Uncertainty-Guided LLM Semantic Augmentation for Heterogeneous Treatment Effect Estimation

Estimating heterogeneous treatment effects is central to targeted interventions, such as personalized promotions and precision medicine. We focus on the conditional average treatment effect (CATE), a standard estimand for characterizing such heterogeneity. Even under standard identification conditions, finite-sample CATE estimation requires learning the nuisance structure for covariate adjustment and treatment-effect heterogeneity, often together with an effective representation of X. Raw numerical and categorical encodings can leave semantic relations and higher-order interactions implicit, making this joint task locally unstable. A motivating study further shows that this instability appears through partially separable assignment- and heterogeneity-side channels. Building on this observation, we propose CURL (Causal Uncertainty-guided Representation Learning), a plug-in adapter that uses estimator uncertainty to allocate pretrained semantic capacity to locally unstable units. CURL queries a frozen LLM through two role-conditioned prompts, constructs assignment- and heterogeneity-oriented representations from the observed covariates, and routes them through separated pathways. On four benchmarks, CURL improves ten host learners in most settings, while ablation, refinement-dynamics, route-reassignment, and probe analyses support the intended design and roles of the two channels.