Key Facts
LOB:MOTOR
Loss Type:Rear-end Collision
Outcome:Denied
Amount:GBP 1,566
Risk Score:32 (low)
Date of Loss:2024-11-07
Settlement:GBP 1,566
Timeline
Analysis
NEEDS REVIEW
4 FAIL2 WARN16 PASS
FAILS2First Contact Delay
FAILS2Payment Without Supporting Artifact
FAILS2Critical Document Missing
Inspections
23 inspectionsSummary
CommsFirst Contact DelayFAILS276%5 days to first contact3
FinancePayment Without Supporting ArtifactFAILS290%No supporting doc3
EvidenceCritical Document MissingFAILS273%Critical gap3
EvidenceDocument Quality Too LowFAILS393%Quality issue3
RepairRepair Cycle Time OutlierWARNS293%Repair cycle at upper bound2
FinanceDuplicate or Near-Duplicate PaymentsWARNS180%Needs attention1
FinanceClosed with Open Financial ItemsINCS232%Insufficient evidence to determine2
FileRequired Evidence PresencePASSS280%Evidence pack complete2
FileDocument Extractability / OCR RiskPASSS380%No OCR issues detected1
FileTimeline CoherencePASSS287%No sequence anomalies1
FileStructured vs Narrative MismatchPASSS288%No field/notes conflict1
FileClaim Story ConfidencePASSS389%Claim story is complete1
LiabilityLiability Stance ContradictionPASSS281%No contradictions found1
LiabilitySplit Liability Settlement InconsistencyPASSS282%Split liability correctly reflected1
CommsNo-Update GapPASSS281%No communication gaps1
CommsPromised Follow-Up Not CompletedPASSS288%Commitments honored1
CommsFinal Decision Explanation MissingPASSS274%Decision explanation sent1
RepairRework Loop DetectedPASSS285%No rework detected1
RepairInvoice vs Authorization MismatchPASSS272%Costs aligned2
RepairSupplier Delay Attribution MissingPASSS380%Delays documented and attributed1
FinanceReserve Category MismatchPASSS377%Reserve categories correct1
RecoveryTP Insurer Details MissingPASSS277%Contact info present1
EvidenceTranscript Not AvailablePASSS374%Transcript available2
Evidence
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