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          Manual Claims Adjudication in Automotive Cloud

          Manual Claims Adjudication in Automotive Cloud

          Warranty claims adjudicators can adjudicate warranty claims by examining information on the defected assets, checking asset warranties and warranty terms, and tracking their causal parts on the preconfigured Claims record page. The Claims record page pulls relevant information from various sources to give warranty claims adjudicators a unified view into every aspect of the warranty claim. Warranty claims adjudicators can drill into the required information by opening them as subtabs and determine the approved amount for each claim coverage payment detail.

          Required Editions

          Available in: Enterprise, Unlimited, and Developer Editions

          Warranty claims adjudicators can use these tabs on the Claims record page. You must open a Claim record from the Warranty Lifecycle Management app to see the Claim Items tab.

          Details

          The Details tab on the Claim record page shows information about warranty claim, including its reason, type, status, total claimed amount, and total adjusted amount.

          Claim Items

          The Claim Items tab of a Claim record page shows information on the related claim item, asset warranties, claim coverages, and claim coverage payment details as different cards. Claim adjudicators can expand and collapse these cards and open a record as a subtab. Claim adjudicators can determine the approved amount for the claim by editing the Adjusted Amount value. Here are the cards claim adjudicators can view on the Claim Items tab.

          Card Usage Information Displayed Information Source
          Claim Item View details about the defective assets related to the warranty claim. Asset Name Asset field on the Claim Item record
          Fault Date Fault Date field on the Claim Item record
          Repair Date Repair Date field on the Claim Item record
          Asset Usage Asset Usage Value and Asset Usage Unit of Measure fields on the Claim Item record
          Asset Warranty Examine the warranty terms associated with the defective asset. Asset Warranty Asset Warranty Number field on the Asset Warranty record
          Warranty Type Warranty Type field on the Asset Warranty record
          Warranty Term Warranty Term field on the Asset Warranty record
          Start Date Start Date field on the Asset Warranty record
          End Date End Date field on the Asset Warranty record
          Active Active field on the Warranty Term record associated with this Asset Warranty record
          Claim Coverage Track each causal part in the defective asset, along with the total claimed and approved amount to rectify it. Causal Part Causal Part field on the Claim Coverage record
          Fault Code Fault Code field on the Claim Coverage record
          Asset Warranty Asset Warranty field on the Claim Coverage record
          Coverage Type Coverage Type field on the Claim Coverage record
          Total Claim Amount Total Claimed Amount field on the Claim Coverage record
          Total Adjusted Amount Total Adjusted Amount field on the Claim Coverage record
          Claim Coverage Payment Detail Review each expense incurred, labor service performed, and part replaced to rectify a causal part. Determine the approved amount by editing the Adjusted Amount value. Name Name field on the Claim Coverage Payment Detail record
          Charge Type Charge Type field on the Claim Coverage Payment Detail record
          Charge Type Code Charge Type Code field on the Claim Coverage Payment Detail record
          Replaced Part Replacement Part field on the Claim Coverage Payment Detail record
          Quantity Quantity field on the Claim Coverage Payment Detail record
          Claimed Amount Claimed Amount field on the Claim Coverage Payment Detail record
          Adjusted Amount Adjusted field on the Claim Coverage Payment Detail record

          Documents

          The Documents tab on the Claim record page lets claim adjudicators view and manage supporting documents submitted by partners.

          Note
          Note Admins can design company-specific pages to adjudicate warranty claims using the preconfigured Omnistudio FlexCards, Integration Procedures, and DataRaptors that come with Warranty Lifecycle Management.
           
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