Overview
Decision assistant for STD case managers. Approve, deny, pend, or escalate in seconds.
ClaimWise is a decision assistant built specifically for Short Term Disability and Leave of Absence case managers. Instead of juggling 6+ systems simultaneously, ClaimWise consolidates your most repetitive tasks into one browser panel: DECISION ASSISTANT - Approve, deny, pend, or escalate to medical review in seconds - Auto-generates copy-paste Salesforce notes for every decision - Flags behavioral health and complex conditions for clinician review DATE CALCULATOR - Instantly calculates benefit start date, FMLA exhaustion, paperwork deadlines, recertification dates, and eligibility - Checks FMLA eligibility based on tenure and hours worked - Covers federal FMLA plus California, New York, Washington, New Jersey, and Massachusetts state laws RTW TRACKER - Generates escalating return-to-work outreach messages by attempt count - Separate templates for employee and employer contact - Auto-generates Salesforce task notes for every outreach REFERENCE PANEL - FMLA eligibility rules at a glance - State leave law summaries - Common pend reasons library - Clinician referral triggers Built by someone in the benefits industry based on real case manager feedback. Carrier-neutral — works for any STD/LOA team.
Details
- Version1.1.0
- UpdatedJune 1, 2026
- FeaturesOffers in-app purchases
- Offered byClaimWise
- Size13.05KiB
- LanguagesEnglish
- Developer
Email
elgovac@gmail.com - Non-traderThis developer has not identified itself as a trader. For consumers in the European Union, please note that consumer rights do not apply to contracts between you and this developer.
Privacy
This developer declares that your data is
- Not being sold to third parties, outside of the approved use cases
- Not being used or transferred for purposes that are unrelated to the item's core functionality
- Not being used or transferred to determine creditworthiness or for lending purposes
