Services

Claims Automation

Service Provider Business Management Software claims sent via API to ClaimWorks for cleansing and adjudication. Service forwards claims via API to final processing portal/system.

Benefits
  • Cleansing service eliminates virtually all common claim errors that prevent timely processing and payment
  • Claims processing status returned for receipt verification

Claimworks Admin Services

Tier 1
  • Investigate and insert missing claims data
  • Using your Business Management Software or via Services Administrators’ portals, file claims
  • Correct incomplete/inaccurate claims
  • Verify parts Distributors’ invoices using their websites when making corrections
Tier 2
  • Investigate and insert missing claims data
  • Using your Business Management Software or via Services Administrators’ portals, file claims
  • Correct incomplete/inaccurate claims
  • Verify parts Distributors’ invoices using their websites when making corrections
  • Obtain Pre & Post Authorizations
  • Escalate Rejected Claims with Manufacturer to resolution
  • Post Claim Payments to your Business Management Software (if applicable)
  • Verify Warranty entitlement including obtaining customer proof of purchase
  • If repair was COD, contact customer for credit card payment details
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