Claim CLM-2024-001049

Key Facts

LOB:MOTOR
Loss Type:Weather Damage
Outcome:Total Loss
Amount:GBP 717
Risk Score:16 (low)
Date of Loss:2024-10-25
Settlement:GBP 717

Timeline

2024-10-25Incident occurred
2024-10-26Claim reported
2024-10-29Assessment completed
2024-11-27Decision made
2024-11-30Claim closed

Analysis

WARNING
0 FAIL5 WARN18 PASS
WARNS1Missing Valuation Evidence Pack
WARNS2Structured vs Narrative Mismatch
WARNS2No-Update Gap

Inspections

23 inspections
Summary
FileStructured vs Narrative MismatchWARNS279%Review recommended1
CommsNo-Update GapWARNS288%7 day gap, borderline SLA2
RepairInvoice vs Authorization MismatchWARNS294%Minor variance2
TL/ValMissing Valuation Evidence PackWARNS174%Needs attention2
EvidenceTranscript Not AvailableWARNS385%Needs attention2
FileRequired Evidence PresencePASSS271%Evidence pack complete1
FileDocument Extractability / OCR RiskPASSS392%Documents are text-extractable1
FileTimeline CoherencePASSS291%Timeline events are coherent1
FileClaim Story ConfidencePASSS393%Key facts documented1
LiabilityLiability Stance ContradictionPASSS276%No contradictions found1
CommsFirst Contact DelayPASSS281%Timely customer engagement2
CommsPromised Follow-Up Not CompletedPASSS275%Commitments honored2
CommsFinal Decision Explanation MissingPASSS280%Closure letter present1
RepairRepair Cycle Time OutlierPASSS275%Repair cycle within expected range1
RepairRework Loop DetectedPASSS280%No rework detected1
RepairSupplier Delay Attribution MissingPASSS390%Ownership clear1
FinancePayment Without Supporting ArtifactPASSS292%Artifacts linked1
FinanceReserve Category MismatchPASSS372%Reserve categories correct2
FinanceDuplicate or Near-Duplicate PaymentsPASSS188%No duplicate payments detected2
FinanceClosed with Open Financial ItemsPASSS283%Clean financial closure1
RecoveryRecovery Reserve Without ActionPASSS290%Progress evidenced2
EvidenceCritical Document MissingPASSS271%All expected documents present2
EvidenceDocument Quality Too LowPASSS373%Document quality acceptable1
Evidence

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