CLAIMS MANAGEMENT & PROCEDURES Sample Clauses

CLAIMS MANAGEMENT & PROCEDURES. Provide an outline of recommended internal procedures for the processing of claims and payroll reports. - which this Agreement is in effect. - Consult with Participant on claim management and/or cost control techniques to initiate appropriate action in - File requests for cost relief such as handicap reimbursement and military-service-related disabilities, if deemed appropriate by the Group Administrator and supported by appropriate medical documentation. - Attend hearings before the OBWC and Industrial Commission when necessary and permitted under the pertinent state regulations. - Assist in developing a defense, where p Participant when deemed appropriate by the Group Administrator or contested by the Participant. UNDERWRITING & RATES - s written request, OBWC manual classification changes and file request(s) for correction as necessary. - File request(s) for correction of duplicate or erroneous awards and reserves to reduce the cost as used in tified. - information provided by Participant. - s annual experience rating and verify the annual premium rates.
Sample 1
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CLAIMS MANAGEMENT & PROCEDURES. Provide an outline of recommended internal procedures for the processing of claims and payroll reports. - which this Agreement is in effect. - Consult with Participant on claim management and/or cost control techniques to initiate appropriate action in - File requests for cost relief such as handicap reimbursement and military-service-related disabilities, if deemed appropriate by the Group Administrator and supported by appropriate medical documentation. - Attend hearings before the OBWC and Industrial Commission when necessary and permitted under the pertinent state regulations. - Assist in developing a defense, where p Participant when deemed appropriate by the Group Administrator or contested by the Participant. UNDERWRITING & RATES - s written request, OBWC manual classification changes and file request(s) for correction as necessary. - File request(s) for correction of duplicate or erroneous awards and reserves to reduce the cost as used in tified. - information provided by Participant. -
Sample 1
CLAIMS MANAGEMENT & PROCEDURES. Provide an outline of recommended internal procedures for the processing of claims and payroll reports. ng the period of time in which this Agreement is in effect. Consult with Participant on claim management and/or cost control techniques to initiate File requests for cost relief such as handicap reimbursement and military-service-related disabilities, if deemed appropriate by the SP Administrator and supported by appropriate medical documentation. Attend hearings before the OBWC and Ohio Industrial Commission when necessary and permitted under the pertinent state regulations. against Participant when deemed appropriate by the SP Administrator and contested by the Participant. UNDERWRITING & RATES Review, changes for NFIB/Ohio SP Participant and file request(s) for correction as necessary. File request(s) for correction of duplicate or erroneous awards and reserves to reduce the cost based on information provided by Participant. ify the annual premium rates. Rating Program.
Sample 1
CLAIMS MANAGEMENT & PROCEDURES. Provide an outline of recommended internal procedures for the processing of claims and payroll reports. Maintain r of time in which this Agreement is in effect. Consult with Participant on claim management and/or cost control techniques to initiate compensation matters. File requests for cost relief such as handicap reimbursement and military-service-related disabilities, if deemed appropriate by the SP Administrator and supported by appropriate medical documentation. Attend hearings before the OBWC and Ohio Industrial Commission when necessary and permitted under the pertinent state regulations. against Participant when deemed appropriate by the SP Administrator and contested by the Participant. UNDERWRITING & RATES Review, changes for NFIB/Ohio SP Participant and file request(s) for correction as necessary. File request(s) for correction of duplicate or erroneous awards and reserves to reduce the cost based on information provided by Participant. Program.
Sample 1

Related to CLAIMS MANAGEMENT & PROCEDURES

  • Procurement procedures 11.1 The Recipient must secure the best value for money and shall act in a fair, open and non-discriminatory manner in all purchases of goods and services.

  • Settlement Procedures (a) The collection of the Pool Receivables shall be administered by the Servicer in accordance with this Agreement. The Seller shall provide to the Servicer on a timely basis all information needed for such administration, including notice of the occurrence of any Termination Day and current computations of the Purchased Interest.

  • COMPLAINT PROCEDURES CONTRACTOR shall maintain and adhere to its written procedures for responding to parent complaints. These procedures shall include annually notifying and providing parents of LEA pupils with appropriate information (including complaint forms) for the following: (1) Uniform Complaint Procedures pursuant to Title 5 of the California Code of Regulations section 4600 et seq.; (2) Nondiscrimination policy pursuant to Title 5 of the California Code of Regulations section 4960 (a); (3) Sexual Harassment Policy, California Education Code 231.5 (a) (b) (c); (4) Title IX Pupil Grievance Procedure, Title IX 106.8 (a) (d) and 106.9 (a); and (5) Notice of Privacy Practices in compliance with Health Insurance Portability and Accountability Act (HIPPA). CONTRACTOR shall include verification of these procedures to the LEA.

