AI Claim Review Console
<Claim ID>
Case 4 of 17 in your queue
SLA: 5h 42m remaining

Title of the ticket

Policyholder NameVehicle Maruti Suzuki Swift ZXiLoss date 14 Jul 2026Claimed amount ₹1,42,500
Awaiting human decision
Intimated
Docs verified
AI assessed
Human review
Settled

Policyholder

RD
Rohan Deshmukh
Customer since 2019 · Andheri West, Mumbai
Policy no.
POL-IN-7734829-M
Policy period
12 Mar 26–11 Mar 27
IDV
₹6,80,000
NCB tier
20% (3 yrs claim-free)
Premium status
Paid, no lapses
Prior claims
0 in last 3 yrs
KYC verifiedPolicy active

Claim details

MH-04-CD-8823
Claim type
Own Damage
Peril
Third-party collision
Date of loss
14 Jul 2026, ~9 PM
Date intimated
15 Jul 2026
Location
Andheri West
Garage
Prestige Motors
Repair type
Cashless

Submitted documents

6 files · AI-extracted
FIR
First Information Report Andheri Police Station · FIR-2026-30117 · PDF, 2 pages
Verified
  • Accident logged at 9:40 PM, 14 Jul 2026 at S.V. Road, Andheri West.
  • Other vehicle involved: MH-02-EF-4410 (sedan), rear-end contact reported.
  • No injuries recorded; both drivers exchanged details on scene.
  • ⚠ FIR time (9:40 PM) is 40 min later than the time stated on the claim intimation form ("around 9 PM").
DL
Driving Licence DL-MH04-2016-0098231 · Image, verified against DigiLocker
Verified
  • Name and photo match policyholder record.
  • Valid through Aug 2031, no endorsements or suspensions on file.
  • Licence class covers the insured vehicle category.
RC
Registration Certificate RC-MH04CD8823 · Image, OCR-matched
Verified
  • Registration and chassis number match the policy schedule exactly.
  • Vehicle registered to the policyholder since Mar 2019, no ownership transfers.
Garage Repair Estimate Prestige Motors · Estimate #PM-8842 · PDF
Above benchmark
  • Total estimate ₹1,42,500 — front bumper, headlight assembly, radiator, bonnet panel.
  • Line items are consistent with the damage described and photographed.
  • ⚠ Estimate runs about 8% above the regional average for equivalent repairs on this model — within acceptable tolerance, but worth a glance.
📷
Damage Photographs 6 images · vision-checked against estimate
Consistent
  • Front-end impact pattern matches a rear-end collision narrative.
  • Damage extent lines up with all four items on the garage estimate — no unexplained damage found.
  • No visible signs of pre-existing damage or staging indicators.
📝
Claim Intimation Form Filed by policyholder · 15 Jul 2026, 8:52 AM
On file
  • Customer narrative: struck from behind while stationary at a signal on S.V. Road.
  • Self-reported time "around 9 PM" — see FIR cross-check flag above.
  • No mention of injury or third-party claim being filed.
AI recommendation

Approve for cashless settlement

91% confidence
Model certainty
  • Policy active, premium current, claim within cover and IDV limits.
  • Document set is internally consistent — identity, vehicle, and damage evidence all cross-check.
  • No prior claims; policyholder retains NCB eligibility.
  • 40-minute time gap between FIR and intimation form — minor, common in informal recollection, not flagged as material.
  • Repair estimate slightly above regional benchmark — within normal tolerance.
Recommended payout₹1,42,500
Reviewing as A. Kulkarni · decision is logged and reversible for 24h
All figures illustrative. Recommendation generated by the claims-assessment agent from the documents listed above; final decision rests with the assigned human reviewer.