Claims Diary Sample Clauses
A Claims Diary clause establishes a formal record-keeping process for documenting the progress and management of insurance claims. This clause typically requires the insurer or claims handler to maintain a chronological log of all significant actions, communications, and decisions related to a claim, such as correspondence with the insured, assessments, and settlement offers. By mandating systematic documentation, the clause ensures transparency, facilitates efficient claims handling, and provides an auditable trail that can help resolve disputes or clarify the status of a claim.
Claims Diary i. Every active indemnity file (which includes maintenance files with outstanding liens, legal issues, rehabilitation, or active medical treatment) will be reviewed and documented by the Senior Claims Examiner or Claims Examiner at least once every thirty (30) Days. Review of file may include follow-up contact with the Claimant.
ii. Consistent policies and procedures will include diaries for all client personnel assigned under the Agreement.
iii. Files of Claimants on Industrial Disability Leave (IDL) and Temporary Disability (TD) will be reviewed every fourteen (14) Days.