WorkflowCustomer Service Automation

Warranty Claims Management

Warranty claims management that stops invalid claims before payment and charges supplier defects back with proof

Invalid claims stopped before payment, and supplier defects charged back with proof.

See one case, screen by screen ↓
demo14claimsfrom one dealer on one failure code in 9 days, every one billing the 2.5-hour labour guide maximum — found across serials
demo$22,960held before payment in one signed decision on 14 claims, while the 6 genuine failures are paid
demo$18,420supplier chargeback drafted for 6 bench-confirmed failures, with all 8 held claims left out
target85%of supplier-caused failure cost charged back, up from 37%
In short

What is Warranty Claims Management?

Warranty claims management software that validates each claim against the warranty terms, proof of purchase and service records. Each claim opens on its serial's whole life, with three stamps — term, proof and history — each pass or fail with its source. Seven agents read, check, look for patterns across serials and draft supplier chargebacks; clean claims under the limit are approved by rule, and a named adjudicator decides the rest.

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Updated

The problem

Why padded and invalid warranty claims still get paid

A warranty claim is a promise being tested: was the unit covered on the day it failed, was it really bought when the receipt says, was it maintained as the terms require, and did the part fail or was the claim padded? An adjudicator answers those questions on three or four screens — the claim, the registration database, the service history, the labour time guide — one claim at a time. A receipt is checked by eye, and labour is paid at whatever is billed up to the guide.

Across claims, almost nobody looks. A dealer who bills the guide maximum on every job, or a compressor returned on two claims, is invisible to a one-claim-at-a-time desk. The failed part reaches the returns lab weeks after the claim was paid, and supplier recovery is batched months later — often including claims that were never genuine, which the supplier rightly disputes. Goodwill is approved by email, outside the claim system, and the reason for each decision is rarely written down.

typical1.30%of US product sales paid out in warranty claims
typical1.27%of sales for appliance makers
typical3–20%of warranty spend estimated to be invalid or padded claims
Where a contested claim's working days goestimated
By hand5 days
With the solution0.8 days
  • Reading the claim and matching the serial, model and registration0.5 → 0.1 d
  • Working out cover by model and region, line by line0.5 → 0.1 d
  • Proving the sale date and checking the service history1 → 0.2 d
  • Comparing it with the dealer's other claims on the same code1 → 0.1 d
  • Deciding, recording the reason and writing to the dealer0.5 → 0.2 d
  • Assembling the supplier chargeback with the bench evidence1.5 → 0.2 d

Estimated split for one contested claim over the auto-approve limit, from the dealer's filing to a decision and the supplier chargeback, by hand and with the solution.

How it works

How a warranty claim is decided

Seven agents lay out each unit's life, stamp term, proof and history, find patterns across serials and draft supplier recovery; a named adjudicator decides.

What comes in
Claims inportal, EDI, email, form · claim, receipt, service record
Agents at work
Intake agentreads and matches the serial
Then
Coverage agentterm stamp
Proof agentproof stamp
Then
History agentconfirms from a second record
Pattern agentacross serials
Then
Recovery agentconfirmed failures only
A person decides
Adjudicatordecides over the limit with a reason code
What comes out
Claims paid or held
Pattern cases decided
Supplier chargebacks
One case, step by step

One compressor claim, from the queue to the supplier chargeback

Kestrel & Vane Appliances makes commercial refrigeration and ice machines, and adjudicates claims from 8 servicing dealers in North America, Germany and the UK. On Wednesday 14 October, Northgate Appliances' claim WC-20418 for a failed compressor is on its adjudicator's desk. Here is what happens next, screen by screen, in the working solution.

  1. 01From 06:00

    412 claims read from four channels

    Intake agent

    Claims arrive through the dealer portal (286), by email as PDF claim forms (61), by EDI from dealers' service systems (48) and through the customer web form (17). The Intake agent reads each one, matches the serial and model, and asks the dealer for what is missing. One emailed form has a smudged serial that fits two units, so it asks the dealer for the plate photo rather than pick one.

    “The serial is smudged on the form and the plate photo is missing. Two serials fit: HF-6426-C and HF-6826-C. The agent will not guess.”

