Claims queue
148 open · 12 over SLA
Open claims
148
▼ 12 over SLA
Avg. cycle time
9.4 d
▲ 1.6 d faster
Loss ratio
62.8%
▲ 65% target
Flagged for fraud
9
● RD$4.1M exposure
Claims by stage
Intake31
CL-8841 · Colisión — Toyota HiluxPóliza AU-11284 · hace 2 h
NewRD$680k
CL-8840 · Daño por aguaPóliza HG-4412 · hoy
RD$210k
Adjusting62
CL-8802 · Incendio — bodegaAjustador: J. Reynoso · día 4
High valueRD$4.2M
CL-8788 · Gastos médicosAjustadora: M. Lora · día 2
RD$94k
Fraud review9
CL-8760 · Robo de vehículoScore 0.91 · 3 señales
InvestigateRD$1.4M
Approved38
CL-8712 · CristalesPago programado 26 ago
To payRD$38k
CL-8701 · Responsabilidad civilPagada el 22 ago
RD$520k
CL-8760 · fraud signals
91%
Fraud score
Claim 6 days after policy startWeight 0.34High
Reported location 180 km from insured addressWeight 0.28Medium
Provider linked to 4 prior flagged claimsWeight 0.29High
Photo metadata predates the loss dateWeight 0.22High
Adjuster workload
Avg / adjuster
25.8
Reopen rate
4.1%
Complaints
3