Key Facts
LOB:MOTOR
Loss Type:Collision - Own Fault
Outcome:Repaired
Amount:GBP 15,140
Risk Score:0 (low)
Date of Loss:2024-11-14
Settlement:GBP 15,140
Timeline
Analysis
NEEDS REVIEW
3 FAIL2 WARN15 PASS
FAILS2Dispute Without Evidence Pack
FAILS2No-Update Gap
FAILS3Claim Story Confidence
Inspections
23 inspectionsSummary
FileClaim Story ConfidenceFAILS370%Key facts missing2
LiabilityDispute Without Evidence PackFAILS294%No supporting docs2
CommsNo-Update GapFAILS291%Customer left waiting2
RepairRework Loop DetectedWARNS284%Needs attention2
EvidenceDocument Quality Too LowWARNS379%Needs attention2
FileTimeline CoherenceINCS238%Insufficient evidence to determine2
FileStructured vs Narrative MismatchINCS245%Insufficient evidence to determine1
FinancePayment Without Supporting ArtifactINCS246%Insufficient evidence to determine1
FileRequired Evidence PresencePASSS283%Evidence pack complete2
FileDocument Extractability / OCR RiskPASSS392%Documents are text-extractable1
CommsFirst Contact DelayPASSS276%First contact within SLA2
CommsPromised Follow-Up Not CompletedPASSS273%Commitments honored1
CommsFinal Decision Explanation MissingPASSS295%Decision explanation sent1
RepairRepair Cycle Time OutlierPASSS284%Duration acceptable2
RepairInvoice vs Authorization MismatchPASSS290%Invoice matches authorization1
RepairSupplier Delay Attribution MissingPASSS378%Ownership clear1
FinanceReserve Category MismatchPASSS385%Exposure aligned1
FinanceDuplicate or Near-Duplicate PaymentsPASSS183%Ledger clean1
FinanceClosed with Open Financial ItemsPASSS285%No open items1
RecoveryTP Insurer Details MissingPASSS295%TP insurer details captured2
RecoveryRecovery Reserve Without ActionPASSS270%Progress evidenced2
EvidenceCritical Document MissingPASSS286%All expected documents present2
EvidenceTranscript Not AvailablePASSS388%Transcript available2
Evidence
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