  2. 0209:40

    Only the claims that need her, with the unit's whole life

    Elena Varga · Warranty claims adjudicator

    Of 412 open claims, 318 passed all three stamps under $1,500 and were approved by rule; 47 need a person, $81,392 claimed. At the top: WC-20418, $2,870.00 for a compressor in a ProChill RC-48 reach-in refrigerator, serial CMP-7731-K, marked Pattern hold and Proof fail. The ribbon lays out the unit's life — sold, installed and registered in March 2024, three maintenance visits, an earlier start-relay claim — with the cover bands for its model and region underneath and the new claim pinned on 6 Oct 2026.

    A dashed marker sits at “12 Mar 2025? Receipt's sale date · Conflicts with 2 records”.

  3. 03Three stamps

    Part covered, proof failed, history passed

    Coverage, Proof and History agents

    Term: the compressor is inside the 60-month sealed-system cover to 12 Mar 2029, but labour and refrigerant ended with the 24-month cover on 12 Mar 2026, so $2,280.00 of the $2,870.00 is payable on the term alone. Service history: maintenance every 12 months, as §3.4 requires, and the earlier claim was a different part. Proof of purchase: fail. Under the stamps, each agent's step is listed with its source and how long it took.

    “Agents recommend: Hold: pattern review. … If the bench confirms the compressor, pay the part only ($2,280.00) · confidence 91%.”

  4. 04The receipt

    An edited date, confirmed from two other records

    Proof agent, confirmed by the History agent

    The receipt sent with the claim dates the sale 12 Mar 2025, which would put labour inside cover. The owner's registration and Northgate's own invoice NA-INV-55120 both say 12 Mar 2024. The date is set in Arial 9 pt while the rest of the receipt is Courier 10 pt, and the file, created in March 2024, was edited on 2 Oct 2026 — four days before the repair. The Proof agent found it at 94% confidence; the History agent confirmed it from the two records the dealer does not control alone.

    “One source alone would be a warning, not a fail.” And: registration is not a condition of cover (§2.4; 16 CFR 700.7) — it is used as evidence of the date.

  5. 05Across serials

    Fourteen claims in nine days, 2.5 hours on every one

    Pattern agent

    Pattern case PC-0412, opened at 07:14: Northgate filed 14 claims on code C-214, compressor fails to start, between 29 Sep and 7 Oct, against its usual 1.2 a month. Every one bills 2.5 hours, the guide maximum. The technician app shows under an hour on site for 8 of them, median 50 minutes. The returns lab found 6 genuine winding shorts, all from Varrick lot VC-2611; 3 showed no fault and 2 were compressors already returned on earlier claims.

    “A case is never an accusation: the agent proposes, a named adjudicator decides, and the dealer sees the evidence.”

  6. 06One signed decision

    Pay six, hold eight, each with its own reason

    Elena Varga · Warranty claims adjudicator

    The agents propose and Elena decides the case in one dialog: pay the 6 genuine claims, $17,220.00, in Friday's credit run with AP-01; hold the 8 others, $22,960.00, with HD-03 · Hold: pattern review; pre-authorisation for C-214 at Northgate for 60 days; recovery from Varrick Compressors; and a letter to Gary Pell at Northgate. She adds a note to the record and signs.

    “One decision for 14 claims. Each claim keeps its own reason on the record.”

  7. 07Same morning

    A chargeback the supplier has no reason to dispute

    Recovery agent

    RC-3381 to Varrick Compressors bills the 6 bench-confirmed failures under supply agreement VC-SA-2023-07, clause 11.3: $3,070.00 each for the compressor kit, labour at the guide of 2.5 h × $112, refrigerant and freight — $18,420.00 in all. The 8 held claims are listed as left out, each with why, and the bench reports, clause, technician time on site and labour time guide are attached. It goes to Dev Mallick, the supplier recovery analyst, to sign and send.

    “A supplier pays for a bench-confirmed defect only. Billing a held claim would give Varrick Compressors a reason to dispute the whole chargeback.”

  8. 08The dealer

    A plain letter, sent only when Elena presses Send

    Dealer liaison agent

    Gary Pell had asked on 12 Oct when Northgate's 14 open C-214 claims would be paid. The Dealer liaison agent drafts the answer: the 6 approved claims and their amount in Friday's credit, and each held claim with its reason — no fault found on the bench, a compressor already returned on an earlier claim. The scorecard beside it shows why Northgate is watched: labour at 131% of the guide and 71% of failed parts sent back.

    The draft waits on “Send as Elena Varga”. The agent never sends without a person.

  9. 09Second name

    The dealer action goes to the warranty manager

    Marcus Lindqvist · Warranty manager

    Pre-authorisation for Northgate's C-214 claims, prepared by Elena, now heads Marcus's approvals, beside a claim over $5,000, goodwill over $2,500 and a rule change to version 13. A dealer action carries two names. The labour-rate change Marcus prepared himself waits for another manager.

