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Claims View

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Name

Claims

Type

View

Description

The Claims view provides most of the same information as the Claim table, though more consolidated, as well as additional columns that are useful in the context of claims, such as dispute count, dispute amount, recovered amount, etc.

Fields

Data Category

Event Field/Column Name

Data Type

Description

Applicability

Sample Value

Notes

Key

TenantId

VARCHAR(32)

Unique ID associated with each Quavo client.

ALWAYS

qvo-stg

Key

Tenant

VARCHAR(64)

A tenant is a Quavo customer that uses QFD.  Each tenant is assigned a unique Tenant ID.

ALWAYS

Default

Key

ClientId

VARCHAR(64)

A unique ID representing a single client.

ALWAYS

Default

Key

Client

VARCHAR(64)

A client is a Quavo customer that uses QFD through a relationship with a Quavo tenant.  Each client is assigned a unique Client ID.

ALWAYS

Default

Claim Details

ClaimType

VARCHAR(64)

See Transaction Type.

CONDITIONAL

Card-Pinless

Claim Details

ClaimCategory

VARCHAR(64)

General categorization of the claim.

For a more precise description, see Claim Reason.

CONDITIONAL

Fraud

Claim Details

ClaimReason

VARCHAR(64)

Identifies the specific reason associated with the claim.

CONDITIONAL

Stolen

Compliance Details

RegulatoryCoverage

VARCHAR

Identifies the specific reason associated with the claim.

CONDITIONAL

Reg E

Claim Details

ClaimChannel

VARCHAR(32)

The Claim Channel defines the intake channel where the claim originated. This channel can include various avenues such as online banking, back office users, contact centers, or external 3rd party contact centers. 

ALWAYS

Online Banking

Key

ClaimId

VARCHAR(32)

Unique ID associated with a claim.  Format: YYMMDD<Ordinal Number>"C"

Example: 2405230003C

ALWAYS

2306060014C

Claim Details

CreateDate

DATE

The datetime that a record was created.

CONDITIONAL

2023-09-09

Claim Details

CustomerContactDate

DATE

Represents the date that the claim was received from the accountholder.

CONDITIONAL

2023-09-09

Claim Details

ClaimAmount

NUMBER(20,2)

The sum dispute amount of all posted disputes on a claim.

CONDITIONAL

123.45

Claim Details

ClaimState

VARCHAR

A summarized version of Claim Status.  Abandoned and withdrawn claims have a value of "Other".

ALWAYS

OPEN

Claim Details

ClaimStatus

VARCHAR(64)

Represents the current stage or step of a particular process or lifecycle, such as a claim or dispute.

ALWAYS

RESOLVED-PAID

Card Details

BIN

VARCHAR(8)

Bank Identification Number (BIN) is the first 4-8 digits of a payment card that identifies the issuing institution.

CONDITIONAL

412356, 41235678

Card Details

CardType

VARCHAR(16)

Bank Identification Number (BIN) is the first 4-8 digits of a payment card that identifies the issuing institution.

CONDITIONAL

Debit

Claim Details

Decision

VARCHAR(64)

"Paid" or "Denied".  If one, or more, disputes on a claim are paid, the claim decision is "Paid".

CONDITIONAL

Paid, Denied

Claim Details

DiscoveryDate

DATE

The date provided during intake on a lost or stolen claim that represents the date the claimant discovered that the card had been lost or stolen.

CONDITIONAL

2023-09-09

Claim Details

InvestigationCompleteDateTime

TIMESTAMP_NTZ(9)

Date and/or datetime that a Pay or Deny decision is rendered for all disputes on a claim.

CONDITIONAL

2023-09-09 21:00:00

Compliance Details

InvestigationDate

TIMESTAMP_NTZ(9)

Date and/or datetime that a Pay or Deny decision is rendered for all disputes on a claim.

CONDITIONAL

2023-09-09 21:00:00

Compliance Details

ResolutionDeadline

TIMESTAMP_NTZ(9)

Date and/or datetime that a Pay or Deny decision is rendered for all disputes on a claim.

CONDITIONAL

2023-09-09 21:00:00

Claim Details

ResolvedDate

TIMESTAMP_NTZ(9)

Datetime that a claim or dispute is set to a "Resolved" status..  Also referred to as RESOLVEDDATETIME.

CONDITIONAL

2023-09-09 21:00:00

Risk Details

PotentialAbuse

BOOLEAN

A specified number of claims submitted by a single customer/member within an established timeframe.  The output of this property is a boolean (TRUE/FALSE).

CONDITIONAL

FALSE

Risk Details

EmployeeClaim

BOOLEAN

A specified number of claims submitted by a single customer/member within an established timeframe.  The output of this property is a boolean (TRUE/FALSE).

CONDITIONAL

false

Claim Details

PCDecision

VARCHAR(16)

The outcome of the initial interaction decision determined at claim submission.  Possible values include AutoPay, Deny, Grant and Review.

CONDITIONAL

Grant

Claim Details

PCDate

TIMESTAMP_NTZ(9)

Datetime when provisional credit was granted on a claim.

