Claim CLM-2024-001040

Key Facts

LOB:MOTOR
Loss Type:Collision - Own Fault
Outcome:Cash Settlement
Amount:GBP 6,219
Risk Score:0 (low)
Date of Loss:2024-11-08
Settlement:GBP 6,219

Timeline

2024-11-08Incident occurred
2024-11-09Claim reported
2024-11-11Assessment completed
2024-12-04Decision made
2024-12-06Claim closed

Analysis

NEEDS REVIEW
2 FAIL2 WARN16 PASS
FAILS2Payment Without Supporting Artifact
FAILS3Supplier Delay Attribution Missing
WARNS2Closed with Open Financial Items

Inspections

23 inspections
Summary
RepairSupplier Delay Attribution MissingFAILS376%28 day delay with no attribution2
FinancePayment Without Supporting ArtifactFAILS274%No supporting doc2
FinanceClosed with Open Financial ItemsWARNS291%May be intentional2
RecoveryRecovery Reserve Without ActionWARNS280%Needs attention1
RepairRepair Cycle Time OutlierINCS239%Insufficient evidence to determine2
EvidenceDocument Quality Too LowINCS331%Insufficient evidence to determine1
EvidenceTranscript Not AvailableINCS349%Insufficient evidence to determine1
FileRequired Evidence PresencePASSS280%Evidence pack complete2
FileDocument Extractability / OCR RiskPASSS383%Documents are text-extractable1
FileTimeline CoherencePASSS279%Timeline events are coherent1
FileStructured vs Narrative MismatchPASSS274%Structured fields match narrative1
FileClaim Story ConfidencePASSS371%Key facts documented2
LiabilityDispute Without Evidence PackPASSS275%Dispute has evidence support2
CommsFirst Contact DelayPASSS283%Timely customer engagement1
CommsNo-Update GapPASSS281%No communication gaps1
CommsPromised Follow-Up Not CompletedPASSS289%Commitments honored2
CommsFinal Decision Explanation MissingPASSS288%Closure letter present2
RepairRework Loop DetectedPASSS280%Single repair cycle2
RepairInvoice vs Authorization MismatchPASSS294%Costs aligned1
TL/ValMissing Valuation Evidence PackPASSS191%Engineer report present1
FinanceReserve Category MismatchPASSS387%Exposure aligned1
FinanceDuplicate or Near-Duplicate PaymentsPASSS190%No duplicate payments detected1
EvidenceCritical Document MissingPASSS287%All expected documents present2
Evidence

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