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JUNUETH MEJIA MONROY

intake
medium
CS-2609-9147·Auto Accident
Original Intake Submitted
Staff Updates Applied
Last updated by StaffSep 4, 2026 3:15 PM

Missing Information

Client Email
Other Party Vehicle

Intake Status

Completed

People Involved

Total People1
Injured0
JOSELYN TOBARNot injured

Client

NameJUNUETH MEJIA MONROY
Phone4046103139
DOB2026-04-26
Address2004 Wisteria CT , Lawrenceville, GA 30044

Insurance

Client CarrierKEMPER
Policy #10049960101
At-Fault CarrierPROGRESIVE
At-Fault Claim #26-295911545
At-Fault Policy #978530110

Adjusters

Vehicle

Year2022
MakeNissan
ModelSENTRA
DrivableYes

Medical

Assigned ClinicGwinnett Medical Back and Neck
Treatment Statuspending
ER VisitNo
Currently TreatingNo

Injuries

Client Injuries

AI Analysis

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Case Summary

Incident Date

Aug 18, 2026

Incident Type

auto accident

Incident Location

GWINNETT

Client Role

driver

Description

D1 Inicialmente declaro que estaba retrocediendo hacia el camino de entrada de sus casa cuando V2 golpeo su vehiculo.D2 declaro que vioo que V1 se estaciono y creia que como habia espacio que podia continuar recto y V1 golpeo su vehiculomientras daba marcha atras.D1 declaro mas tarde que estaba dando marcha atrasy V1 intento rodear su vehiculo y golpeo su coch,D2 declaro mas tarde que conducia recto cuando V1 se detuvo hacia adelante de repente y golpeo su vehiculo.D1,D2 y los pasajeros declararon que no habia heridas,debido a declaraciones contradictorias ,sin testigos de terceros y sin imagenes de video no pude tomar una determinacion de la culpa en este momento.

Client Insurance

Carrier

KEMPER

Policy #

10049960101

At-Fault Insurance

Carrier

PROGRESIVE

Policy #

978530110

Claim #

26-295911545

At-Fault Driver

TAILA MONET SMITH

Insured Name

BOBBY LOUIS SMITH

Client Vehicle

Year

2022

Make

Nissan

Model

SENTRA

Damage Description

PUERTA TRASERA DERECHA Y LADO DERECHO

Workstreams

Property Damage

Unassigned

Pending

Treatment / Clinic

Unassigned

Pending

Attorney Documents

Unassigned

Pending

Insurance

Unassigned

Pending

Assigned Clinic

ZIP: 30044Lawrenceville, GA

Gwinnett Medical Back and Neck

Assigned Attorney

Stephen Law Firm

Assigned Carrier

Not assigned

Adjusters

Assigned Clinics

0

No clinics assigned yet.

Intake Completeness

4 fields still missing

84%

Client Info

6/7
  • First Name
  • Last Name
  • Phone
  • EmailMissing
  • Address
  • Date of Birth
  • Preferred Contact Method

Incident

5/5
  • Incident Date
  • Incident Location
  • Incident Type
  • Incident Description
  • Client Role in Accident

Police & Injuries

3/4
  • Police Report Filed
  • Police Department Name
  • Police Report Number
  • Injuries DescriptionMissing

Vehicle & Parties

3/5
  • Vehicle Year
  • Vehicle Make
  • Vehicle Model
  • Insurance CompanyMissing
  • Insurance Policy NumberMissing

Docs & Consent

4/4
  • ID Document
  • Consent to Share Info
  • Consent to Accuracy
  • Digital Signature