Claims Managers Sample Clauses

Claims Managers. Supervisors, Adjusters and Assistants assigned to handle City cases will meet the minimum experience and certification requirements set for in Contractor’s response to the City’s RFP which is attached hereto and incorporated by reference as if fully set forth herein. Any temporary claims adjusters must meet the minimum experience qualifications set forth in section 2.2, above. Only experience handling cases under the California Labor Code will be counted toward meeting the experience requirements. Claims examiners shall be responsible for handling all indemnity cases. Average caseloads for each of Contractor's Senior Claims Adjusters and Claims Adjusters assigned to WCD claims shall not exceed 135 open active indemnity claims except when an adjuster is dedicated to a department and CCSF is aware of the caseload. In that situation, that adjuster’s caseload will not exceed 160 cases. Contractor shall not alter adjuster staffing based upon fluctuations in caseloads without the prior written approval of the Deputy Director of Workers’ Compensation or his designee. If WCD claims caseload exceeds 135 open active indemnity claims for 90 consecutive days (with the above exception), the parties shall meet and confer within 30 days thereafter to establish a plan to reduce adjuster caseload below the 135 claim threshold. Such a plan may include adjustments to the Calculation of Charges should FTEs in addition to those listed in Section 2.0 of this Appendix be deemed necessary by the parties. Performance of claims examiners will meet the standards set forth the in the Client Service Instructions..
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Related to Claims Managers

  • Claims Administrator A. The Human Resources Director through his/her designated Claims Administrators shall administer the provision of this policy. The City Physician shall provide the City's Claims Administrators with all available medical information concerning the Employee's injury and/or medical opinions as requested. Medical information and opinions shall be based upon the Employee's medical records and/or physical examination. Questions of Employee eligibility shall be determined by the provisions established under State Statute 49-110, 49-111 and Oklahoma Worker's Compensation Title 85. Prior to any denial of injury leave benefits where lost time actually occurred, the administrator shall notify Union and allow a Union representative the opportunity to review the application pending denial and provide any additional information relating to same as may be necessary. Should the City change designated Claims Administrators Local 176 will be notified in writing.

  • 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.

  • Contract Managers Each party will designate a Contract Manager during the term of this Agreement whose responsibility shall be to oversee the party’s performance of its duties and obligations pursuant to the terms of this Agreement. As of the Effective Date, Citizens’ and Firm’s Contract Managers are as follows: Citizens’ Contract Manager Xxxx Xxxxxxx, VP of Legal Services 0000 Xxxxxxxx Xxxxxx Xxxxxxxxxxx, XX 00000 000-000-0000 Xxxx.Xxxxxxx@xxxxxxxxxxx.xxx Firm’s Contract Manager Xxxxx Xxxxxxxx, Partner 000 Xxxxx Xxxxxx Xxx., Xxxxx 0000 Xxxxxxx, XX 00000 000-000-0000 xxxxxxxxx@xxxxxx.xxx Citizens and Firm shall provide written notice to Citizens of any changes to the Contract Manager; provided, such changes shall not be deemed contract amendments.

  • Claims Submission We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim. Your insurance benefit is a contract between you and your insurance company; we are not party to that contract.

  • Project Managers The JBE’s project manager is: [Insert name]. The JBE may change its project manager at any time upon notice to Contractor without need for an amendment to this Agreement. Contractor’s project manager is: [Insert name]. Subject to written approval by the JBE, Contractor may change its project manager without need for an amendment to this Agreement.

  • Claims Review Population A description of the Population subject to the Claims Review.

  • Grievance Committee The Hospital will recognize a Grievance Committee composed of the Chief Xxxxxxx and not more than (as set out in Local Provisions Appendix) employees selected by the Union who have completed their probationary period. A general representative of the Union may be present at any meeting of the Committee. The purpose of the Committee is to deal with complaints or grievances as set out in this Collective Agreement. The Union shall keep the Hospital notified in writing of the names of the members of the Grievance Committee appointed or selected under this Article as well as the effective date of their respective appointments. A Committee member shall suffer no loss of earnings for time spent during their regular scheduled working hours in attending grievance meetings with the Hospital up to, but not including arbitration. The number of employees on the Grievance Committee shall be determined locally.

  • Claims Review The IRO shall perform the Claims Review annually to cover each of the five Reporting Periods. The IRO shall perform all components of each Claims Review.

  • Review Committee A Student may ask that the decision of the Housing Director or designee to deny the cancellation be reviewed. The review will be conducted by a committee consisting of University officials.

  • No Actions, Claims, Etc As of the date hereof, each of the Credit Parties hereby acknowledges and confirms that it has no knowledge of any actions, causes of action, claims, demands, damages and liabilities of whatever kind or nature, in law or in equity, against the Administrative Agent, the Lenders, or the Administrative Agent’s or the Lenders’ respective officers, employees, representatives, agents, counsel or directors arising from any action by such Persons, or failure of such Persons to act under the Credit Agreement on or prior to the date hereof.

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