Receipt of Notice of Claim. No later than 15 days after receipt of a claim, we will acknowledge the receipt of your claim, begin investigation of the claim, and make a request to you for all the items, statements, and forms we believe will be required to investigate the claim. We may make further inquiries if, as the investigation progresses, we find that more information is required. The acknowledgement of the receipt of the claim will be sent to your primary email address submitted with the policy unless you request otherwise. Claims Acceptance or Rejection We will notify you of the acceptance or rejection of a claim no later than 15 days after we have collected all the required information and documentation to investigate a claim and secure final proof of loss. If we need additional time for whatever reason to investigate the claim, we will notify you and provide a final decision on the claim no later than 45 days after you notify us of the loss. If we reject the claim, we will always include the reasons that the claim was rejected. When a claim is approved, you will be paid no later than 5 business days after the claim is approved. Other Claim Procedures When you submit a claim, you authorize us and our administrator to access all medical information that we need to assess your pet’s health. For example, we may ask you for the name and contact information of any veterinarian that has ever seen or treated your pet. You must also provide proof of identity for your pet when we request. Payment of one claim does not guarantee that we will pay additional claims.
Receipt of Notice of Claim. 1. Not later than the 15th day of receiving written notice of a claim that reasonably apprises us of the facts relating to the claim, the claim is acknowledged, the investigation begins and the necessary information is requested from the claimant.
Receipt of Notice of Claim. In the event that ORIENTAL receives a notice concerning any claim of unauthorized, improper, or missing endorsement, or drawer’s signature, or of alteration or of any other claim of improper deposit or cashing of any Item deposited or cashed by you, ORIENTAL is authorized to charge any of your accounts in the amount of the claim or any portion thereof and hold such amount in a separate miscellaneous account pending resolution of claim. In the event that ORIENTAL determines to charge any of your accounts, ORIENTAL shall in a timely manner, notify you of such charges. ORIENTAL may exchange information with other person or entities concerning any claim of unauthorized, improper, or missing endorsement or alteration on any Item that is deposited or cashed by you.
Receipt of Notice of Claim. No later than 15 days after receipt of a claim, we will acknowledge the receipt of your claim, begin investigation of the claim, and make a request to you for all the items, statements, and forms we believe will be required to investigate the claim. We may make further inquiries if, as the investigation progresses, we find that more information is required. The acknowledgement of the receipt of the claim will be sent to your primary email address submitted with the policy unless you request otherwise. Claims Acceptance or Rejection We will notify you of the acceptance or rejection of a claim no later than 15 days after we have collected all the required information and documentation to investigate a claim and secure final proof of loss. If we need additional time for whatever reason to investigate the claim, we will notify you and provide a final decision on the claim no later than 45 days after you notify us of the loss. If we reject the claim, we will always include the reasons that the claim was rejected. When a claim is approved, you will be paid no later than 5 business days after the claim is approved. Other Claim Procedures When you submit a claim, you authorize us and our administrator to access all medical information that we need to assess your pet’s health. For example, we may ask you for the name and contact information of any veterinarian that has ever seen or treated your pet. You must also provide proof of identity for your pet when we request. Payment of one claim does not guarantee that we will pay additional claims. Dispute Resolution If we pay a claim contrary to this policy’s terms and conditions, that payment does not waive our rights to apply those terms and conditions to any paid or any future claim. We also have the right to recover from you any claim amount incorrectly paid. If you want to dispute a settled claim or other action, follow the steps below. Step One – Read this policy carefully. Step Two – To discuss your question or dispute, contact the Customer Satisfaction Department during regular business hours. Step Three – If your question or dispute is not resolved in steps one and two, you must submit an appeal request in writing. In your written appeal request, please include: • reason for your dispute • claim numbers, medical records and supporting documentation if your dispute involves a claim • other pertinent information that supports your position You will receive a written decision from the Appeals Resolution Team withi...
