iClaims Intelligence

processor • Jun 9, 2025, 12:22 PM

submitted PA#2326851

/home/openclaw/nas/Dropbox/TRI 1202/Manufacturer Denied Claims/25581/WO.pdf

processor • Jun 10, 2025, 12:04 PM

@Stephanie D Let me know how you want me to move forward with this one: Denied06/10/2025hmurillo@forestriverinc.comThe authorization on claim 2245127 was to repair. It did not specifically state a repair method.

/home/openclaw/nas/Dropbox/TRI 1202/Manufacturer Denied Claims/25581/WO.pdf

dealer or external • Jun 10, 2025, 12:11 PM

If you would like we can move it to the denied folder. I spoke with @Jules E and we are going to put this in our inventory for future repairs. Thank you!

/home/openclaw/nas/Dropbox/TRI 1202/Manufacturer Denied Claims/25581/WO.pdf

processor • Oct 19, 2026, 8:34 PM

TESTING AND LEARNING — TRI 1202 / RO 25581. Internal evidence review only; not a final coverage decision. vehicle: 2025 Forest River Sandpiper 3800RK, serial 4X4FSAP23SJ048097 job 1 complaint: Earlier claim 2245127 approved fill, color, and blend on labor line 6, but the bedroom stile was so damaged across the top that color/fill did not work. job 1 cause recorded: Bedroom stile chipped and damaged from factory install; noted on DAF. job 1 requested correction: Use seam tape to cover the bedroom-stile damage. The complete three-file NAS packet contains no denial letter, manufacturer portal decision, authorization, correspondence, or stated manufacturer rationale. Folder naming alone is not evidence of a denial reason. Native Dropbox discussion includes: If you would like we can move it to the denied folder. I spoke with Jules E and we are going to put this in our inventory for future repairs. Thank you! (discussion entry, not proof of final payment). Outstanding evidence: Manufacturer claim/authorization or denial decision and stated rationale; Controlling warranty terms and coverage determination for the bedroom stile/cosmetic repair; Original claim 2245127 approval and labor-line-6 details. No final payment or completed adjudication is inferred from folder placement. @Chris B @Heidi H @Tricia H

/home/openclaw/nas/Dropbox/TRI 1202/Manufacturer Denied Claims/25581/WO.pdf

processor • Oct 26, 2026, 11:11 PM

UPDATE - CORRECTION ---TESTING/LEARNING--- @Chris B @Tricia H - Native discussion records a denial dated 06/10/2025 from hmurillo at Forest River: the authorization on claim 2245127 was to repair and did not specify a repair method. - This corrects the prior review’s statement that the packet contained no denial or manufacturer rationale; PA 2326851 was also recorded as submitted. - The work order says the approved fill/color/blend attempt did not work because the bedroom stile was extensively damaged, and seam tape was requested; the two photos were previously described as showing localized chips and an irregular upper seam. - Limitation: the photos were not freshly reopened, and no denial letter, portal record, controlling warranty terms, or original claim 2245127 authorization details are supplied. - Next action: obtain the portal decision and original authorization to confirm the denial’s scope and whether seam tape falls outside the authorized repair before determining any further claim action.

/home/openclaw/nas/Dropbox/TRI 1202/Manufacturer Denied Claims/25581/WO.pdf

processor • Oct 26, 2026, 11:42 PM

UPDATE - CORRECTION ---TESTING/LEARNING--- @Chris B @Tricia H - Forest River’s June 10, 2025 denial says claim 2245127 authorized repair without specifying a method; the prior review missed that response. - WO says fill/color/blend failed and requests seam tape. The original authorization and portal decision are missing. - Get those records to check whether seam tape fits the approved repair scope. Final payment is not established.

/home/openclaw/nas/Dropbox/TRI 1202/Manufacturer Denied Claims/25581/WO.pdf