Services
Claimworks Admin Services
An Optimized Claims Service and Technology Solution
We live in an Artificially Intelligent (“AI”) economy. From chess-playing computers, real-time speech recognition on our smartphones, to self-driving Tesla’s, technologies powered by AI are accomplishing specific tasks by processing large amounts of data accurately and adapting to patterns in real-time.
But you may not know we have begun to use cutting-edge machine learning algorithms using predictive data analytics to power the next generation of claims processing.
Meet Auggie™ our proprietary claims processing genius. Auggie gathers all completed warranty/extended warranty jobs on an end of day basis and assigns them to expert claims adjudicators familiar with your business management software and the most popular claims filing systems. Productivity is gained by limiting the knowledge needed by one individual to get the maximum number of claims submitted, accepted and paid by each of your job sources. Your job is to handle only those claims that are missing critical information, such as product serial numbers, or that may require you to contact the job source directly.
Enjoy an acceptance rate nearly 100% because we possess both the knowledge of the unique business rules by job source and technology to get your claims processed and paid in a timely manner.
What Claim Works will do to Reduce Your Anxiety!
- Computerized Pre-validation of claims checking for common errors and incorrect information prior to submission to the processing location/portal including Service Power and ServiceBench
- Full Audit trail on all changes made to claims
- Automatic claims forwarding to the appropriate processor
- Manual data entry and email of claims when required
- Reminders on claims where action is required prior to the submission date expiration
- Near instant notifications on claims requiring correction.
Why Consider ClaimWorks for Your Business?
- Drives claims processing efficiency and continuous improvement – Reduced processing time provides more time to do perform tasks.
- Fewer unpaid claims. Check out the following example shared by a satisfied client in 2023.
Facts from a Small Appliance Service Company
- Average Appliance Warranty Claim Value $243.15
- Annual Rejection Rate 4%* for common errors
- 1,000 claims X $243.15 = $243,150.00
- 4% rejection due to common errors = $ 9,726.00
- Annual Cost of ClaimWorks @ $5.00 per claim service fee
- Savings = $4,726.00
* Note do not include claims that do not qualify for warranty service
Why Consider ClaimWorks for Your Business?
- Drives claims processing efficiency and continuous improvement – Reduced processing time provides more time to do perform tasks.
- Fewer unpaid claims. Check out the following example shared by a satisfied client in 2023.
Facts from a Small Appliance Service Company
- Average Appliance Warranty Claim Value $243.15
- Annual Rejection Rate 4%* for common errors
- 1,000 claims X $243.15 = $243,150.00
- 4% rejection due to common errors = $ 9,726.00
- Annual Cost of ClaimWorks @ $5.00 per claim service fee
- Savings = $4,726.00
* Note do not include claims that do not qualify for warranty service
Claims Administration Service Offering
Facts from a Small Appliance Service Company
- Average Appliance Warranty Claim Value $243.15
- Annual Rejection Rate 4%* for common errors
- 1,000 claims X $243.15 = $243,150.00
- 4% rejection due to common errors = $ 9,726.00
- Annual Cost of ClaimWorks @ $5.00 per claim service fee
- Savings = $4,726.00
* Note do not include claims that do not qualify for warranty service
| Service Type | Description of Claims Services |
|---|---|
| Basic |
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| Premium |
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Service Type
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Description of Claims Services
|
|---|---|
|
Basic
|
Investigate and insert missing claims data
|
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Using your Business Management Software or via Services Administrators' portals, file claims
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|
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Correct incomplete/inaccurate claims
|
|
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Verify parts Distributors’ invoices using their websites when making corrections
|
|
|
Premium
|