  • Payment Procedures Upon receipt of a Right Certificate representing exercisable Rights, with the form of election to purchase and certification duly executed, accompanied by payment of the aggregate Purchase Price for the total number of one one-hundredths of a Preferred Share to be purchased and an amount equal to any applicable transfer tax required to be paid by the holder of such Right Certificate in accordance with Section 9, in cash or by certified or cashier's check or money order payable to the order of the Company, the Rights Agent shall thereupon promptly (i)(A) requisition from any transfer agent of the Preferred Shares (or make available, if the Rights Agent is the transfer agent) certificates for the number of Preferred Shares to be purchased and the Company hereby irrevocably authorizes its transfer agent to comply with all such requests, or (B) if the Company shall have elected to deposit the total number of Preferred Shares issuable upon exercise of the Rights hereunder with a depository agent, requisition from the depositary agent depositary receipts representing interests in such number of one one-hundredths of a Preferred Share as are to be purchased (in which case certificates for the Preferred Shares represented by such receipts shall be deposited by the transfer agent with the depositary agent) and the Company hereby directs the depositary agent to comply with all such requests, (ii) when appropriate, requisition from the Company the amount of cash to be paid in lieu of the issuance of fractional shares in accordance with Section 14 or otherwise in accordance with Section 11.1.3, (iii) promptly after receipt of such certificates or depositary receipts, cause the same to be delivered to or upon the order of the registered holder of such Right Certificate, registered in such name or names as may be designated by such holder and (iv) when appropriate, after receipt, promptly deliver such cash to or upon the order of the registered holder of such Right Certificate. In the event that the Company is obligated to issue other securities of the Company, pay cash and/or distribute other property pursuant to Section 11.1.3, the Company will make all arrangements necessary so that such other securities, cash and/or other property are available for distribution by the Rights Agent, if and when appropriate.

  • Claims Procedures Each Party entitled to be indemnified by the other Party (an “Indemnified Party”) pursuant to Section 8.1 or 8.2 hereof shall give notice to the other Party (an “Indemnifying Party”) promptly after such Indemnified Party has actual knowledge of any threatened or asserted claim as to which indemnity may be sought, and shall permit the Indemnifying Party to assume the defense of any such claim or any litigation resulting therefrom; provided:

  • Review Procedures The Parties agree to jointly conduct a review, sampling transactions of the incidents managed under this Agreement. Findings that are inconsistent with the normal or accepted way of doing business will be reconciled on a case by case basis. Any decision to further examine records will be considered on a case by case basis and appropriate follow up action agreed upon by all agencies involved. Payment for Protection Services (use if appropriate) Geographic, Statewide or Sub-Geographic (local) operating plans and procurement documents or agreement will establish billing procedures for Fee Basis Protection Services.

  • Clearance and Settlement Procedures (a) General Notes distributed solely within the United States shall clear and settle through the DTC System, and Notes distributed solely outside of the United States shall clear and settle through the systems operated by Euroclear, Clearstream and/or any other designated clearing system or, in certain cases, DTC.

  • CLAIM PROCEDURES Claim forms or claim information as to the subject policy can be obtained by contacting Benmark, Inc. (800-544-6079). When the Named Fiduciary has a claim which may be covered under the provisions described in the insurance policy, they should contact the office named above, and they will either complete a claim form and forward it to an authorized representative of the Insurer or advise the named Fiduciary what further requirements are necessary. The Insurer will evaluate and make a decision as to payment. If the claim is payable, a benefit check will be issued in accordance with the terms of this Agreement. In the event that a claim is not eligible under the policy, the Insurer will notify the Named Fiduciary of the denial pursuant to the requirements under the terms of the policy. If the Named Fiduciary is dissatisfied with the denial of the claim and wishes to contest such claim denial, they should contact the office named above and they will assist in making an inquiry to the Insurer. All objections to the Insurer's actions should be in writing and submitted to the office named above for transmittal to the Insurer.

  • Reimbursement Procedures An employee must keep a record of each trip made. Reimbursement shall be for the actual mileage driven in the performance of assigned duties as verified by the appropriate school district administrator and in accordance with School District Business Office policies and procedures.

  • Claims Administration An employee will be required to comply with any and all rules and regulations and/or limitations established by the carrier or applicable third party administrator and contained in the policy, and employees and their dependents shall look solely to such carrier or third party administration for the adjudication of the payment of any and all benefits claims.

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