Home Product Services Integrations Industries Company News Schedule Demo
Claims Administration Services

Two Paths. One Outcome: You Get Paid.

Whether your service software connects directly to ClaimWorks or you need our team to handle entry entirely — every claim goes through Auggie AI and our expert adjudicators.

1
Direct Integrations (API)

Your BMS transfers claim files directly to ClaimWorks via API. Auggie validates and corrects by brand, then publishes to the correct portal. Your team never logs into a manufacturer portal.

Supported software
ePassMr. ApplianceWhirlwindRosswareWorkizDispatchMeOracle NetSuiteServiceTitanHousecall Pro
2
Managed Data Entry

No integration yet? Our expert claims agents manually enter your completed jobs into ClaimWorks. Auggie runs the same AI validation and correction process. Completely hands-off for your office.

Send us the claim. We handle everything else.

Both Methods Include
✓Required data fields validated for accuracy before every submission
✓Parts distributor data checked — PD#, part # and invoice #'s
✓Service-performed verbiage standardized and reformatted
✓Experienced Adjudicators correct complex issues
✓Customer and technical verbiage translated to claim codes
✓Reminders on claims approaching submission deadline
✓Near-instant notifications on claims requiring correction
✓Full audit trail on every change made to every claim
Service Tiers

Basic or Premium — Both Deliver Results

ClaimWorks Basic

Standard claims administration — everything you need to get claims submitted accurately and paid faster.

✓Auggie AI validation on every claim
✓Error correction and data standardization
✓BMS integration or managed data entry
✓Submission to portals and email destinations
✓Parts distributor invoice verification
✓Status tracking and exception alerts
Ask About Basic →
ClaimWorks Premium
Recommended

Everything in Basic, plus full claims lifecycle management from authorization through to payment posting.

✓Pre and Post Authorization management
✓Rejected claim escalation — through to resolution
✓Payment posting back to your BMS
✓Warranty entitlement verification
✓COD repair credit card collection
✓Dedicated adjudicator for your account
Ask About Premium →
Common Questions

Warranty Claims Automation, Answered

How does ClaimWorks automate warranty claim submission?
Auggie, the ClaimWorks AI engine, validates and corrects claim data, applies manufacturer-required coding (Repair Level, Repair Category, Warranty Type), converts parts distributor names into payor-specific account numbers, and files the claim directly to the payor’s portal. 90.7% of claims are submitted fully automatically; expert human adjudicators handle the rest.
Do I have to change my business management software?
No. ClaimWorks integrates directly with BMS platforms including ePass, SmartWare (Mr. Appliance), Whirlwind, Rossware, Workiz, DispatchMe, Oracle NetSuite, ServiceTitan, and Housecall Pro. If your system isn’t integrated yet, the managed data entry service covers you with no software change at all.
What’s the difference between API integration and managed data entry?
With API integration, claims flow from your BMS into ClaimWorks automatically — no double entry. With managed data entry, the ClaimWorks team enters claims for you. Both paths are available in Basic and Premium tiers, and both end the same way: validated, coded claims submitted to the payor.
Which payors can ClaimWorks file claims to?
Manufacturers including Whirlpool, GE, Electrolux, Speed Queen, LG, Samsung, and Sub-Zero — 83 appliance brands in total — plus TPAs, home warranty companies, and extended service contract providers such as Assurant and Centricity.
What happens when a claim can’t be filed automatically?
It routes to an expert human adjudicator who validates, corrects, and submits it — nothing is left unfiled. Premium adds rejected-claim escalation through to resolution and payment posting back to your BMS.
What industries does ClaimWorks serve?
Appliance repair, HVAC, plumbing, and furniture repair — any service business that files warranty claims.
How do I get started with ClaimWorks?
Schedule a 20-minute demo. We’ll map your BMS, your brands, and your claim volume to the right service tier. Request it at claimworks.ai/contact or call 877-535-WORK.
Not Sure Which Fits?

Tell Us Your Claim Volume — We'll Recommend a Tier

A 20-minute call is all it takes to map your BMS, your brands, and your volume to the right ClaimWorks service level.

Schedule a Free Demo →
Or call 877-535-WORK