Claim CLM-2024-001002

Claim CLM-2024-001002
3/60

Key Facts

LOB:MOTOR
Loss Type:Windscreen
Outcome:Repaired
Amount:GBP 34,036
Risk Score:49 (medium)
Date of Loss:2024-11-07
Settlement:GBP 34,036

Timeline

2024-11-07Incident occurred
2024-11-08Claim reported
2024-11-10Assessment completed
2024-12-12Decision made
2024-12-17Claim closed

Analysis

NEEDS REVIEW
2 FAIL4 WARN19 PASS
FAILS2Final Decision Explanation Missing
FAILS2Salvage Handling Missing
WARNS2Repair Cycle Time Outlier

Inspections

25 inspections
Summary
CommsFinal Decision Explanation MissingFAILS272%No closure letter sent2
TL/ValSalvage Handling MissingFAILS272%No salvage record found2
FileDocument Extractability / OCR RiskWARNS394%Needs attention2
RepairRepair Cycle Time OutlierWARNS285%Duration borderline2
RecoveryRecovery Reserve Without ActionWARNS289%Needs attention1
EvidenceCritical Document MissingWARNS294%Needs attention1
FileRequired Evidence PresencePASSS292%All required documents present1
FileTimeline CoherencePASSS273%No sequence anomalies2
FileStructured vs Narrative MismatchPASSS293%No field/notes conflict1
FileClaim Story ConfidencePASSS394%Key facts documented1
LiabilityTP Present but Liability Not SetPASSS387%Liability properly set for TP claim2
CommsFirst Contact DelayPASSS291%Timely customer engagement1
CommsNo-Update GapPASSS282%Regular updates provided1
CommsPromised Follow-Up Not CompletedPASSS288%Follow-ups completed as promised1
RepairRework Loop DetectedPASSS284%No rework detected1
RepairInvoice vs Authorization MismatchPASSS295%Costs aligned2
RepairSupplier Delay Attribution MissingPASSS388%Ownership clear2
TL/ValMissing Valuation Evidence PackPASSS171%Valuation evidence pack complete2
FinancePayment Without Supporting ArtifactPASSS279%Artifacts linked2
FinanceReserve Category MismatchPASSS370%Reserve categories correct2
FinanceDuplicate or Near-Duplicate PaymentsPASSS180%No duplicate payments detected2
FinanceClosed with Open Financial ItemsPASSS294%Clean financial closure2
RecoverySubrogation Expected but Not Set UpPASSS183%Subrogation properly set up2
EvidenceDocument Quality Too LowPASSS388%OCR confidence high2
EvidenceTranscript Not AvailablePASSS372%Communication documented2
Evidence

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