Claim Guardians
ClaimsCalQL8ter
Claim Guardians · 1: 33-88J6-21T
Guided Claim Workspace
Continue the claim by choosing what came in next instead of editing the whole file structure by hand.
The customer summary remains the expert output. This workspace is the simpler intake layer that helps Cynthia move through the claim one real-world item at a time.
Claim Snapshot
Workflow progress
10
paths with saved data
Needs Review
4
active review items
Workflow State
This panel uses the new workflow records so the processor can see the current stage, what is blocking progress, and what should happen next.
Who Has the Ball
Management Review
HighConfirm the customer was informed of the endorsement process: Mortgage company involvement was marked, but the customer has not yet been confirmed as informed that Claim Guardians fees are due before endorsements are released.
Aging
0
business days
Due
Within 3 business days
follow-up target
Review Queue
1
open items
Current Stage
Client Onboarding
Set up the claim file, contacts, mortgage path, and first intake item.
50% complete
Current Stage Tasks
Capture basic claim information
Save the claim number, insured, address, carrier, and date of loss if known.
Record the primary customer contact
Save the insured phone number and email if available.
Confirm the mortgage-company path
Record whether a mortgage company is involved and confirm the customer disclosure if needed.
Capture the first received item
Start the guided intake based on what document, check, or update arrived first.
Next Best Action
Record the primary customer contact
Save the insured phone number and email if available.
Current Blockers
Management Review
1
open workflow review items
Resume Step
update-note
recommended guided intake path
Management Review Queue
These items are not blocking claim intake, but they do require an internal follow-up.
Confirm the customer was informed of the endorsement process
Mortgage company involvement was marked, but the customer has not yet been confirmed as informed that Claim Guardians fees are due before endorsements are released.
0 business days · Due in 2 days
Needs Review
If something is unclear, the claim should keep moving, but the issue still needs to be visible and easy to escalate.
Status review overdue
Last reviewed on Mar 11, 2026 (96 days ago).
May affect: Claim summary logic
Deductible may be unaccounted for
Total received funds exceed net claim after deductible. Confirm deductible handling.
May affect: Checks, payments, or vendor disbursement
Returned deductible logged
A returned deductible of $1,500.00 offsets the extra deductible applied across estimates.
May affect: Estimate or invoice history
PA fee exceeds unallocated funds
Estimated PA fee is larger than unallocated funds.
May affect: Checks, payments, or vendor disbursement
Customer Summary Target
This remains the holy grail. The intake flow can simplify the work only if the output stays accurate and easy for the customer to understand.
Claim Snapshot
Mary Weaver
1: 33-88J6-21T
Carrier estimate history
5 carrier estimate entries imported from the current claim.
$81,784.78
Current contract total
5 vendor records and their revisions rolled into one total.
$85,212.85
Carrier funds credited
12 check or payment records contribute to this total.
$84,209.42
Actually paid to vendor
Derived from the real money-flow lines marked paid to vendor.
$71,488.95
Carrier holdback still expected
Claim-level holdback still expected from the carrier or mortgage release.
$0.00
CGPA fees
Derived from the real fee lines in the claim payments.
$7,686.89
Deductible applied (net)
Claim-level deductible tracked from the current claim file.
$1,500.00
Estimated homeowner responsibility
Prototype approximation using current contract total minus actual vendor-paid amounts and expected holdback.
$13,723.90
Vendor 1
Abatemasters
Service Type: mitigation
Current Contract Total
$5,597.27
Contractor / Vendor Name
Abatemasters
Service Type
mitigation
Original Estimate
$5,597.27
Carrier Funds Credited
$5,597.27
Actually Paid to Contractor / Vendor
$5,037.54
CGPA Fee(s)
$559.73
Estimated Homeowner Responsibility
$559.73
Vendor 2
Pack Out Plus
Service Type: contents
Current Contract Total
$26,902.09
Contractor / Vendor Name
Pack Out Plus
Service Type
contents
Original Estimate
$29,891.21
Carrier Funds Credited
$29,891.21
Actually Paid to Contractor / Vendor
$26,902.09
CGPA Fee(s)
$2,989.12
Estimated Homeowner Responsibility
$0.00
Vendor 3
Rapid Refurb
Service Type: rebuild
Current Contract Total
$34,928.14
Contractor / Vendor Name
Rapid Refurb
Service Type
rebuild
Original Estimate
$55,939.58
Carrier Funds Credited
$26,344.77
Actually Paid to Contractor / Vendor
$23,710.29
CGPA Fee(s)
$2,634.48
Estimated Homeowner Responsibility
$11,217.85
Vendor 4
Roto-Rooter
Service Type: mitigation
Current Contract Total
$15,839.03
Contractor / Vendor Name
Roto-Rooter
Service Type
mitigation
Original Estimate
$25,462.11
Carrier Funds Credited
$20,161.97
Actually Paid to Contractor / Vendor
$15,839.03
CGPA Fee(s)
$1,282.14
Estimated Homeowner Responsibility
$0.00
Vendor 5
Units
Service Type: contents
Current Contract Total
$1,946.32
Contractor / Vendor Name
Units
Service Type
contents
Original Estimate
$1,946.32
Carrier Funds Credited
$1,946.32
Actually Paid to Contractor / Vendor
$0.00
CGPA Fee(s)
$194.63
Estimated Homeowner Responsibility
$1,946.32
Resume Workflow
Choose the real-world item that came in next. Each path tells the user what it will ask, what it updates, and where to correct it today.
