Service

Dana Chen

CLM-2043 · Health, fractured ankle

Claim assessment

Fast-tracked

3 photos assessed

Vision mock

Bob compared each photo to the policy and the reported loss. In Phase 1 the images are placeholders.

Fraud and anomaly signals

Treatment matches the Health cover wordingVerified
Discharge note matches the photosVerified
No excess applies on this coverVerified
Amount within the fast-track limit ($5,000)Verified

Bob recommends: Fast-track the payout

Every signal checks out and the treatment matches the cover with no excess. Bob suggests approving the $2,480 payout for a licensed adviser to sign off.

High confidenceThis is a recommendation. A licensed adjuster approves any payout.

Resolved

Approved for $2,480 and signed off by Alex Kerr (FAP), logged with its reasons. In the live product the payment follows automatically.

Claim

Claimed: $2,480
Type: Health, fractured ankle
Client: View client