Claim Management System (CMS) Wiki

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====== Consumer ======
Welcome to CAMVAP's Claim Management System!

There are a number of statuses in the overall process a consumer is responsible for. Here are some processes that might require an action from you in the system.
  * [[Qualification Worksheet]]
  * [[Activate|Account Activation]]
  * [[Worksheet Consumer Input Required]]
  * [[Claim Form Requested]]
  * [[Claim Consumer Input Required]]
  * [[Hearing Defence]]
  * [[Inspection Response]]


===== Consumer Top Ribbon =====
  * [[Consumer Account]]
  * Language can be adjusted using the drop down menu 
{{::language.png|Language}}
===== Dashboard =====
  * [[Dashboard Consumer]]
===== Left Ribbon =====
Contact number for a Provincial Administrator 1-800-206-0685.

====== Status for Consumer Reference ======
===== Worksheet =====
  * **[[Worksheet Submitted PA Review|Worksheet Submitted]]**: Information submitted by consumer. PA informed of submission
  * **[[Worksheet Submitted PA Review|Worksheet PA Review]]**: PA reviews information from consumer. PA asks for more information, sends to the manufacturer, or closes claim ineligible
  * **[[Worksheet Sent to OEM]]**: Worksheet has been forwarded to the manufacturer for review and a decision.
  * **[[Worksheet Approved]]**: Worksheet is eligible. PA to assign an arbitrator.
  * **[[Worksheet Consumer Input Required]]**: Additional information is required to process the claim. Consumer is informed of information required
  * **[[Worksheet OEM Denied]]**: Worksheet has been reviewed by the manufacturer. Manufacturer has denied the eligibility of the vehicle
  * **[[Worksheet Sent to OEM|Worksheet No OEM Response]]**: Manufacturer review and approval are outstanding
===== Claim Form =====
  * **[[Claim Form Requested]]**: Claim form to be sent to the consumer for completion
  * **[[Claim Form PA Review]]**: PA reviews claim form from consumer. PA asks for more information, send to the manufacturer, or closes the claim
  * **[[Claim Sent to OEM]]**: Claim form has been forwarded to the manufacturer for review and a decision
  * **[[Claim Form Requested|Claim Form Overdue]]**: Completed claim form not returned by the consumer within the 60 day deadline
  * **[[Claim Consumer Input Required|Claim Form Consumer Input Required]]**: Additional information is required to process the claim form
  * **[[Claim Sent to OEM|Claim No OEM Response]]**: Manufacturer review and approval are outstanding
  * **[[OEM Claim Denied|Claim OEM Denied]]**: Manufacturer has denied eligibility of the claim

