Claim CLM-2024-001050

Key Facts

LOB:MOTOR
Loss Type:Collision - Third Party
Outcome:Cash Settlement
Amount:GBP 2,256
Risk Score:12 (low)
Date of Loss:2024-11-24
Settlement:GBP 2,256

Timeline

2024-11-24Incident occurred
2024-11-25Claim reported
2024-11-27Assessment completed
2024-12-13Decision made
2024-12-17Claim closed

Analysis

WARNING
0 FAIL7 WARN15 PASS
WARNS2Timeline Coherence
WARNS2Structured vs Narrative Mismatch
WARNS2First Contact Delay

Inspections

25 inspections
Summary
FileDocument Extractability / OCR RiskWARNS385%Needs attention1
FileTimeline CoherenceWARNS272%Sequence unclear2
FileStructured vs Narrative MismatchWARNS291%Review recommended2
CommsFirst Contact DelayWARNS291%Needs attention2
CommsFinal Decision Explanation MissingWARNS276%Needs attention1
FinanceClosed with Open Financial ItemsWARNS294%Small reserve open at closure2
RecoveryRecovery Reserve Without ActionWARNS292%Needs attention2
FileClaim Story ConfidenceINCS330%Insufficient evidence to determine1
LiabilityTP Present but Liability Not SetINCS344%Insufficient evidence to determine2
CommsNo-Update GapINCS236%Insufficient evidence to determine2
FileRequired Evidence PresencePASSS273%Evidence pack complete2
LiabilityLiability Stance ContradictionPASSS271%No contradictions found1
CommsPromised Follow-Up Not CompletedPASSS286%Commitments honored1
RepairRepair Cycle Time OutlierPASSS287%Repair cycle within expected range2
RepairRework Loop DetectedPASSS280%Single repair cycle1
TL/ValMissing Valuation Evidence PackPASSS187%Valuation evidence pack complete1
FinancePayment Without Supporting ArtifactPASSS276%Artifacts linked1
FinanceReserve Category MismatchPASSS384%Exposure aligned2
FinanceDuplicate or Near-Duplicate PaymentsPASSS192%Ledger clean1
RecoverySubrogation Expected but Not Set UpPASSS177%Subrogation properly set up1
RecoveryTP Insurer Details MissingPASSS275%Contact info present1
RecoveryExcess Recovery MissingPASSS295%Excess recovery tracked2
EvidenceCritical Document MissingPASSS285%File complete2
EvidenceDocument Quality Too LowPASSS383%Document quality acceptable1
EvidenceTranscript Not AvailablePASSS394%Transcript available1
Evidence

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