Claim CLM-2024-001045

Key Facts

LOB:MOTOR
Loss Type:Hit and Run
Outcome:Repaired
Amount:GBP 17,579
Risk Score:20 (low)
Date of Loss:2024-11-14
Settlement:GBP 17,579

Timeline

2024-11-14Incident occurred
2024-11-15Claim reported
2024-11-18Assessment completed
2024-12-07Decision made
2024-12-10Claim closed

Analysis

NEEDS REVIEW
3 FAIL3 WARN14 PASS
FAILS2Repair Cycle Time Outlier
FAILS3Document Extractability / OCR Risk
FAILS3Document Quality Too Low

Inspections

22 inspections
Summary
FileDocument Extractability / OCR RiskFAILS389%Scanned PDF unreadable2
RepairRepair Cycle Time OutlierFAILS294%Repair took 45 days vs 14 expected2
EvidenceDocument Quality Too LowFAILS385%Quality issue2
CommsFinal Decision Explanation MissingWARNS284%Needs attention2
FinanceReserve Category MismatchWARNS395%Verify intent1
FinanceClosed with Open Financial ItemsWARNS281%May be intentional2
FileStructured vs Narrative MismatchINCS234%Insufficient evidence to determine1
CommsNo-Update GapINCS247%Insufficient evidence to determine2
FileRequired Evidence PresencePASSS290%All required documents present1
FileTimeline CoherencePASSS284%Timeline events are coherent1
FileClaim Story ConfidencePASSS379%Claim story is complete2
LiabilityLiability Stance ContradictionPASSS288%Liability stance is consistent2
CommsFirst Contact DelayPASSS284%First contact within SLA2
CommsPromised Follow-Up Not CompletedPASSS275%Commitments honored1
RepairRework Loop DetectedPASSS280%Single repair cycle1
RepairInvoice vs Authorization MismatchPASSS274%Invoice matches authorization1
RepairSupplier Delay Attribution MissingPASSS388%Delays documented and attributed1
FinancePayment Without Supporting ArtifactPASSS293%Payments have supporting docs2
FinanceDuplicate or Near-Duplicate PaymentsPASSS175%No duplicate payments detected2
RecoveryExcess Recovery MissingPASSS272%Excess recovery tracked1
EvidenceCritical Document MissingPASSS285%All expected documents present1
EvidenceTranscript Not AvailablePASSS383%Communication documented2
Evidence

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