Skip to main contentClaims Management
Multimodal Claim Creation
Create claims the way that works best for your situation:
- Text Claims: Detailed descriptions from your desk with full context
- Voice Claims: Quick on-site recording with automatic transcription via Groq Whisper
- Image Claims: Photo or screenshot with automatic text extraction via GPT-4 Vision
All input methods are automatically classified and routed to the appropriate team.
Intelligent Routing & Classification
AI automatically processes every claim:
- Category Assignment: Quality, Safety, Logistics, Maintenance, or custom categories
- Priority Determination: Low, Medium, High, or Critical based on content analysis
- Root Cause Prediction: Automatically suggests likely causes from historical data
- Department Routing: Routes to the right team based on classification
- Confidence Scoring: Shows how certain the AI is about its decisions
Claim Status Workflow
Track claims through their complete lifecycle:
- OPEN: Newly reported claims awaiting assignment
- IN_PROGRESS: Assigned to a team member and being worked on
- RESOLVED: Solution found, awaiting closure
- CLOSED: Final resolution confirmed and documented
Collaboration & Communication
Add comments to claims for team communication:
- Comment threads for organized discussions
- @mentions for targeted notifications
- Emoji reactions for quick feedback
- Inline replies for context
Activity Tracking
Complete visibility into claim changes:
- Who changed what and when
- Status update history
- Assignment changes
- All modifications logged automatically
File Management
Attach and share evidence:
- Upload supporting documents, photos, or files
- Link to external resources
- Version control for updates
- Secure access management
SLA & Deadline Management
Automatic SLA Calculation
Reclamia calculates deadlines automatically:
- Response time targets based on priority
- Resolution time targets by category
- Department-specific SLA rules
- Custom SLA policies per organization
Status Indicators
Visual SLA tracking at a glance:
- On-Time: Green status - claim is being handled within deadline
- At-Risk: Yellow warning - approaching deadline, escalation recommended
- Overdue: Red alert - deadline has passed, immediate action needed
Escalation Management
Prevent SLA breaches:
- Automatic escalation warnings as deadline approaches
- Escalate to managers when needed
- Priority elevation for critical claims
- Breach prevention workflows
SLA Analytics
Track your compliance:
- Organization-wide SLA compliance rate
- Department-level metrics
- Category-specific performance
- Trend analysis over time
Visualization & Workflow Management
Kanban Board View
Visual status management with drag-and-drop:
- See all claims organized by status (OPEN, IN_PROGRESS, RESOLVED, CLOSED)
- Drag claims between columns to update status
- Quick-edit inline to change details
- Filter by department, priority, or category
- Mobile-responsive for on-the-go management
Calendar View
Timeline-based visualization:
- See SLA deadlines in calendar format
- Identify bottlenecks and busy periods
- Plan workload distribution
- Spot at-risk claims by deadline
Timeline View
Sequential activity tracking:
- Historical progression of each claim
- Status change timeline
- Activity audit trail
- Chronological view of all updates
Dashboard & Analytics
Executive-level metrics at a glance:
- Total Claims: All-time and current period counts
- Average Resolution Time: How long claims typically take to resolve
- SLA Compliance Rate: Percentage of claims resolved on time
- Priority Distribution: Breakdown of Low/Medium/High/Critical claims
- Category Breakdown: Distribution across Quality, Safety, Logistics, Maintenance
- Team Workload: Claims per person or department
Time-Series Analysis
Understand trends:
- Claims volume over time
- Resolution time trends
- Category trends month-over-month
- Seasonal patterns in your data
Team Metrics
Department and individual performance:
- Workload distribution
- Resolution performance by team
- Individual productivity metrics
- Department efficiency trends
Reporting & Export
Pre-Built Reports
Ready-to-use report templates:
- Department performance reports
- Category analysis reports
- SLA compliance reports
- Team workload reports
Custom Date Filtering
Flexible time-based analysis:
- Select any date range
- Compare periods
- Track historical trends
- Quarterly or yearly reviews
Export Options
Multiple formats for flexibility:
- CSV Export: For analysis in spreadsheet software
- PDF Export: For sharing and archiving
- Scheduled Reports: Automated delivery to stakeholders
Department Breakdowns
Segment data the way you need:
- By department
- By category
- By priority
- By team member
Enterprise Security
Single Sign-On (SSO)
Enterprise authentication via Keycloak:
- Use your existing corporate credentials
- No additional passwords to remember
- Centralized user management
- Real-time role synchronization
Role-Based Access Control
Flexible permission system:
- ADMIN: Full system access, user management, configuration
- MANAGER: Team oversight, SLA monitoring, escalation handling
- EMPLOYEE: Claim creation, collaboration, personal views
- Custom roles supported
Audit Logging
Complete transparency:
- All user actions logged
- Claim change history
- User access tracking
- Compliance-ready audit trails
Data Security
Enterprise-grade protection:
- Data encryption in transit (HTTPS)
- Secure database with role-based filtering
- Organization data isolation
- GDPR compliance support
AI Intelligence Layer
Automatic Classification
AI processes every claim:
- Learns from your historical data
- Improves accuracy over time
- Confidence scoring for quality assurance
- Sentiment analysis for priority hints
AI Chat Assistant
Intelligent assistant for instant insights:
- Query claims using natural language
- Get analytics summaries instantly
- Find patterns and trends
- Access knowledge base information
Knowledge Base Integration
AI-powered information retrieval:
- Search relevant procedures and guides
- Link historical similar claims
- Access best practices
- Continuous learning from past resolutions
Customization & Configuration
Dynamic Categories
Define claim types that match your business:
- Default categories (Quality, Safety, Logistics, Maintenance, Other)
- Create custom categories specific to your operations
- Map categories to departments
- Category-specific SLA rules
Department Management
Organize teams:
- Create departments matching your structure
- Department-specific routing rules
- SLA policies by department
- Team capacity management
Business Rules
Automate your workflows:
- Auto-routing based on criteria
- Automatic priority assignment
- Escalation triggers
- Status-based notifications
Next Steps
Ready to get started? Check out:
