Claim CLM-2024-001035

Key Facts

LOB:MOTOR
Loss Type:Windscreen
Outcome:Settled
Amount:GBP 16,013
Risk Score:26 (low)
Date of Loss:2024-11-20
Settlement:GBP 16,013

Timeline

2024-11-20Incident occurred
2024-11-21Claim reported
2024-11-23Assessment completed
2024-12-17Decision made
2024-12-19Claim closed

Analysis

NEEDS REVIEW
5 FAIL7 WARN11 PASS
FAILS2Structured vs Narrative Mismatch
FAILS2Final Decision Explanation Missing
FAILS2Repair Cycle Time Outlier

Inspections

23 inspections
Summary
FileStructured vs Narrative MismatchFAILS277%Pathway mismatch3
CommsFinal Decision Explanation MissingFAILS272%Decision unexplained2
RepairRepair Cycle Time OutlierFAILS289%Repair took 45 days vs 14 expected3
FinancePayment Without Supporting ArtifactFAILS281%3500 payment without invoice3
EvidenceDocument Quality Too LowFAILS370%Engineer report too blurry to read3
FileDocument Extractability / OCR RiskWARNS382%Needs attention2
FileClaim Story ConfidenceWARNS394%Needs attention2
CommsFirst Contact DelayWARNS292%Needs attention1
CommsPromised Follow-Up Not CompletedWARNS291%Timing concern1
RepairSupplier Delay Attribution MissingWARNS392%Needs attention2
RecoverySubrogation Expected but Not Set UpWARNS178%Needs attention2
EvidenceCritical Document MissingWARNS292%Needs attention1
FileRequired Evidence PresencePASSS293%Evidence pack complete1
FileTimeline CoherencePASSS276%No sequence anomalies1
LiabilityTP Present but Liability Not SetPASSS379%TP liability tracked1
CommsNo-Update GapPASSS286%Regular updates provided2
RepairRework Loop DetectedPASSS286%Single repair cycle1
RepairInvoice vs Authorization MismatchPASSS291%Costs aligned2
TL/ValSettlement Amount OutlierPASSS294%Settlement aligned with valuation1
FinanceReserve Category MismatchPASSS379%Exposure aligned1
FinanceDuplicate or Near-Duplicate PaymentsPASSS193%No duplicate payments detected2
FinanceClosed with Open Financial ItemsPASSS270%No open items2
EvidenceTranscript Not AvailablePASSS389%Transcript available2
Evidence

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