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Use caseUC0163

Decide a car dealer's warranty claim, line by line

A dealer sends in a repair bill with parts, labour and a story behind each line. This app checks every line against the policy, the labour guide and the correspondence, and tells you what to pay.

For the warranty analystAutomotive

Why it matters

Today's manual process, and the same job with the app

A warranty analyst at a vehicle manufacturer, deciding whether to pay or push back a dealer's repair bill.

✕Today's manual process

1Read the claim line by line against the coverage terms and the labour time guide.
2Look up every operation in the labour guide, and compare the hours claimed to what it publishes.
3Search the correspondence for the one sentence that changes the answer: a coverage note, a hotline case, a prior repair.
4One line missed means paying a claim that should have been denied, or denying one that should have been paid.
Every claim read manually, line by line

✓With the app

1The claim is read against the policy, the labour guide and every record on file, automatically.
2Every operation is checked hours claimed against hours published, on every line, whether or not anything looks wrong.
3The correspondence is searched for the sentence that reopens a coverage window or changes the payable time.
4Every line gets a reason payable, denied with the record behind it, or flagged as not enough to go on.
Every line reasoned, with its record

See it work

One real case: what the app found, step by step

WC-0018: a 2023 Calder Ridgeline, 14 months in service, with six claimed lines and one coverage note that changes the answer.

Decide a car dealer's warranty claim, line by lineReference appBuilt to be shaped to your process
  1. 1What was claimed The alternator: 1.60 hours claimed, exactly what the guide publishes. Payable.
  2. 2Why, beyond the tables Cites the coverage note that reopened this operation past its printed mileage limit.
  3. 3Checked, not hidden The page flags that citation itself, since it is not a document record number.
  4. 4A line it denies Drive shaft hours run above the guide's published time.
  5. 5Proof, not just a verdict A prior repair to the same part is on file, with no sign-off.

For engineers

How it is built, and how we measured it

All fourteen steps of the build are written up, from the business case to running it in your own environment.

Kit overview →
130 of 130unpayable lines correctly deniedmeasured in 06 Evals →
22 of 22correspondence-only denial grounds foundmeasured in 06 Evals →
120 of 270claimed lines adjudicated exactly rightmeasured in 06 Evals →
5.9¢to adjudicate one claimmeasured in 07 Unit cost →

The build, step by step

14 steps

Make it yours

What you see is a reference app. We shape it to how you work.

Every part of it is built to change, and none of it means starting over.

Your rulesYour coverage terms, labour times and what counts as a valid denial reason.
Your recordsYour own claims, labour guide and service correspondence, in the format you already keep them.
Your systemsConnects to your claims system; adjudications post back for an analyst to review.
Your screensThe claim view, the fields and the wording your analysts already use.

Want this for your team?

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We can run this on your own claims and policy documents, inside your environment.

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