Submit My Claim

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Whats your contract number?

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Do you have your contract number available? If not just hit next below.

Contract Number

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Can you please provide me with your information?

First Name

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Last Name

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Address

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City

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State

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Zip Code

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Thank you! Whats your phone number?

Is this your cell phone? If so, please check the box.

Is your claim for Home or Auto?

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1

Home

2

Auto

Is the vehicle currently at the shop?

Please choose an option

1

Yes

2

No

We're Sorry!

Your vehicle must be in the shop or at a repair facility to begin a claim.

We're Sorry!

The vehicle must have a full diagnostics completed prior to starting a claim.

Have you completed diagnostics?

Please choose an option

1

Yes

2

No

Thanks. What are you experiencing issues with?

Please provide any production year, make and model information that you may have available on the appliance or system.

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Did you already have the repairs completed?

1

Yes, I did

2

No, I am waiting for your okay

Have you done any trouble shooting so far?

If so, tell us what you have tried below:

Please enter your notes here:

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We will start a new claim for the vehicle.

We just have a few questions below:

Please provide your repair order number:

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Service Provider name:

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Service Provider's best contact number:

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Repair order date

Please select a date.

Was your vehicle towed in or driven in?

1

The vehicle was towed to the repair shop

2

The vehicle was driven to the repair shop

Have any pictures to share of the appliance/system?

Feel free to send us pictures of the failure, model number, whatever you think may help process your claim!

Drop your file here or click

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Do you have a servicer in mind that you want to use? If so enter their information below.

Enter the servicers name, phone number, addres etc.

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Select Your Preferred Service Schedule 📅

Your comfort and convenience are important to us. Please let us know your preferred days and times for a service visit. While we strive to meet your schedule as closely as possible, here are a few things to keep in mind:

Flexible Coordination: We work with a dedicated network of third-party service providers to bring you the best in-home service experience. Given the dynamic nature of scheduling, there may be occasions when adjustments to your preferred timing are necessary.

Working Together: Our goal is to find a time that works well for both you and our service technicians. If your initial preferences cannot be met, we will reach out to you to discuss alternative arrangements.

Communication is Key: Should there be any need to adjust your scheduled service, rest assured, we will contact you in advance to confirm a new time that suits your availability.

We appreciate your flexibility and understanding as we work to schedule your service. Together, we’ll ensure your home receives the care it needs at a time that works for you.

Let's Get Started

Choose Your Preferred Days:

Please select your first choice date

Please select a date.

Please select your second choice date

Please select a date.

Please select your third choice date

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Select

Its required that Aegis Administration gives prior authorization before any services are completed. Please upload any documentation you may have to include for review. Please include any estimates, service documents, and proof of payment. Send us everything, we will sort through it!

Drop your file here or click

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Ready to submit the information for review?

1

Yes, lets go!

Let me get everything submitted!

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OK! I just need your email and to know how you prefered to be contacted about your claim.

Email address

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Where can we reach you to discuss your claim?

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By checking this box,I acknowledge that I am submitting my information virtually to the Aegis Administration claims office. The claims team will review my submission and reach out to me during normal business hours of Monday to Friday, 8:00 AM to 5:00 PM CST.

We need a few details about the vehicle

We just have a few questions below:

Does the vehicle have any modifications? (aftermarket parts, lift kits, oversized tires?)

Please specify an answer

Is it used for commercial use? (Uber, Lyft, door dash and/or taxi)

Please specify an answer

Does this vehicle have any impact damage? (signs of accidents)

Please specify an answer

When was the last time this vehicle was inspected or serviced?

Please select a date.

Did any warning lights come on before this issue started?

Please specify an answer

If yes, specify which warning lights; If no, type N/A

Please specify an answer

Has the vehicle had any recent repairs or maintenance that could be related to this issue?

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Has there been any reports of any unusual noises, smells, or performance issues before the problem started?

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Did the issue occur suddenly, or has it been getting worse over time?

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Was the vehicle recently in an accident, flood, or other incident?

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Has this problem been looked at by another repair shop before calling us?

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Has another repair completed a diagnostics on the vehicle?

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Thanks for submitting your information!

We will get back to you as soon as possible.

In the mean time if you need us you can reach us at 855-203-9876!

Submission

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Contact

Hey! I'm Jane, your friendly Aegis Administration representive! I'm here to help you get your claim submitted.

Do you already have a estimate?

Awesome! Lets get your policy information to get started

Do you have your contract number available? If not just hit next below.

Can you please provide me with your information?

Thank you! Whats your phone number?

Is your claim for Home or Auto?

Is the vehicle currently at the shop?

We're Sorry!

Your vehicle must be in the shop or at a repair facility to begin a claim.

We're Sorry!

The vehicle must have a full diagnostics completed prior to starting a claim.

Have you completed diagnostics?

Thanks. What are you experiencing issues with?

Have you done any trouble shooting so far?

If so, tell us what you have tried below:

We will start a new claim for the vehicle.

We just have a few questions below:

Have any pictures to share of the appliance/system?

Feel free to send us pictures of the failure, model number, whatever you think may help process your claim!

Do you have a servicer in mind that you want to use? If so enter their information below.

Select Your Preferred Service Schedule 📅

Let's Get Started

Choose Your Preferred Days:

Its required that Aegis Administration gives prior authorization before any services are completed. Please upload any documentation you may have to include for review. Please include any estimates, service documents, and proof of payment. Send us everything, we will sort through it!

OK! I just need your email and to know how you prefered to be contacted about your claim.

We need a few details about the vehicle

We just have a few questions below:

Thanks for submitting your information!

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