Claim CLM-2024-001010

Claim CLM-2024-001010
47/60

Key Facts

LOB:MOTOR
Loss Type:Vandalism
Outcome:Repaired
Amount:GBP 5,245
Risk Score:0 (low)
Date of Loss:2024-10-21
Settlement:GBP 5,245

Timeline

2024-10-21Incident occurred
2024-10-22Claim reported
2024-10-28Assessment completed
2024-11-27Decision made
2024-11-30Claim closed

Analysis

NEEDS REVIEW
1 FAIL3 WARN16 PASS
FAILS2First Contact Delay
WARNS2Timeline Coherence
WARNS2Rework Loop Detected

Inspections

22 inspections
Summary
CommsFirst Contact DelayFAILS287%SLA breached2
FileTimeline CoherenceWARNS274%Sequence unclear2
FileClaim Story ConfidenceWARNS390%Needs attention1
RepairRework Loop DetectedWARNS283%Needs attention1
CommsFinal Decision Explanation MissingINCS239%Insufficient evidence to determine1
RecoveryTP Insurer Details MissingINCS240%Insufficient evidence to determine2
FileRequired Evidence PresencePASSS286%All required documents present2
FileDocument Extractability / OCR RiskPASSS376%No OCR issues detected1
FileStructured vs Narrative MismatchPASSS291%No field/notes conflict1
CommsNo-Update GapPASSS292%Regular updates provided2
CommsPromised Follow-Up Not CompletedPASSS278%Commitments honored2
RepairRepair Cycle Time OutlierPASSS292%Duration acceptable1
RepairInvoice vs Authorization MismatchPASSS278%Costs aligned2
RepairSupplier Delay Attribution MissingPASSS391%Delays documented and attributed1
TL/ValMissing Valuation Evidence PackPASSS176%Valuation evidence pack complete2
FinancePayment Without Supporting ArtifactPASSS285%Payments have supporting docs2
FinanceReserve Category MismatchPASSS393%Reserve categories correct1
FinanceDuplicate or Near-Duplicate PaymentsPASSS187%Ledger clean2
FinanceClosed with Open Financial ItemsPASSS281%No open items1
EvidenceCritical Document MissingPASSS290%File complete2
EvidenceDocument Quality Too LowPASSS382%Document quality acceptable2
EvidenceTranscript Not AvailablePASSS392%Communication documented1
Evidence

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