Selected Path
This is the plain-language intake definition the user should see before they start entering information.
What came in
Update / Note
This should become a plain-English timeline event tied to urgency.
Customer summary impact
Does not usually change the customer math directly, but it keeps follow-up and claim story understandable.
What the user should be asked
What is already on file
Nothing is saved on this path yet.
Path warnings
Status review overdue
Artifact Intake
Update / Note supporting document
Upload the real file here. The system classifies it, stores the artifact record, and later routes it to the claim’s OneDrive case folder automatically.
On file for this path
0
Recent files for this path
Saved Claim Timeline
The next processor should be able to understand the claim story by reading plain-English events tied to the saved data.
Timeline item 1
Revision / change order captured
Pack Out Plus had a revised contract amount recorded.
Timeline item 2
Carrier supplement captured
Mitigation added for mitigation.
Timeline item 3
Contractor estimate captured
Abatemasters entered as the active mitigation vendor.
Timeline item 4
Invoice captured
Abatemasters invoice stored for customer-summary comparison.
Timeline item 5
Contractor estimate captured
Rapid Refurb entered as the active rebuild vendor.
Timeline item 6
Invoice captured
Rapid Refurb invoice stored for customer-summary comparison.
Timeline item 7
Carrier estimate captured
Mitigation added for mitigation.
Timeline item 8
Carrier estimate captured
Rebuild added for rebuild.
Timeline item 9
Contractor estimate captured
Pack Out Plus entered as the active contents vendor.
Timeline item 10
Invoice captured
Pack Out Plus invoice stored for customer-summary comparison.
Timeline item 11
Carrier estimate captured
Contents added for contents.
Timeline item 12
Carrier check captured
1 07 052816 J entered for Pack Out Plus / contents.
Timeline item 13
Carrier check captured
1 07 055261 J entered for ALE.
Timeline item 14
Carrier check captured
1 07 059616 J entered for Roto-Rooter / mitigation.
Timeline item 15
Vendor payment recorded
Pack Out Plus payment recorded from claim funds.
Timeline item 16
Revision / change order captured
Rapid Refurb had a revised contract amount recorded.
Timeline item 17
Carrier supplement captured
Mitigation added for mitigation.
Timeline item 18
Carrier check captured
1 07 102890 J entered for Roto-Rooter / mitigation.
Timeline item 19
Carrier check captured
1 07 102886 J entered for Roto-Rooter / mitigation.
Timeline item 20
Vendor payment recorded
Roto-Rooter payment recorded from claim funds.
Timeline item 21
Carrier check captured
1 07 102885 J entered for Abatemasters / mitigation.
Timeline item 22
Carrier check captured
1 07 102889 J entered for Roto-Rooter / mitigation.
Timeline item 23
Carrier check captured
1 07 102866 J entered for Rapid Refurb / rebuild.
Timeline item 24
Carrier check captured
1 07 140833 J entered for Units / contents.
Timeline item 25
Vendor payment recorded
Abatemasters payment recorded from claim funds.
Timeline item 26
Vendor payment recorded
Roto-Rooter payment recorded from claim funds.
Timeline item 27
Contractor estimate captured
Units entered as the active contents vendor.
Timeline item 28
Invoice captured
Units invoice stored for customer-summary comparison.
Timeline item 29
Vendor payment recorded
Rapid Refurb payment recorded from claim funds.
Timeline item 30
Revision / change order captured
Rapid Refurb had a revised contract amount recorded.
Timeline item 31
Contractor estimate captured
Roto-Rooter entered as the active mitigation vendor.
Timeline item 32
Invoice captured
Roto-Rooter invoice stored for customer-summary comparison.
Timeline item 33
Revision / change order captured
Roto-Rooter had a revised contract amount recorded.
Timeline item 34
Revision / change order captured
Roto-Rooter had a revised contract amount recorded.
Timeline item 35
Carrier check captured
1 07 278550 J entered for Roto-Rooter / mitigation.
Timeline item 36
Revision / change order captured
Roto-Rooter had a revised contract amount recorded.
Timeline item 37
Vendor payment recorded
Roto-Rooter payment recorded from claim funds.
Timeline item 38
Carrier check captured
1 07 384455 J entered for Units / contents.
Timeline item 39
Revision / change order captured
Roto-Rooter had a revised contract amount recorded.
Timeline item 40
Carrier check captured
2014 entered for Roto-Rooter / mitigation.
Timeline item 41
Vendor payment recorded
Roto-Rooter payment recorded from claim funds.
Timeline item 42
Deductible / holdback update captured
Customer responsibility and holdback status were entered from the claim file.
Workflow Snapshot
This quick panel makes it obvious how the current saved claim data lines up with the new guided structure.
Carrier estimates
5
Vendor records
5
Checks on file
12
Claim Guardians Fee
$7,686.89