Claim CLM-2024-001017

Claim CLM-2024-001017
13/60

Key Facts

LOB:MOTOR
Loss Type:Collision - Third Party
Outcome:Total Loss
Amount:GBP 17,212
Risk Score:20 (low)
Date of Loss:2024-11-17
Settlement:GBP 17,212

Timeline

2024-11-17Incident occurred
2024-11-18Claim reported
2024-11-24Assessment completed
2024-12-02Decision made
2024-12-06Claim closed

Analysis

NEEDS REVIEW
2 FAIL4 WARN17 PASS
FAILS2Structured vs Narrative Mismatch
FAILS2First Contact Delay
WARNS2Deductions Without Justification

Inspections

25 inspections
Summary
FileStructured vs Narrative MismatchFAILS274%Loss type code conflicts with notes3
CommsFirst Contact DelayFAILS277%5 days to first contact2
TL/ValDeductions Without JustificationWARNS283%Needs attention1
FinancePayment Without Supporting ArtifactWARNS290%Needs attention2
FinanceReserve Category MismatchWARNS373%Verify intent1
FinanceClosed with Open Financial ItemsWARNS280%May be intentional1
FileTimeline CoherenceINCS236%Insufficient evidence to determine1
TL/ValSettlement Amount OutlierINCS235%Insufficient evidence to determine1
FileRequired Evidence PresencePASSS286%Evidence pack complete1
FileDocument Extractability / OCR RiskPASSS390%No OCR issues detected1
FileClaim Story ConfidencePASSS383%Key facts documented2
LiabilityLiability Stance ContradictionPASSS279%Liability stance is consistent1
LiabilityTP Present but Liability Not SetPASSS387%TP liability tracked2
CommsNo-Update GapPASSS285%No communication gaps1
CommsPromised Follow-Up Not CompletedPASSS276%Follow-ups completed as promised2
CommsFinal Decision Explanation MissingPASSS291%Decision explanation sent2
TL/ValSalvage Handling MissingPASSS291%Recovery tracked2
FinanceDuplicate or Near-Duplicate PaymentsPASSS190%Ledger clean2
RecoverySubrogation Expected but Not Set UpPASSS174%Recovery reserve created2
RecoveryTP Insurer Details MissingPASSS282%TP insurer details captured1
RecoveryExcess Recovery MissingPASSS280%Amount monitored1
RecoveryRecovery Reserve Without ActionPASSS283%Progress evidenced1
EvidenceCritical Document MissingPASSS279%All expected documents present2
EvidenceDocument Quality Too LowPASSS392%Document quality acceptable1
EvidenceTranscript Not AvailablePASSS370%Communication documented2
Evidence

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