    “You cannot sign what you prepared.”

  10. 10On the record

    Every step, by people and agents, on a chained record

    Internal audit

    The audit trail holds each action with its evidence and a record id: the Proof agent's finding, the History agent's confirmation from two independent sources, the pattern case, the Recovery agent's draft, Elena's decision with HD-03 and the letter waiting for her to press Send. Verify the chain, or export an evidence pack for a dealer dispute or an audit.

Who it’s for

Built for everyone between the repair and the credit.

The same claim, seen by the four people who carry it — what their month looked like, and what it looks like now.

EV
Elena VargaWarranty claims adjudicator, Louisville · decides claims up to $5,000
Warranty claims adjudicator
Before
Opens the claim, the registration database, the service history and the time guide on separate screens, one claim at a time.
Now
Opens one unit's life on a ribbon with three stamps and their sources, and decides a whole pattern in one signed decision.
ML
Marcus LindqvistWarranty manager · signs dealer actions, goodwill over $2,500, claims over $5,000 and rule changes
Warranty manager
Before
Is asked to back a hold on a dealer's money without the evidence a dealer would accept.
Now
Signs from one queue, with who prepared each item and why — and cannot sign what he prepared.
DM
Dev MallickSupplier recovery analyst · sends chargebacks and answers disputes
Supplier recovery analyst
Before
Batches chargebacks months after the claims were paid, and loses disputes over claims that were never genuine.
Now
Receives a chargeback drafted the same morning from the bench reports and the agreement clause, with every held claim left out.
ID
Ines DuarteReturns lab lead · bench-tests returned parts
Returns lab lead
Before
Tests failed parts weeks after the claim was paid, when the result no longer changes the decision.
Now
Her bench results — winding short, no fault found, already returned — decide which claims are paid and which are held.
Built on the engine

7 agents. Each with one job, and hard limits.

Seven agents lay out each unit's life, stamp term, proof and history, find patterns across serials and draft supplier recovery; a named adjudicator decides.

Intake agent

Reads claims from the dealer portal, EDI, email PDFs and the customer form; matches serial and model; asks for what is missing.

  • Never fills a field it could not read
  • Never rejects a claim
Coverage agent

Reads the warranty terms for each model and region, works out cover per claim line, and applies the legal guarantee, the EU repair extension and the goodwill guide.

  • Never refuses on registration alone where other proof of the date exists
Proof agent

Checks the receipt against the serial, the registration and the dealer's sale record, and looks for edits in fonts, file history and totals.

  • Never fails proof on one source; it asks the History agent to confirm
History agent

Reads service visits, maintenance conditions and prior claims, finds duplicates by unit and part serial, and confirms or contradicts the Proof agent.

  • Never treats a different part as a repeat repair
Pattern agent

Clusters claims across serials by dealer, failure code, labour and parts lot, compares labour billed with time on site, and proposes a proportionate action.

  • Never accuses
  • Never holds money itself; it proposes to a person
Recovery agent

Drafts supplier chargebacks for confirmed failures under each supply agreement, and answers disputes with the bench evidence.

  • Never includes a held or unconfirmed claim
  • Never sends
Dealer liaison agent

Drafts plain-language letters to dealers with each decision, its reason and source, reminds on service levels and reads replies.

  • Never sends without a person
Adjudicator and warranty manager

Decide over the limit; sign dealer actions. The agents propose; a named person decides.

Ask in plain words

Ask about any claim, dealer or supplier, in plain words

Ask about any claim, dealer, supplier or cost, or say what to draft. Every figure in the answer cites its source, and the answer opens the screen it came from.

Why is WC-20418 on hold?

The receipt does not match two other records. It shows a sale on 12 Mar 2025, but the owner registered the unit on 20 Mar 2024 and Northgate's own invoice NA-INV-55120 is dated 12 Mar 2024. The date is in a different typeface and the file was edited on 2 Oct 2026. On the true date, labour and refrigerant are out of term; the compressor is still covered to 2029. Northgate also has 14 C-214 claims in 9 days at 2.5 h each.

Which dealers bill the labour guide maximum most often?

Northgate Appliances, far ahead. 100% of its last 14 C-214 claims bill 2.5 h, the guide maximum, and its labour runs at 131% of the guide over 90 days. The technician app shows 41–58 min on site for 8 of them. Next is Medway at 106%, explained by hinge wear, then Lakeshore at 104%.

