S. Patel
Hartford · Sr. Adjuster
SP
Hartford  /  My Queue  /  Next Actions

What needs you today

Assigned to me  142
Fresh signals (24h)  18
Reserve at risk  $3.2M
All open 18
Reposition reserve 6
Escalate to IR 4
Coverage review 3
Refer to SIU 3
Settle-ready 2

P1 — Action needed today

6
est. $142K reserve impact

New since yesterday

18
12 Monitor · 4 IR · 2 Score

Cleared this week

31
avg cycle 2.8 days

Indemnity saved · MTD

$486K
across 23 repositioned claims
Claim
Claimant · Signal
Recommended Action
Continuum
Reserve Impact
Updated
1
CLM-48221
PAP · BI
Michael A. Torres
IR confirms full-speed athletic activity; reserve moved up on rep letter
Tier 4 · IR delivered · video captured
Reposition reserve before demand
Current $18.5K → target $6.5–9K
T1·T2·T3·T4
-$9.5Kest. save
6 min ago
2
CLM-47992
WC · IND
Danielle Brooks
CrossFit reel contradicts lift/bend restriction on MRP
Tier 3 · Monitor hit · 99% face match
Escalate to IR + SIU referral
Evidence-ready; confirm before EUO
T1·T2·T3·T4
-$24Kest. exposure
38 min ago
3
CLM-47814
CAL · BI
Robert Hanlon
Representation filing detected — large plaintiff firm attached
Tier 3 · Monitor hit · court ledger
Reserve review + early eval
Benchmark says +$28K on rep attach
T1·T2·T3·T4
+$28Kreserve gap
2 hr ago
4
CLM-47710
PAP · BI
Priya Natarajan
GoFundMe for unrelated medical event; lifestyle signal mixed
Tier 2 · OIA · subject to corroborate
Move to monitoring
Watch 30 days before demand
T1·T2·T3·T4
TBD
4 hr ago
5
CLM-47698
PAP · BI
Kevin Alvaro
Fraud score 94 · same device across 3 prior claims on 2 carriers
Tier 1 · auto-promoted to OIA
Refer to SIU
Organized-pattern signature
T1·T2·T3·T4
-$42Kpotential fraud
5 hr ago
6
CLM-47540
GL · BI
Tanya Williams
Public obituary suggests subject involvement — confirm identity
Tier 2 · OIA · requires verification
Coverage review
Pause indemnity pending ID
T1·T2·T3·T4
-$15Kpending
7 hr ago
7
CLM-47402
PAP · BI
Jordan McKay
Clean sweep · no signals across Tier 2 + 30 days Tier 3
Tier 3 · Monitor · no alerts
Settle-ready
Supports original reserve band
T1·T2·T3·T4
Clearlow risk
1 day ago