CONDITIONAL

2023-09-09 21:00:00

Claim Details

Reclassifications

NUMBER(3,0)

Number of times the claims has been reclassified.

CONDITIONAL

1

Claim Details

RequiredDocuments

NUMBER(3,0)

  1. of documents required from the customer/member for claim processing.

CONDITIONAL

1

Metadata

CreatedBy

VARCHAR(64)

The username of the user that created the claim.

CONDITIONAL

devan.robertson@quavo.com

Available in 24.01.03.

Dispute Details

DisputeCount

NUMBER(3,0)

Count of disputes associated with a specific claim.  Includes pending and posted disputes.  Disputed transactions that were pending when the claim was submitted and have since posted are only counted once.

CONDITIONAL

2

Dispute Details

DisputeAmount

NUMBER(20,2)

The current amount in dispute, accounting for any recoveries or adjustments.

CONDITIONAL

123.59

Dispute Details

MerchantCreditAmount

NUMBER(20,2)

Amount of all applied merchant credits.

CONDITIONAL

123.59

Dispute Details

RecoveredAmount

NUMBER(20,2)

Total amount of all successful partial and full recovery attempts.  Does not include merchant credits posted directly to the account.  Not considered final until the dispute is in a resolved status.

CONDITIONAL

123.59

Dispute Details

LossAmount

NUMBER(20,2)

The balance of the Loss accounting collection.  Also referred to as LOSSTOTAL.

CONDITIONAL

123.59

SQL

For greater transparency, and to provide clients with a “jumping off” point for their own queries, the SQL used to generated this view is provided below.

SELECT
    c.tenantid,
    t.name,
    c.clientid,
    cl.legalname,
    c.claimtype,
    c.reasontype,
    c.reason,
    (CASE
        WHEN c.rege45datetime IS NOT NULL THEN 'Reg E'
        WHEN c.rege90datetime IS NOT NULL THEN 'Reg E'
        WHEN c.regz90datetime IS NOT NULL THEN 'Reg Z'
        WHEN c.isfcra = TRUE THEN 'FCRA'
        ELSE 'No Coverage'
    END) AS RegulatoryCoverage,
    c.channelorigin,
    c.claimid,
    TO_TIMESTAMP_TZ(c.createdatetime::varchar || ' +0000'),
    c.customercontactdate,
    c.totalclaimamount,
    cs.state,
    c.status,
    c.cardbin,
    c.cardtype,
    c.decision,
    c.customerdiscoverydate,
    TO_TIMESTAMP_TZ(c.investigationcompletedatetime::varchar || ' +0000'),
    (CASE
        WHEN regethresholddatetime IS NOT NULL THEN regethresholddatetime
        ELSE regz90thresholddatetime
    END) AS ResolutionDeadline,
    TO_TIMESTAMP_TZ(c.resolveddatetime::varchar || ' +0000'),
    c.ispotentialabuse,
    c.isemployeeclaim,
    c.pcdecision,
    TO_TIMESTAMP_TZ(c.provisionalcreditdatetime::varchar || ' +0000'),
    c.reclassificationcount,
    c.requireddocumentcount,
    (CASE
        WHEN c.createdbyuserid= 'System' or c.createdbyuserid is NULL THEN 'System'  -- QPS-9986
        ELSE CONCAT(LEFT(u.firstname, 1), '. ', u.lastname)
    END) AS CreatedBy,
    (SELECT COUNT(*) FROM dispute AS d WHERE d.tenantid = c.tenantid AND d.claimid = c.claimid AND d.status != 'Resolved-PostedDisputeCreated') AS DisputeCount,
    (SELECT SUM(d.disputeamount) FROM dispute AS d WHERE d.tenantid = c.tenantid AND d.claimid = c.claimid AND d.status != 'Resolved-PostedDisputeCreated') AS DisputeAmount,
    IFNULL((SELECT SUM(mc.appliedamount) FROM merchantcredit AS mc WHERE mc.tenantid = c.tenantid AND mc.claimid = c.claimid), 0) AS MerchantCreditAmount,
    IFNULL((SELECT SUM(d.merchanttotal) FROM dispute AS d WHERE d.tenantid = c.tenantid AND d.claimid = c.claimid AND (d.status = 'Resolved-Paid' OR d.status = 'Resolved-Denied')), 0) * -1 AS RecoveredAmount,
    IFNULL((SELECT SUM(d.losstotal) FROM dispute AS d WHERE d.tenantid = c.tenantid AND d.claimid = c.claimid), 0) * -1 AS LossAmount,
    to_date(t.golivedatetime) as TenantProductionDate
FROM claim AS c
JOIN tenant AS t ON c.tenantid = t.tenantid
JOIN client AS cl ON c.tenantid = cl.tenantid AND c.clientid = cl.clientid
LEFT JOIN claim_state AS cs ON cs.status = c.status
LEFT JOIN userprofile as u ON u.tenantid = c.tenantid AND u.userid = c.createdbyuserid
ORDER BY
    c.createdatetime DESC

Change Log

Date

Change Summary

11/26/2024

Added SQL

12/11/2024

Converted timestamps from NTZ to TZ format for compatibility

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