===== Aftermarket Parts =====
  * **[[Aftermarket Part(s) Verification Provided]]**: Verification documents to be sent to the consumer.  PA to advance the claim based on the consumer's decision.
  * **[[Aftermarket Part(s) Removal Consented]]**: Confirmation of aftermarket part removal is required to process the claim.  Consumer is to be informed of confirmation required.
  * **[[Aftermarket Part(s) Issue Awaiting Decision]]**: Aftermarket part review to be conducted. Waiting for the arbitration specialist's decision.
  * **[[Aftermarket Part(s) Issue Decision Overdue]]**: PA reviews aftermarket part decision. PA to close, amend, or advance the claim based on arbitration specialist's decision.
  * **[[Aftermarket Part(s) Issue PA Review]]**: Claim form has been forwarded to the manufacturer for review and a decision.
  * **[[Aftermarket Part(s) Removal Required]]**: Aftermarket part removal within 21 days is required to process the claim. Confirmation required.
  * **[[Aftermarket Part(s) Response Overdue]]**: Response to Aftermarket Part verification documents not received by the consumer within the 10 day deadline.
  * **[[Aftermarket Part(s) Removal Overdue]]**: Aftermarket Part removal confirmation not received by the consumer within the 21 day deadline.
===== Eligibility =====
  * **[[Eligibility Hearing Required]]**: Manufacturer has denied eligibility. Arbitrator will conduct an eligibility hearing. An eligibility hearing needs to be scheduled
  * **[[Eligibility Hearing Scheduled]]**: Eligibility hearing has been scheduled. Waiting for hearing to be conducted
  * **[[Eligibility Hearing Scheduled|Eligibility Awaiting Decision]]**: Eligibility hearing has been conducted. Waiting for the arbitrator's decision
  * **[[Eligibility PA Review]]**: PA reviews eligibility decision. PA to close or advance the claim based on arbitrator's decision
  * **[[Eligibility Hearing Scheduled|Eligibility Decision Overdue]]**: Arbitrator's decision is outstanding
===== Arbitration =====
  * **[[Claim Approved]]**: Claim eligible. Arbitration hearing needs to be scheduled
  * **[[Arbitration Hearing Scheduled|Arbitration Hearing Scheduled]]**: Arbitration hearing has been scheduled. Waiting for arbitration hearing to be conducted
  * **[[Arbitration Hearing Scheduled|Arbitration Awaiting Decision]]**: Arbitration hearing has been conducted. Waiting for the arbitrator's decision to be provided
  * **[[Arbitration Hearing Scheduled|Arbitration Decision Overdue]]**: Arbitrator's decision is outstanding
  * **[[Arbitration Decision PA Review]]**: PA reviews award decision. PA to close or advance the claim based on arbitrator's decision
===== Award =====
  * **[[Award Review Request|Award Review Requested]]**: Arbitrator reviews request to reopen claim
  * **[[Award Clarification PA Review]]**: PA reviews arbitrator's clarification and consumer's/manufacturer's reasons to re-open the claim
  * **[[Award Review Required]]**: Arbitrator to decide whether to request a hearing or submit clarification for their hearing decision
  * **[[Award Hearing Scheduled]]**: Award hearing has been scheduled to review arbitrator's decision or award implementation issues. Waiting for hearing to be conducted
  * **[[Award Hearing Scheduled|Award Awaiting Decision]]**: Award hearing has been conducted. Waiting for the arbitrator's decision to be provided
  * **[[Award Hearing Scheduled|Award Decision Overdue]]**: Arbitrator's decision is outstanding
  * **[[Award PA Review]]**: PA reviews award decision. PA to close or advance the claim based on arbitrator's decision
===== Technical Inspection =====
  * **Technical Inspection Requested**: Arbitrator has requested a technical inspection of the vehicle. PA to schedule the inspection
  * **Technical Inspection Scheduled**: PA contacts a technical inspector and consumer to coordinate an inspection. Manufacturer is informed of the pending inspection (2 days notice is required)
  * **Technical Inspection Report Required**: Technical inspector has inspected the vehicle. PA is waiting to receive the report from the inspector
  * **Technical Inspection Report Overdue**: Technical inspection report is outstanding
  * **Technical Inspection PA Approved**: Inspection report forwarded to consumer and manufacture for comment
  * **Technical Inspection Review Complete**: Comments from consumer and manufacturer are due. After 7 days all comments will be shared with all parties
  * **Technical Inspection Review Overdue**: Arbitrator review of the technical inspection report is outstanding
===== Closed =====
  * **Closed Worksheet Ineligible**: Vehicle does not meet CAMVAP eligibility requirements
  * **Closed Claim Form Not Returned**: Case is closed. Consumer did not return the claim form within 60 days
  * **Closed Claim Ineligible**: Case is closed. Claim does not meet eligibility requirements
  * **Closed Arbitrated**: Arbitrator has made a decision on the claim which is binding for the consumer and manufacturer
  * **Closed Ineligible**: Consumer's claim is not eligible
  * **Closed Settled**: Consumer has accepted a settlement from the manufacturer at/after the arbitration hearing
  * **Closed Withdrawn**: Consumer withdraws claim.  This can happen at any point in time in the claim process
  * **Closed Conciliated**: Consumer has accepted a settlement from the manufacturer and the claim form has been processed by the manufacturer before the arbitration hearing
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