What do we recover from Varrick for lot VC-2611?

$18,420.00 now, for 6 bench-confirmed failures. Each is $3,070.00 under clause 11.3: kit $2,280, labour at the guide 2.5 h × $112, refrigerant $310, freight $200. The 8 held Northgate claims are left out, so Varrick has no reason to dispute the batch. 1,240 units in service carry the lot, so an 8D request is suggested too.

How is cost per unit trending this year?

$11.80 a unit in service, down from $12.64. Ice machines cost most at $17.90, and C-214 compressor failures are the largest code at $9.8M of $40.9M. The claims rate is 1.41% of sales against an appliance average of 1.27%. The two biggest levers are money held before payment ($1.25M in 6 months) and supplier recovery, now 37% against a target of 85%.

Every screen

The working solution, as it ships.

13 screens from the working solution, on its sample data. Pick one to see it large.

The claim and the unit's lifeThe queue of claims that need a person, and one serial's whole life on a ribbon: sale, registration, service visits, earlier claims and the cover bands, with the claim pinned and the conflicting receipt date marked.
Three stamps and the agents' stepsTerm, proof of purchase and service history, each with its agent and sources; every agent step with its source; claim lines with what each is covered by; the recommendation and the decision bar.
Proof of purchaseThe receipt with the edited date marked, what the Proof agent checked, and the History agent's confirmation from two independent records.
A pattern across serialsFourteen claims from one dealer on one code: labour billed against time on site, the Pattern agent's reasoning, bench results per claim and claims a day.
Decide the caseOne signed decision for 14 claims: pay the genuine six, hold eight, pre-authorisation, supplier recovery and the dealer letter, with reason codes and a note.
The supplier chargebackSix bench-confirmed failures priced under the agreement clause, the eight held claims left out with why, the evidence attached and the history.
DealersScorecards for the 8 servicing dealers — claims, approval rate, labour against the guide, days to pay, parts back — and the drafted letter waiting for a person to send.
ApprovalsWhat needs the warranty manager: dealer actions, claims over $5,000, goodwill over $2,500 and rule versions, with who prepared each.
GoodwillOut-of-term requests decided by the goodwill guide, with the quarter's budget and the recommendation for each.
IntakeThe day's claims by channel, the latest arrivals with how well each was read, an emailed claim form beside its fields, and a failed EDI file to map and retry.
ReportsCost per unit in service, the claims rate against the appliance average, failure codes by cost, money stopped before payment and recovery by supplier.
Audit trailEvery action by people and agents, with its evidence and a chained record id; verify the chain or export an evidence pack.
Your rulesLimits and thresholds, and the rules — three of them locked — every claim is checked against, each change a new version.
Governance

Built for warranty cost: cited, signed, on the record.

Every stamp cites its sourceEach stamp, agent finding and answer points to its source: the terms clause, the registration, the dealer's invoice, the receipt file, the service record, technician time on site, the bench report or the supply agreement clause.
A named person decides, with a reason codeClaims pass by rule only when all three stamps pass and the claim is under the auto-approve limit. Anything over the limit or with a failed stamp is decided by a named adjudicator with a reason code, and above $5,000 by the warranty manager.
Two sources before anyone is doubtedA proof fail needs two independent sources — a locked rule. One source alone is a warning, never a hold, and a pattern case is never an accusation: the agent proposes and a person decides.
Nothing leaves without a personLetters to dealers and chargebacks to suppliers are drafted by agents and sent only when a person presses Send. Chargebacks include bench-confirmed failures only, so no supplier is billed for a held claim.
Segregation of dutiesDealer actions, goodwill over $2,500, claims over $5,000 and rule versions need the warranty manager, and nobody can sign what they prepared.
A chained audit trailEvery action by people and agents is written to an append-only, chained record with its evidence. The chain can be verified, and an evidence pack holds the ribbon, stamps, sources and signatures for an audit or a dealer dispute.
Configuration

Your warranty policy, not ours

Every change is a new version; limits, rules and terms need the warranty manager. Version 12 is live.

