OUR SECTORS

WARRANTY

WORKING WITH

THIRD PARTY ADMINISTRATORS (TPA’S)

After successfully implementing the Auto Integrate solution in the majority of the top 10 Fleet Management Companies, the 2 largest Rental Companies and the Governments Fleet Management Agency the system has been further enhanced and specifically designed to allow TPA’s to manage, streamline and speed up their warranty claim processes . With a simple user interface, TPA’s are able to interact with their repair facilities and vehicle service suppliers from one, centralized platform.

CLAIM PROCESSING BENEFITS

FASTER ADJUDICATION

Electronic claim submission means no more manual entry, helping achieve up to 50% faster claim adjudication. The system automates checks and controls allowing adjudicators to focus on complex claims.

AUTO ADJUDICATION

Instant decisions back to shops with auto approval and rejection combined with electronic submission means TPA’s and shops aren’t waiting on the phone.

PARTS AND LABOR PRICING

Instant price exception alerts on OEM and aftermarket parts and labor costs plus in claim parts ordering through our integrated partners.

DOCUMENT UPLOAD

Image and document upload from mobile devices straight into the platform

OTHER BENEFITS

FASTER INVOICE PROCESSING

The electronically submitted claim becomes the invoice upon completion. No shop submitted invoices, no reconciliation, no manual entry and no disputes.

VENDOR NETWORK

Over 63,000 national and independent registered shops giving coast to coast coverage projected to be over 80,000 in 2020

REPORTING

Adjudicator performance and cost containment reporting

CLOUD HOSTED

Azure secure hosted with 99.99% uptime and multi region DR


Auto Integrate – work smarter

HOW DOES THE

AI PROCESS WORK FOR TPA’S

Submitted

Claim submitted electronically by one of the 63,000 Auto Integrate Registered shops

Auto Approval/Rejection

Auto Integrate checks coverage and pricing and auto approves or auto rejects back to the shop or submits for manual approval by the TPA

Manual Approval/Rejection

The TPA claims adjuster manually reviews the claim against the coverage shown on screen

Requests photos or documents through Auto Integrate

Collect measurements through Auto Integrate

Orders parts through Auto Integrate

Approved/Rejected

The shop receives approval or rejection from the claim with notes

The claim can be rejected again and resumbmitted by the repair facility until it can be approved

Work Complete

The repair facility completes the work and collects the deductible from the customer

Shop paid

Auto Integrate sends the completed claim electronically to the TPA and the TPA pays the repair facility the agreed balance

Auto Integrate supports integration by API and file transfer at all claim status changes

KEY COMPONENTS AND FEATURES OF

A CLAIM

Slide

Vehicle and Shop information

Detailed vehicle information and visual alerts on term end mileage and date

Pricing validation

Validate pricing against industry standards such as Mitchell 1 and All Data plus parts suppliers such as C&K for OEM and aftermarket part options

Contract Coverage

Contract coverage displayed in the claim view to aid adjudication decisions if not auto approved or rejected

Claim Detail

Line item detail by part and labor for ease of analysis and adjudication

Invoice & Deductible

The Deductible is removed from the payable total and the claim becomes the invoice simplifying the AP process.

Additional information

Capture measurements, full claim and item audit history plus notes to and from the shop

OUR VENDOR

NETWORK

EFFICIENCY

TARGETED REPORTING

Data capture across all aspects of the claim process allow you to use our business intelligence reporting to monitor efficiency and performance at all levels of your organisation. Real time information speeds up corrective action where necessary such as adjuster training requirements and repair facility trends.

HOW ELSE WILL YOUR

BUSINESS BENEFIT?

The Auto Integrate platform has been developed to help TPA’s such as you deliver a highly efficient claims adjudication and authorization process. Utilizing the system means you will also benefit from:

CLAIMS PROCESSING

  • Claims are entered by the repair facility and reviewed by the claims adjuster resulting in huge time savings and allowing high value resources to focus on their keys area of expertise – adjudication.
    • No time entering claims
    • No time wasted waiting on the phone with repair facilities
    • Average authorization time for electronically submitted repairs is less than 2 minutes
  • Claim lines automatically mapped to contract coverage, saving time and resource and no more manual claim coding.
  • Instant rejection if out of contract or upper limit mileage exceeded
  • Auto approval and rejection levels that are configurable to match your risk profile and adjudicator team size
  • Claims adjusters can focus on complex and major claims
  • 24/7 adjudication ability
  • Reduction in repair costs
  • No invoice disputes
  • Automated Job time and parts comparison to Mitchell 1
  • OEM and after market parts catalog pricing comparison and auto rejection / approval based on price
    • Integrated parts ordering process for TPA’s and repair facilities
  • Claims adjustor price containment reporting
  • Image and document upload to claims
  • Comparison against average price of repair by make and model
  • Configurable to suit your business model and goals

REPAIR FACILITY NETWORK

  • 63,000 registered repair facilities utilizing the AI system allowing you to choose your vendor network and control rates and relationships effectively, our network is projected to be over 80,000 in 2020
  • Over 6 million repair orders processed during in 2019
  • Growing our network on average by 280 new shops per week
  • Increase in shops that can complete work
  • Standard repair facility solution across all sectors and markets
  • Often instant decision on claims with auto approval and rejection plus no waiting on the phone

ADDITIONAL BENEFITS

  • Maintenance and claim history by vehicle
  • Over 6000 service codes that allow your warranty plans to be handled however specialist they are (over 175,000 potential combinations)
  • Full Integration with your back-office systems
  • Reduce authority calls, reduce paperwork and automate resource-heavy processes
  • Reduces investment in system development

DO YOU WANT TO

ARRANGE A DEMO WITH OUR TEAM?

Complete our contact form today and see just how beneficial it could be for your organization