Claim CLM-2024-001043

Claim CLM-2024-001043
26/60

Key Facts

LOB:MOTOR
Loss Type:Vandalism
Outcome:Repaired
Amount:GBP 19,888
Risk Score:12 (low)
Date of Loss:2024-11-03
Settlement:GBP 19,888

Timeline

2024-11-03Incident occurred
2024-11-04Claim reported
2024-11-07Assessment completed
2024-12-13Decision made
2024-12-18Claim closed

Analysis

NEEDS REVIEW
2 FAIL2 WARN15 PASS
FAILS2Liability Stance Contradiction
FAILS3TP Present but Liability Not Set
WARNS1Missing Valuation Evidence Pack

Inspections

24 inspections
Summary
LiabilityLiability Stance ContradictionFAILS291%Contradiction detected3
LiabilityTP Present but Liability Not SetFAILS385%TP present but liability blank2
TL/ValMissing Valuation Evidence PackWARNS178%Needs attention2
FinanceClosed with Open Financial ItemsWARNS281%Small reserve open at closure2
FileDocument Extractability / OCR RiskINCS336%Insufficient evidence to determine2
CommsFinal Decision Explanation MissingINCS236%Insufficient evidence to determine1
RepairRepair Cycle Time OutlierINCS242%Insufficient evidence to determine1
RepairInvoice vs Authorization MismatchINCS233%Insufficient evidence to determine2
RepairSupplier Delay Attribution MissingINCS339%Insufficient evidence to determine2
FileRequired Evidence PresencePASSS293%All required documents present2
FileTimeline CoherencePASSS290%No sequence anomalies2
FileStructured vs Narrative MismatchPASSS291%No field/notes conflict2
FileClaim Story ConfidencePASSS381%Key facts documented2
CommsFirst Contact DelayPASSS273%Timely customer engagement1
CommsNo-Update GapPASSS280%Regular updates provided2
CommsPromised Follow-Up Not CompletedPASSS282%Commitments honored1
RepairRework Loop DetectedPASSS290%Single repair cycle1
FinancePayment Without Supporting ArtifactPASSS294%Payments have supporting docs1
FinanceReserve Category MismatchPASSS390%Reserve categories correct1
FinanceDuplicate or Near-Duplicate PaymentsPASSS171%No duplicate payments detected1
RecoveryExcess Recovery MissingPASSS274%Amount monitored1
EvidenceCritical Document MissingPASSS290%All expected documents present2
EvidenceDocument Quality Too LowPASSS373%Document quality acceptable2
EvidenceTranscript Not AvailablePASSS394%Transcript available2
Evidence

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