Claim CLM-2024-001013

Claim CLM-2024-001013
50/60

Key Facts

LOB:MOTOR
Loss Type:Hit and Run
Outcome:Total Loss
Amount:GBP 13,690
Risk Score:0 (low)
Date of Loss:2024-10-25
Settlement:GBP 13,690

Timeline

2024-10-25Incident occurred
2024-10-26Claim reported
2024-10-29Assessment completed
2024-11-24Decision made
2024-11-27Claim closed

Analysis

NEEDS REVIEW
2 FAIL5 WARN15 PASS
FAILS2Structured vs Narrative Mismatch
FAILS2No-Update Gap
WARNS1Missing Valuation Evidence Pack

Inspections

26 inspections
Summary
FileStructured vs Narrative MismatchFAILS279%Pathway mismatch2
CommsNo-Update GapFAILS277%14 day gap with no update3
RepairInvoice vs Authorization MismatchWARNS273%Invoice 10% over estimate1
RepairSupplier Delay Attribution MissingWARNS370%Needs attention2
TL/ValMissing Valuation Evidence PackWARNS178%Needs attention1
FinancePayment Without Supporting ArtifactWARNS277%Needs attention2
EvidenceCritical Document MissingWARNS280%Needs attention1
RepairRepair Cycle Time OutlierINCS231%Insufficient evidence to determine1
TL/ValSettlement Amount OutlierINCS236%Insufficient evidence to determine1
FinanceDuplicate or Near-Duplicate PaymentsINCS140%Insufficient evidence to determine2
EvidenceTranscript Not AvailableINCS345%Insufficient evidence to determine1
FileRequired Evidence PresencePASSS274%All required documents present2
FileDocument Extractability / OCR RiskPASSS393%No OCR issues detected2
FileTimeline CoherencePASSS271%Timeline events are coherent2
FileClaim Story ConfidencePASSS371%Claim story is complete1
CommsFirst Contact DelayPASSS283%First contact within SLA2
CommsPromised Follow-Up Not CompletedPASSS285%Follow-ups completed as promised2
CommsFinal Decision Explanation MissingPASSS282%Decision explanation sent2
RepairRework Loop DetectedPASSS280%Single repair cycle1
TL/ValSalvage Handling MissingPASSS272%Recovery tracked2
FinanceReserve Category MismatchPASSS395%Exposure aligned2
FinanceClosed with Open Financial ItemsPASSS284%No open items2
RecoverySubrogation Expected but Not Set UpPASSS190%Subrogation properly set up2
RecoveryTP Insurer Details MissingPASSS277%TP insurer details captured1
RecoveryRecovery Reserve Without ActionPASSS272%Progress evidenced2
EvidenceDocument Quality Too LowPASSS374%Document quality acceptable1
Evidence

Select an inspection to view evidence