Priya Raman
Sr. Claims Analyst · Selective
PR
Selective Insurance  /  My Desk
Good afternoon, Priya.The Reasoning Engine has your desk pre-sorted — 3 of today's 12 claims carry contradiction signals.
Today  Wed, Apr 22
Book  WC + Auto BI · FL/GA
Desk  Tier 2–3
Claims due today
12
Escalations pending
4
Open OIA alerts
7
Claims Reasoning Engine · Morning briefing

3 of your claims surfaced contradiction signals overnight. CLM-2026-48221 (Marcus Chen) has the highest confidence — Instagram jet-ski posts directly contradict the stated soft-tissue shoulder injury, and the subject's GoFundMe narrative is inconsistent with the WC claim. I recommend ordering a Pro+ Investigative Report and running Carpe Intel on the subject before the rep letter arrives. Expected window to act: ~72 hours.

Priority queue · generated 08:42 PDT · 6 sources synthesized · evidence chain preserved

Hot queue Top 5 claims ranked by OIA score and Reasoning Engine confidence.

1
87
CLM-2026-48221
Marcus Chen Pro+ IR ready
Workers' Comp · Shoulder soft-tissue · Tampa FL · DOL 03/18/26
Reserve$47,500
Latest signal
Jet-ski Instagram post 10 days after FNOL; GoFundMe + beach-trip photos.
2
79
CLM-2026-48107
Danielle Brooks
Auto BI · Cervical strain · Orlando FL · DOL 03/22/26
Reserve$32,800
Latest signal
CrossFit PR deadlift reel tagged at FitBlock ATX; face match 99%.
3
74
CLM-2026-47992
Dominic Álvarez
Workers' Comp · Lumbar strain · Jacksonville FL · DOL 03/11/26
Reserve$28,400
Latest signal
New GoFundMe page; "back better than ever" testimonial contradicts restriction.
4
64
CLM-2026-47814
Rachel Okafor
GL · Slip-and-fall · Sarasota FL · DOL 02/28/26
Reserve$19,200
Latest signal
Snapshot IR returned 2 contradictions; auto-escalated to Standard.
5
58
CLM-2026-47598
Jason Park
Workers' Comp · Knee meniscus · Miami FL · DOL 02/19/26
Reserve$22,900
Latest signal
LinkedIn profile update — new position "Youth Soccer Coach" posted 04/10.

Recent investigations

ClaimSubjectTierFindingWhen
CLM-2026-48221 Marcus Chen Pro+ IR 9 contradictions · 3 image-forensics hits Today
CLM-2026-47412 Henry Park Standard Confirmed · return-to-work delayed 6 wks post-settlement Yesterday
CLM-2026-47298 Avery Thompson Snapshot No hit — no charge applied Apr 20

Upcoming tasks

Draft demand response · ChenToday 4pm
Mediation prep · ParkThu
Reserve review · OkaforFri
IME follow-up · BrooksApr 27

Pinned contacts

David OkonkwoSIU Mgr
Analyst M.K.Carpe IR
Dr. Yolanda ReyesIME panel
J. Vera, Esq.Panel counsel

This week

Claims closed11
Avg severity reduction$4.2K
IR orders placed3
Intel runs5