Claim Administrator definition

Claim Administrator means the trading partner sending electronic transactions to the Commission, which can be an insurer filing directly with the Commission on its own behalf, or a servicing company/third party administrator filing on behalf of the insurer.
Claim Administrator means the independent company agreed upon by
Claim Administrator means, subject to Court approval, RG/2 Claim Administration. The Claim Administrator’s estimate of its costs is $75,000 and has agreed to a hard cap of $100,000.

Examples of Claim Administrator in a sentence

  • Failure by the Claim Administrator to timely provide the documents and information must not delay the conduct of the external review.

  • Reconsideration by the Claim Administrator must not delay the external review.

  • The assigned IRO must terminate the external review upon receipt of the notice from the Claim Administrator.

  • Upon receipt of any such information, the Claim Administrator may reconsider the Adverse Benefit Determination or Final Internal Adverse Benefit Determination that is the subject of the external review.

  • If the Claim Administrator fails to timely provide the documents and information, the assigned IRO may terminate the external review and make a decision to reverse the Adverse Benefit Determination or Final Internal Adverse Benefit Determination.


More Definitions of Claim Administrator

Claim Administrator means the independent company agreed
Claim Administrator means a third party administrator selected by Plaintiff, subject to approval by Doctor’s Best, and approved by the Court.
Claim Administrator means, subject to Court approval, Digital Settlement Group (“DSG”), unless another third-party administrator is later agreed to by the Parties in writing and approved by the Court.
Claim Administrator means, subject to Court approval, KCC LLC, unless another third-party administrator is later agreed to by the Parties in writing and approved by the Court.
Claim Administrator means a qualified third-party retained by Plaintiffs’ Counsel for the dissemination of Class Notice and for the processing and fulfillment of claims in connection with this settlement.
Claim Administrator means any insurer, qualified servicing entity, third party administrator, claims-handling entity, self-serviced self-insured employer or fund, guarantee fund, or managing general agent responsible for adjusting workers’ compensation claims.
Claim Administrator means a “Claims-Handling Entity” as defined in Chapter 69L-3, F.A.C., that is electronically sending its data directly to the Division.