Claim CLM-2024-001053

Key Facts

LOB:MOTOR
Loss Type:Vandalism
Outcome:Total Loss
Amount:GBP 1,428
Risk Score:4 (low)
Date of Loss:2024-11-07
Settlement:GBP 1,428

Timeline

2024-11-07Incident occurred
2024-11-08Claim reported
2024-11-14Assessment completed
2024-12-08Decision made
2024-12-12Claim closed

Analysis

NEEDS REVIEW
2 FAIL3 WARN17 PASS
FAILS2Liability Stance Contradiction
FAILS3Reserve Category Mismatch
WARNS2Required Evidence Presence

Inspections

23 inspections
Summary
LiabilityLiability Stance ContradictionFAILS283%Contradiction detected2
FinanceReserve Category MismatchFAILS392%Third party reserve on single vehicle3
FileRequired Evidence PresenceWARNS289%Partial evidence only2
RepairSupplier Delay Attribution MissingWARNS371%Needs attention2
FinanceClosed with Open Financial ItemsWARNS290%May be intentional1
CommsNo-Update GapINCS233%Insufficient evidence to determine1
FileDocument Extractability / OCR RiskPASSS372%Documents are text-extractable2
FileTimeline CoherencePASSS274%Timeline events are coherent1
FileStructured vs Narrative MismatchPASSS286%No field/notes conflict2
FileClaim Story ConfidencePASSS394%Claim story is complete1
CommsFirst Contact DelayPASSS291%Timely customer engagement2
CommsPromised Follow-Up Not CompletedPASSS285%Commitments honored1
CommsFinal Decision Explanation MissingPASSS275%Decision explanation sent1
RepairRepair Cycle Time OutlierPASSS293%Repair cycle within expected range2
RepairRework Loop DetectedPASSS271%No rework detected2
RepairInvoice vs Authorization MismatchPASSS288%Invoice matches authorization2
TL/ValMissing Valuation Evidence PackPASSS174%Valuation evidence pack complete1
FinancePayment Without Supporting ArtifactPASSS274%Artifacts linked1
FinanceDuplicate or Near-Duplicate PaymentsPASSS189%Ledger clean1
RecoveryTP Insurer Details MissingPASSS275%Contact info present2
EvidenceCritical Document MissingPASSS273%All expected documents present2
EvidenceDocument Quality Too LowPASSS390%OCR confidence high1
EvidenceTranscript Not AvailablePASSS394%Communication documented1
Evidence

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