Claim CLM-2024-001041

Claim CLM-2024-001041
39/60

Key Facts

LOB:MOTOR
Loss Type:Theft - Vehicle
Outcome:Total Loss
Amount:GBP 8,975
Risk Score:4 (low)
Date of Loss:2024-10-18
Settlement:GBP 8,975

Timeline

2024-10-18Incident occurred
2024-10-19Claim reported
2024-10-21Assessment completed
2024-11-21Decision made
2024-11-25Claim closed

Analysis

NEEDS REVIEW
1 FAIL2 WARN14 PASS
FAILS1Duplicate or Near-Duplicate Payments
WARNS2Closed with Open Financial Items
WARNS3Claim Story Confidence

Inspections

19 inspections
Summary
FinanceDuplicate or Near-Duplicate PaymentsFAILS190%Duplicate detected3
FileClaim Story ConfidenceWARNS388%Needs attention1
FinanceClosed with Open Financial ItemsWARNS293%May be intentional1
CommsFinal Decision Explanation MissingINCS249%Insufficient evidence to determine2
FinancePayment Without Supporting ArtifactINCS250%Insufficient evidence to determine1
FileRequired Evidence PresencePASSS275%Evidence pack complete1
FileDocument Extractability / OCR RiskPASSS375%No OCR issues detected2
FileTimeline CoherencePASSS273%No sequence anomalies2
FileStructured vs Narrative MismatchPASSS275%No field/notes conflict1
CommsFirst Contact DelayPASSS292%First contact within SLA1
CommsNo-Update GapPASSS289%Regular updates provided2
CommsPromised Follow-Up Not CompletedPASSS272%Commitments honored2
RepairInvoice vs Authorization MismatchPASSS294%Invoice matches authorization1
TL/ValDeductions Without JustificationPASSS272%Deductions properly justified2
FinanceReserve Category MismatchPASSS381%Exposure aligned2
RecoveryExcess Recovery MissingPASSS295%Amount monitored2
EvidenceCritical Document MissingPASSS271%All expected documents present1
EvidenceDocument Quality Too LowPASSS393%OCR confidence high1
EvidenceTranscript Not AvailablePASSS378%Communication documented2
Evidence

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