Key Facts
LOB:MOTOR
Loss Type:Hit and Run
Outcome:Repaired
Amount:GBP 17,745
Risk Score:25 (low)
Date of Loss:2024-11-08
Settlement:GBP 17,745
Timeline
Analysis
NEEDS REVIEW
4 FAIL4 WARN15 PASS
FAILS2Timeline Coherence
FAILS2Structured vs Narrative Mismatch
FAILS3Document Extractability / OCR Risk
Inspections
23 inspectionsSummary
FileDocument Extractability / OCR RiskFAILS392%Scanned PDF unreadable3
FileTimeline CoherenceFAILS291%Payment dated before loss2
FileStructured vs Narrative MismatchFAILS289%Pathway mismatch2
LiabilityTP Present but Liability Not SetFAILS389%Stance not set3
FileRequired Evidence PresenceWARNS277%Some supporting docs unclear1
CommsNo-Update GapWARNS284%Close to breach1
RepairRepair Cycle Time OutlierWARNS287%Repair cycle at upper bound1
RecoveryExcess Recovery MissingWARNS277%Excess recovery in progress1
FileClaim Story ConfidencePASSS377%Key facts documented2
CommsFirst Contact DelayPASSS278%First contact within SLA1
CommsPromised Follow-Up Not CompletedPASSS274%Follow-ups completed as promised1
CommsFinal Decision Explanation MissingPASSS283%Decision explanation sent2
RepairRework Loop DetectedPASSS287%Single repair cycle1
RepairInvoice vs Authorization MismatchPASSS287%Invoice matches authorization1
RepairSupplier Delay Attribution MissingPASSS387%Delays documented and attributed2
TL/ValDeductions Without JustificationPASSS272%Evidence supports adjustments1
FinancePayment Without Supporting ArtifactPASSS294%Artifacts linked2
FinanceReserve Category MismatchPASSS375%Exposure aligned1
FinanceDuplicate or Near-Duplicate PaymentsPASSS191%No duplicate payments detected1
FinanceClosed with Open Financial ItemsPASSS282%Clean financial closure1
EvidenceCritical Document MissingPASSS272%All expected documents present1
EvidenceDocument Quality Too LowPASSS390%Document quality acceptable2
EvidenceTranscript Not AvailablePASSS377%Communication documented2
Evidence
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