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Join and Simplify Your Claims Management Today

Sign up to access the tools that streamline your workflow and enhance efficiency.

"*" indicates required fields

1Company Information

2Account Information

Email

This field is for validation purposes and should be left unchanged.

Billing Contact Name*

First Last

Company*

Billing Contact Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Company Goals*

What is your company goal that ClaimWizard will help?

Streamline claim management process

Maximize settlement outcomes & shorten claim cycle

Drive team accountability & easily accessible data

Other

Texas-based companies will be charged sales tax.

This field is hidden when viewing the form

Company Owner Name/Email*

Company Owner Name*

First Last

Company Phone*

Company Owner Email*

Company Website

How did you hear about ClaimWizard?*

How many assignable accounts do you need?*

An "assignable" is a user that can be assigned responsibility to a claim such as an adjuster, estimator, etc. These users can only access claims assigned to them.

Monthly Subscription Fee

1 Assignable Accounts - NO Staff

Up To 3 Assignable Accounts

4 Assignable Accounts

5 Assignable Accounts

6 Assignable Accounts

7 Assignable Accounts

8 Assignable Accounts

9 Assignable Accounts

This field is hidden when viewing the form

Assignable Account (Pro)*

First Name

Last Name

Email

Assignable Account #1 - First Name*

Assignable Account #1 - Last Name*

Assignable Account #1 - Email*

Email account must exist before setting up in ClaimWizard

Assignable Account #1 - Role(s)*

Multiple roles can be included on the same license fee.

Assignable Account #2 - First Name

Assignable Account #2 - Last Name

Assignable Account #2 - Email

Email account must exist before setting up in ClaimWizard

Assignable Account #2 - Role(s)

Multiple roles can be included on the same license fee.

Assignable Account #3 - First Name

Assignable Account #3 - Last Name

Assignable Account #3 - Email

Email account must exist before setting up in ClaimWizard

Assignable Account #3 - Role(s)

Multiple roles can be included on the same license fee.

Assignable Account #4 - First Name

Assignable Account #4 - Last Name

Assignable Account #4 - Email

Email account must exist before setting up in ClaimWizard

Assignable Account #4 - Role(s)

Multiple roles can be included on the same license fee.

Assignable Account #5 - First Name

Assignable Account #5 - Last Name

Assignable Account #5 - Email

Email account must exist before setting up in ClaimWizard

Assignable Account #5 - Role(s)

Multiple roles can be included on the same license fee.

Assignable Account #6 - First Name

Assignable Account #6 - Last Name

Assignable Account #6 - Email

Email account must exist before setting up in ClaimWizard

Assignable Account #6 - Role(s)

Multiple roles can be included on the same license fee.

Assignable Account #7 - First Name

Assignable Account #7 - Last Name

Assignable Account #7 - Email

Email account must exist before setting up in ClaimWizard

Assignable Account #7 - Role(s)

Multiple roles can be included on the same license fee.

Assignable Account #8 - First Name

Assignable Account #8 - Last Name

Assignable Account #8 - Email

Email account must exist before setting up in ClaimWizard

Assignable Account #8 - Role(s)

Multiple roles can be included on the same license fee.

Assignable Account #9 - First Name

Assignable Account #9 - Last Name

Assignable Account #9 - Email

Email account must exist before setting up in ClaimWizard

Assignable Account #9 - Role(s)

Multiple roles can be included on the same license fee.

Office Staff*

Select the amount of office staff accounts to add. These accounts have access to all claims for processing purposing but are not assigned to specific claims.

Office Staff Account #1 - Name

First Last

Office Staff Account #1 - Email

Account must exist before signing up

Office Staff Account #1 - Role

Office Staff Account #2 - Name

First Last

Office Staff Account #2 - Email

Account must exist before signing up

Office Staff Account #2 - Role

Office Staff Account #3 - Name

First Last

Office Staff Account #3 - Email

Account must exist before signing up

Office Staff Account #3 - Role

Office Staff Account #4 - Name

First Last

Office Staff Account #4 - Email

Account must exist before signing up

Office Staff Account #4 - Role

This field is hidden when viewing the form

Office Staff Information

Click the + button to add more accounts. Office Staff accounts have access to all claims for processing purposing but are not assigned to specific claims.

First Name

Last Name

Email (ACCOUNT MUST EXIST BEFORE SIGNING UP)

Account Role (Staff or Manager)

Does your company have Sales Representatives or Solicitors?*

These accounts are in addition to assignable users above.

Yes

No

Sales Representative Information

Click the + button to add more accounts.

First Name

Last Name

Email (ACCOUNT MUST EXIST BEFORE SIGNING UP)

Notes & Additional Information:

This field is hidden when viewing the form

Enterprise: Account Setup

Thank you for your interest in a ClaimWizard Enterprise account. Enterprise accounts are best for businesses with 10 or more assignable accounts. Please call our Sales Team at 856-705-0201 to continue.

Your credit card will be charged automatically on a monthly basis for your subscription.

Credit Card*

Card Details

Cardholder Name

Please note that your information needs to be reviewed for accuracy by the ClaimWizard team before any user accounts are activated.

