_here>

31. Cross-System Integration Testing (Core + CRM + Billing + Claims)

You are a senior QA architect with integration experience. Using the integration landscape below, explain how you would validate E2E workflows across core policy, CRM, billing, claims, document management, and payment gateways for <integration_type>, including mapping, sync frequency, error handling, and reconciliation rules in <integration_spec>.

Module Details:

<integration_landscape_details_go_here>

32. End-to-End Omnichannel Sync Testing

You are a senior QA engineer specializing in omnichannel. Using the sync rules below, validate synchronization of customer actions (quotes, purchases, endorsements, claim status) across mobile app, web, call center, chatbot, and agency tools for <policy_type> using <omnichannel_sync_spec> and conflict resolution rules in <omnichannel_conflict_rules>.

Module Details:

<omnichannel_sync_details_go_here>

33. Accessibility & WCAG Compliance Testing for Insurance Portals

You are a senior QA accessibility specialist. Using the portal accessibility requirements below, explain how you would validate keyboard navigation, screen reader behavior, alternative text, color contrast, focus order, and accessible policy/claim forms for <feature_type> according to <accessibility_spec>.

Module Details:

<accessibility_test_scope_go_here>

34. Business Rule Engine Validation

You are a senior QA engineer for rule engines. Using the business rules below, explain how you would validate eligibility, decision trees, versioning, rollback, and conflict resolution for <business_rule_set> and ensure correct rule prioritization defined in <rule_priority_spec>.

Module Details:

<rules_engine_details_go_here>

35. Core Insurance Platform Upgrade Validation

You are a senior QA engineer experienced in upgrades. Using the release scope below, explain how you would validate backward compatibility, impacted modules <module_name>, configuration migrations, data continuity, cutover, and rollback plans listed in <upgrade_cutover_plan>.

Module Details:

<platform_upgrade_details_go_here>

36. Security & Fraud Risk Penetration Testing for Insurance Apps

You are a senior cybersecurity QA specialist. Using the security scope below, explain how you would validate vulnerabilities related to policy/claim manipulation, session/token security, role-based access, data encryption at rest/in transit, and secure logging for <role_type> per <security_policy>.

Module Details:

<security_testing_scope_go_here>

37. Test Automation Strategy for Insurance Systems

You are a senior automation architect. Using the automation context below, outline an automation strategy covering <module_list>, test data strategy, environment management, CI/CD integration, flaky test handling, and ROI metrics defined in <automation_strategy_spec>.

Module Details:

<automation_strategy_details_go_here>

38. Multi-Region & Multi-Currency Testing for Global Insurance Products

You are a senior QA engineer for global rollouts. Using the globalization spec below, explain how you would validate multi-currency handling, tax variations, localized documents, regulatory differences for <region_list>, and exchange rate handling described in <globalization_spec>.

Module Details:

<globalization_testing_scope_go_here>

39. Disaster Recovery & Business Continuity Testing

You are a senior QA engineer specializing in DR/BCP. Using the DR/BCP plan below, outline how you would validate failover/fallback for <critical_module>, RTO/RPO compliance, data replication, service continuity, and disaster recovery drills as defined in <DR_plan>.

Module Details:

<DR_BCP_plan_details_go_here>

40. Insurance Blockchain Ledger Validation

You are a senior QA engineer experienced in blockchain for insurance. Using the ledger/smart contract details below, explain how you would validate transaction immutability, event triggers for <contract_event_type>, on-chain/off-chain reconciliation, and dispute resolution behavior as defined in <blockchain_rules>.

Module Details:

<insurance_blockchain_workflow_go_here>

41. Insurance Chatbot Testing (AI + Rule-Based)

You are a senior QA engineer with conversational AI experience. Using the chatbot flows below, explain how you would validate intent/entity recognition for <service_request_type>, authentication/authorization, journey initiation (FNOL, endorsement, payment), escalation to live agents, response correctness for regulated content, multilingual quality, and PHI/PII masking rules in <chatbot_policy>.

Module Details:

<insurance_chatbot_module_details_go_here>

42. IVR-Based Claim Status & Self-Service Validation

You are a senior QA engineer with telephony expertise. Using the IVR flow described below, outline how you would validate caller authentication for <customer_identifier>, menu navigation for <ivr_menu_tree>, claim status retrieval, error handling, DTMF/voice recognition accuracy, backend API integration, and call recording/compliance prompts defined in <ivr_config>.

Module Details:

<ivr_claim_selfservice_details_go_here>

43. Test Data Engineering for Insurance Scenarios

You are a senior test data architect. Using the data model below, explain how you would design synthetic/anonymized datasets for <policy_type>, claims variations, underwriting edge cases, renewals, and fraud scenarios; include masking, referential integrity, and volume needs described in <test_data_spec>.