SettingDefaultChoose from
Auto-approve limit$1,500, when all three stamps passAny amount, as a new version the warranty manager signs
Adjudicator limit per claim$5,000Any amount; above it, the warranty manager decides
Open a pattern case at5 claims with one code at one dealer within 14 daysNumber of claims and days, set as a new version
Or labour at the guide maximum on80% of a dealer's claimsAny share of a dealer's claims
Flag time on site under50% of the labour billedAny share of the labour billed
Parts return window30 days after the repairAny number of days
Pay labour at the time guide when more is billed · Apply the EU repair extension automaticallyOnOn · Off
A proof fail needs two independent sources · Nothing goes to a dealer or a supplier until a person presses Send · Chargebacks include bench-confirmed failures onlyOnLocked: cannot be turned off
Connections

Works with the systems a warranty claim already touches

Dealer portal and EDIclaims and messages from servicing dealers, and files from their service systems
Email and the customer formPDF claim forms, and owners filing for themselves
Registration databaseregistered units, owners and sale dates
Field service and technician appservice visits and time on site
Returns labbench results and part serials
ERP and supplier portaldealer credits, supplier invoices, accruals, chargebacks and replies
What it changes

The difference, in numbers.

Every figure is labelled: a target the solution is built to, an estimate, a typical published result, or a proven one.

estimated
$3.3M
a year of invalid claims stopped before payment, on $40.9M of claims
Invalid claims paid today (10% of spend)$4.1M
Target$0.8M
target
85%
of supplier-caused failure cost charged back, up from 37%
target
100%
of EU repairs within the legal guarantee given their 12-month extension
3 of 3 repairs extended
this week

“demo” = seen in the working solution, on its sample claims data · “target” = the design goal, measured in the live solution · “estimated” = our estimate · “typical” = published figures (Warranty Week, 23rd Annual Product Warranty Report, 2026 — claims 1.30% of US product sales, appliances 1.27%; invalid or padded claims put at 10–20% of warranty spend by AutoSuccess, a vendor, and 3–15% by IIM Bangalore). The EU repair extension is Directive (EU) 2024/1799; 16 CFR 700.7 is the US rule on registration cards. Kestrel & Vane Group, its dealers, suppliers and the people named on this page are fictional — characters and sample data in the working solution.

Questions

What warranty and service leaders ask us.

What is Warranty Claims Management?

Warranty claims management software that validates each claim against the warranty terms, proof of purchase and service records. Each claim opens on its serial's whole life, with three stamps — term, proof and history — each pass or fail with its source. Seven agents read, check, look for patterns across serials and draft supplier chargebacks; clean claims under the limit are approved by rule, and a named adjudicator decides the rest.

How does it catch an edited receipt?

The Proof agent checks the receipt against the serial, the owner's registration and the dealer's own sale record, and looks for edits in fonts, file history and totals. A finding becomes a fail only when the History agent confirms it from a second, independent source; one source alone is a warning, never a hold.

How does it find padded labour and duplicate claims?

The Pattern agent groups claims across serials by dealer, failure code, labour and parts lot, compares the labour billed with the technician app's time on site, and joins the returns lab's bench results. The History agent finds duplicates by part serial. A case opens at thresholds you set — 5 claims on one code at one dealer in 14 days by default — and a person decides it.

Does it charge suppliers back for failures?

Yes, for confirmed failures only. The Recovery agent drafts the chargeback under each supply agreement from the bench reports, prices each line by the clause and leaves out every held or unconfirmed claim, listing why. The supplier recovery analyst signs and sends it.

Does it handle the EU repair extension and registration rules?

The Coverage agent applies the legal guarantee by region and the 12-month extension after a repair within the legal guarantee, and records it on the unit. It never refuses a claim on registration alone where other proof of the date exists; registration is used as evidence of the date, not as a condition of cover.

Do people stay in control?

Yes. Agents never approve over the limit, never hold, reject or accuse on their own, and never send anything to a dealer or supplier. A named adjudicator decides with a reason code, the warranty manager signs dealer actions, goodwill over $2,500 and claims over $5,000, and nobody can sign what they prepared.

Can we set our own limits, thresholds and terms?

Yes. The auto-approve and adjudicator limits, pattern thresholds, time-on-site flag, parts return window, reason codes, roles, service levels and the warranty terms by model and region are settings. Every change is a new version the warranty manager approves, and three rules are locked.

How long does it take to go live?

The Agentic Solution Engine builds and deploys it from your requirements and documents — your warranty terms, supply agreements and a sample of past claims — and it goes live once every quality gate has passed. A new product line is brought on in six steps, with a trial on 90 days of past claims before it goes live.

See it on
your claims.

We'll run Warranty Claims Management on a sample of your own past claims, terms and service records.