ALL EMAIL ACCOUNTS **MUST** BE CREATED AND LIVE BEFORE SETTING UP AN ACCOUNT IN CLAIMWIZARD.

"*" indicates required fields

1Company Information

2Account Information

Comments

This field is for validation purposes and should be left unchanged.

Billing Contact Name*

First Last

Company*

Billing Contact Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Company Goals*

What is your company goal that ClaimWizard will help?

Streamline claim management process

Maximize settlement outcomes & shorten claim cycle

Drive team accountability & easily accessible data

Other

Texas-based companies will be charged sales tax.

This field is hidden when viewing the form

Company Owner Name/Email*

Company Owner Name*

First Last

Company Phone*

Company Owner Email*

Company Website

How did you hear about ClaimWizard?*

How many assignable accounts do you need?*

An "assignable" is a user that can be assigned responsibility to a claim such as an adjuster, estimator, etc. These users can only access claims assigned to them.

Monthly Subscription Fee

1 Assignable Accounts - NO Staff

Up To 3 Assignable Accounts

4 Assignable Accounts

5 Assignable Accounts

6 Assignable Accounts

7 Assignable Accounts

8 Assignable Accounts

9 Assignable Accounts

This field is hidden when viewing the form

Assignable Account (Pro)*

First Name

Last Name

Email

Assignable Account #1 - First Name*

Assignable Account #1 - Last Name*

Assignable Account #1 - Email*

Email account must exist before setting up in ClaimWizard

Assignable Account #1 - Role(s)*

Multiple roles can be included on the same license fee.

Assignable Account #2 - First Name

Assignable Account #2 - Last Name

Assignable Account #2 - Email

Email account must exist before setting up in ClaimWizard

Assignable Account #2 - Role(s)

Multiple roles can be included on the same license fee.

Assignable Account #3 - First Name

Assignable Account #3 - Last Name

Assignable Account #3 - Email

Email account must exist before setting up in ClaimWizard

Assignable Account #3 - Role(s)

Multiple roles can be included on the same license fee.

Assignable Account #4 - First Name

Assignable Account #4 - Last Name

Assignable Account #4 - Email

Email account must exist before setting up in ClaimWizard

Assignable Account #4 - Role(s)

Multiple roles can be included on the same license fee.

Assignable Account #5 - First Name

Assignable Account #5 - Last Name

Assignable Account #5 - Email

Email account must exist before setting up in ClaimWizard

Assignable Account #5 - Role(s)

Multiple roles can be included on the same license fee.

Assignable Account #6 - First Name

Assignable Account #6 - Last Name

Assignable Account #6 - Email

Email account must exist before setting up in ClaimWizard

Assignable Account #6 - Role(s)

Multiple roles can be included on the same license fee.

Assignable Account #7 - First Name

Assignable Account #7 - Last Name

Assignable Account #7 - Email

Email account must exist before setting up in ClaimWizard

Assignable Account #7 - Role(s)

Multiple roles can be included on the same license fee.

Assignable Account #8 - First Name

Assignable Account #8 - Last Name

Assignable Account #8 - Email

Email account must exist before setting up in ClaimWizard

Assignable Account #8 - Role(s)

Multiple roles can be included on the same license fee.

Assignable Account #9 - First Name

Assignable Account #9 - Last Name

Assignable Account #9 - Email

Email account must exist before setting up in ClaimWizard

Assignable Account #9 - Role(s)

Multiple roles can be included on the same license fee.

Office Staff*

Select the amount of office staff accounts to add. These accounts have access to all claims for processing purposing but are not assigned to specific claims.

Office Staff Account #1 - Name

First Last

Office Staff Account #1 - Email

Account must exist before signing up

Office Staff Account #1 - Role

Office Staff Account #2 - Name

First Last

Office Staff Account #2 - Email

Account must exist before signing up

Office Staff Account #2 - Role

Office Staff Account #3 - Name

First Last

Office Staff Account #3 - Email

Account must exist before signing up

Office Staff Account #3 - Role

Office Staff Account #4 - Name

First Last

Office Staff Account #4 - Email

Account must exist before signing up

Office Staff Account #4 - Role

This field is hidden when viewing the form

Office Staff Information

Click the + button to add more accounts. Office Staff accounts have access to all claims for processing purposing but are not assigned to specific claims.

First Name

Last Name

Email (ACCOUNT MUST EXIST BEFORE SIGNING UP)

Account Role (Staff or Manager)

Does your company have Sales Representatives or Solicitors?*

These accounts are in addition to assignable users above.

Yes

No

Sales Representative Information

Click the + button to add more accounts.

First Name

Last Name

Email (ACCOUNT MUST EXIST BEFORE SIGNING UP)

Notes & Additional Information:

This field is hidden when viewing the form

Enterprise: Account Setup

Thank you for your interest in a ClaimWizard Enterprise account. Enterprise accounts are best for businesses with 10 or more assignable accounts. Please call our Sales Team at 856-705-0201 to continue.

Your credit card will be charged automatically on a monthly basis for your subscription.

Credit Card*

Card Details

Cardholder Name

Location & Hours

211 N Loop 1604 E, Suite 150
San Antonio, TX 78232

Monday – Friday
9am – 5pm Central

210-783-0102

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