Module Details:

<test_data_scope_go_here>

44. Role-Based Access Control (RBAC) & Multi-Tenant PHI Isolation Testing

You are a senior QA engineer specializing in access control and data isolation. Using the RBAC module described below, explain how you would validate role-based access rules for <user_role> types such as doctors, nurses, specialists, and billing staff, including consent-based access for <patient_consent_type>, time-bound temporary access, emergency break-glass flows, and multi-tenant isolation checks ensuring users from <tenant_name> cannot view PHI belonging to other tenants; align tests to the RBAC matrices and tenant policies in <rbac_or_patient_access_module_details_go_here>.

Module Details:

<rbac_or_patient_access_module_details_go_here>

#4. Compliance, Governance, Analytics & Regulatory Testing

This category includes regulatory reporting, audit logs, KYC/AML, SLA tracking, and analytics validation. These prompts ensure your system meets compliance standards, maintains traceability, and delivers accurate operational and regulatory insights.

45. Compliance & Regulatory Reporting Validation

You are a senior insurance QA engineer experienced in regulatory compliance and reporting. Using the system described below, explain how you would validate regulatory reporting requirements including claims reserve calculations, policy file completeness checks for <document_type>, complaint tracking, SLA adherence, and MIS reporting accuracy according to the formats and submission rules specified in <regulatory_reporting_spec>.

Module Details:

<regulatory_reporting_or_compliance_details_go_here>

46. Audit Trail & Logging Validation

You are a senior QA engineer with audit expertise. Using the logging requirements below, explain how you would validate audit fields for <activity_type>, timestamping, actor identity, system correlations, retention, and export readiness for regulator audits based on <audit_logging_spec>.

Module Details:

<audit_logging_or_traceability_details_go_here>

47. Customer Identity & KYC/AML Screening Testing

You are a senior QA engineer experienced in KYC/AML for insurance. Using the screening rules below, outline how you would validate identity verification flows for <customer_type>, sanction screening, false positive handling, enhanced due diligence triggers, and onboarding blocking rules as defined in <KYC_AML_spec>.

Module Details:

<KYC_AML_rules_or_screening_details_go_here>

48. Insurance Workflow SLA & Timeliness Metrics Validation

You are a senior QA engineer focused on operations. Using the SLA framework below, outline how you would validate SLA timers and thresholds for <task_type> (claims, underwriting, servicing), escalation paths, breach handling, and SLA reporting as defined in <SLA_spec>.

Module Details:

<SLA_timeline_details_go_here>

49. Insurance Analytics Dashboard & KPI Validation

You are a senior QA engineer for analytics. Using the dashboard spec below, explain how you would validate KPI accuracy (loss ratio, claim leakage, agent productivity), data lineage from <analytics_data_sources>, filter and aggregation logic in <KPI_definitions>, and drill-down correctness for <customer_segment>.

Module Details:

<insurance_dashboard_or_analytics_details_go_here>

50. UAT Readiness & Business Sign-Off Framework

You are a senior QA lead with UAT expertise. Using the UAT scope below, outline the readiness checklist, business validation scenarios for <module_name>, traceability to requirements, and exit/entry criteria as defined in <UAT_spec> for formal business sign-off.

Module Details:

<UAT_scope_go_here>

51. Cancellation/Reversal Audit & Traceability Testing

You are a senior QA specialist with transaction traceability experience. Using the cancellation/reversal workflow below, outline how you would validate cancellation reversals, policy reinstatement, financial adjustments, linked claim validations, authority approvals, and complete audit trails for <policy_type> using <cancellation_audit_spec>.

Module Details:

<cancellation_reversal_workflow_go_here>

52. Insurance Governance & Compliance Dashboard Validation

You are a senior QA engineer experienced in regulatory dashboards. Using the dashboard specification below, validate compliance KPIs, regulatory timelines, filing statuses, SLA adherence, and operational compliance metrics for <regulation_type> using <compliance_dashboard_spec>.

Module Details:

<insurance_dashboard_or_analytics_details_go_here>

53. Explainability & Auditability Testing for AI-Based Claims Systems

You are a senior QA engineer in AI governance. Using the AI claims model below, explain how you would validate explainability artifacts, decision traceability, fairness checks for <claim_scenario>, monitors for model drift, and audit reporting fields in <AI_governance_spec>.

Module Details:

<AI_claim_system_details_go_here>

Author

Prince Dewani is a Community Contributor at TestMu AI, where he manages content strategies around software testing, QA, and test automation. He is certified in Selenium, Cypress, Playwright, Appium, Automation Testing, and KaneAI. Prince has also presented academic research at the international conference PBCON-01. He further specializes in on-page SEO, bridging marketing with core testing technologies. On LinkedIn, he is followed by 4,300+ QA engineers, developers, DevOps experts, tech leaders, and AI-focused practitioners in the global testing community.

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