Key Facts
LOB:MOTOR
Loss Type:Hit and Run
Outcome:Cash Settlement
Amount:GBP 8,178
Risk Score:32 (low)
Date of Loss:2024-10-20
Settlement:GBP 8,178
Timeline
Analysis
NEEDS REVIEW
5 FAIL1 WARN15 PASS
FAILS1Subrogation Expected but Not Set Up
FAILS2Structured vs Narrative Mismatch
FAILS2Rework Loop Detected
Inspections
23 inspectionsSummary
FileStructured vs Narrative MismatchFAILS291%Pathway mismatch2
RepairRework Loop DetectedFAILS290%Vehicle returned to garage twice2
TL/ValSalvage Handling MissingFAILS285%No salvage record found3
FinanceClosed with Open Financial ItemsFAILS287%Claim closed with 800 open reserve3
RecoverySubrogation Expected but Not Set UpFAILS184%Recovery missed2
EvidenceCritical Document MissingWARNS289%Needs attention1
LiabilityTP Present but Liability Not SetINCS334%Insufficient evidence to determine1
EvidenceDocument Quality Too LowINCS347%Insufficient evidence to determine2
FileRequired Evidence PresencePASSS284%All required documents present1
FileDocument Extractability / OCR RiskPASSS383%No OCR issues detected2
FileTimeline CoherencePASSS271%No sequence anomalies1
FileClaim Story ConfidencePASSS382%Key facts documented2
CommsFirst Contact DelayPASSS282%First contact within SLA2
CommsNo-Update GapPASSS292%No communication gaps1
CommsPromised Follow-Up Not CompletedPASSS291%Follow-ups completed as promised1
CommsFinal Decision Explanation MissingPASSS274%Decision explanation sent2
RepairRepair Cycle Time OutlierPASSS285%Duration acceptable1
RepairInvoice vs Authorization MismatchPASSS282%Costs aligned1
RepairSupplier Delay Attribution MissingPASSS372%Delays documented and attributed1
FinancePayment Without Supporting ArtifactPASSS283%Payments have supporting docs1
FinanceReserve Category MismatchPASSS384%Exposure aligned1
FinanceDuplicate or Near-Duplicate PaymentsPASSS190%No duplicate payments detected1
EvidenceTranscript Not AvailablePASSS382%Communication documented2
Evidence
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