Approval of Claims. Delta Dental shall administer all claims in accordance with the terms of this Contract. Payment shall be made only on approved claims.
Approval of Claims. All warranty claims shall be subject to review and approval by Seller. Seller shall advise Customer in writing as to whether it approves or rejects Customer’s warranty claim promptly after Seller determines, based upon its review of the warranty claim and/or the inspection of the allegedly defective Seller Parts returned under Article 5.5 hereof, whether such defect is covered by the Seller Warranty.
Approval of Claims. The Claims Administrator shall then conduct a review of all Claim Forms to determine whether they present valid claims in accordance with the terms and provisions of this Agreement. All claimants whose claims are determined to be valid by the Claims Administrator shall be eligible for an award from the Damages Sub- Class Funds.
Approval of Claims. 6.3.1. A Claim Form shall be approved if it is complete, timely, and valid, as determined by the Settlement Administrator.
a. A Claim Form is complete if it contains all requested information verified by the Settlement Class Member.
b. A Claim Form is timely if it is submitted by the Claims Deadline.
c. A Claim Form is valid if it was submitted by a Settlement Class Member and does not otherwise contain any false or fraudulent information.
6.3.2. Unless the Parties agree otherwise, a Settlement Class Member is not entitled to any compensation from the Settlement if they fail to submit a Claim Form; if they submit a Claim Form after the Claims Deadline; if the Claim Form is incomplete and remains incomplete after an opportunity to cure any errors and/or omissions; and/or if the Claim Form contains false or fraudulent information.
6.3.3. Within seven (7) days after the Claims Deadline, the Settlement Administrator shall review and process all submitted Claim Forms and determine which Claims are initially approved and which Claims are initially rejected. The Settlement Administrator shall approve or reject Claims in accordance with the provisions of this Agreement but may, at its discretion, request additional information from the Parties or a Settlement Class Member prior to initially rejecting or accepting any claim submitted.
6.3.4. The Settlement Administrator shall employ reasonable procedures to screen Claim Forms for abuse and/or fraud and shall deny Claim Forms where there is evidence of abuse and/or fraud.
6.3.5. Within seven (7) days of the Claims Deadline, the Settlement Administrator shall submit to the Parties’ Counsel a report in the form of an Excel spreadsheet and a PDF listing the status of all Settlement Class Members’ Claims, including: whether approved, rejected, incomplete, or no Claim Form submitted, and the total amount to be paid to each recipient, which shall be determined in accordance with the formula set forth in Section V, above.
6.3.6. If any Party wishes to challenge the acceptance or rejection of a Claim, they shall notify all other Parties’ Counsel via email within fourteen (14) days of receiving the claims report by identifying the Claim(s) and the reason(s) for the challenge.
6.3.7. Within twenty-one (21) days of having received the claims report from the Settlement Administrator, Class Counsel and Defendants’ Counsel may meet and confer regarding any issues that either Class Counsel or Defendants believe need to be raised w...
Approval of Claims. A. Upon submittal of the Request for Compensation Invoice and Monthly Report by Friends, the Program Coordinator shall review, and approve or reject the payment request as appropriate. If approved, the Program Coordinator shall cause the invoice to be paid in accordance with the City’s purchasing policies and procedures. If the invoice is rejected, the Program Coordinator shall notify Friends of the reasons for the rejection. Friends shall then provide the necessary information, or make the necessary corrections or adjustments, to gain approval of the invoice and payment request.
B. The Program Coordinator is authorized to approve claims for payment, subject to review and approval or ratification as provided in this Agreement. If the Program Coordinator has reason to question the appropriateness of any item in the Request for Reimbursement, he/she will first present the request to the Committee Chair before approving the Request for Reimbursement. The Chairman may approve payment or may direct the item be considered by the Committee.
Approval of Claims. The City Manager shall administer this policy and shall be the final authority in deciding all claims made under this policy.
Approval of Claims. Claims shall be approved, dis- approved, or compromised by the head of the bureau or office or his designee, taking into consideration the rec- ommendation of the legal division.
Approval of Claims. 2.5.1 The Claims Administrator, in its sole discretion to be reasonably exercised, will determine whether:
(1) the claimant is a Settlement Class Member; and (2) the claimant has provided all information needed to complete the Claim Form (collectively, “Facially Valid”). The Claims Administrator may, at any time, request from the claimant, in writing, additional information (“Claim Supplementation”) as the Claims Administrator may reasonably require in order to evaluate the claim, e.g., description of the claimed Eligible Damage to the Product requested on the Claim Form.
2.5.2 Upon receipt of an incomplete or unsigned Claim Form or a Claim Form that is not accompanied by sufficient information to determine whether the claim is Facially Valid, the Claims Administrator shall request Claim Supplementation and give the claimant thirty (30) days to cure the defect before rejecting the claim. Requests for Claim Supplementation shall be made within thirty (30) days of receipt of such Claim Form or thirty (30) days from the Effective Date, whichever comes later. In the event of unusual circumstances interfering with compliance during the 30-day period, the claimant may request and, for good cause shown (illness, military service, out of the country, mail failures, lack of cooperation of third parties in possession of required information, etc.), shall be given a reasonable extension of the 30-day deadline in which to comply; however, in no event shall the deadline be extended to later than three (3) months year from the Effective Date. If the defect is not cured, then the claim will be deemed invalid and there shall be no obligation to pay the claim.
2.5.3 Following receipt of additional information requested as Claim Supplementation, the Claims Administrator shall have thirty (30) days to accept the claim, in whole or lesser amount, or reject the claim. If, after review of the claim and all documentation submitted by the claimant, the Claims Administrator determines that such claim is Facially Valid, then the claim shall be paid subject to Section 8. If the claim is still not Facially Valid after a request for Claim Supplementation because the claimant has not provided all information needed to complete the Claim Form and evaluate the claim, then the Claims Administrator may reject the claim without any further action.
