Claim Administration Services. The Administrator shall acknowledge, consider, review, investigate, deny, settle, pay or otherwise dispose of each loss claim reported under each Reinsured Policy and each Subject Contract (each, a “Claim” and collectively the “Claims”).
Claim Administration Services. The Administrator shall acknowledge, consider, review, investigate, deny, settle, pay or otherwise dispose of each claim for losses reported under a Reinsured Contract (each a “Claim” and collectively the “Claims”). The Administrator shall pay Claims and associated expenses under the Reinsured Contracts to the extent that the Company provides it with funds sufficient to make such payments or the Administrator collects, on behalf of the Company, amounts due under the Ceded Reinsurance Agreements, the Affiliate Reinsurance Agreement or the Reinsurance Agreement; provided that the Administrator may, in its sole discretion, advance its own funds, such advances to be reimbursed from the collection of amounts due the Company under the Ceded Reinsurance Agreements, the Affiliate Reinsurance Agreement or the Reinsurance Agreement. In the event of the insolvency of the Company, the Administrator shall continue to make timely payments of Claims and associated expenses in accordance with the provisions set forth above, except as otherwise required under applicable law in any insolvency proceeding with respect to the Company.
Claim Administration Services. From and after the Effective Date, subject to Section 2.3, the Administrator shall acknowledge, consider, review, investigate, deny, settle, pay or otherwise dispose of each claim for benefits and disbursements reported under each Reinsured Contract (each, a “Claim” and collectively the “Claims”).
Claim Administration Services. From and after the Inception Date, subject to Section 2.3, the Administrator shall acknowledge, consider, review, investigate, deny, settle, pay or otherwise dispose of each claim for benefits and disbursements reported under each LBL Contract and Vermont Captive Contract (each, a “Claim” and collectively the “Claims”).
Claim Administration Services. Administrator shall acknowledge, consider, review, investigate, deny, settle, pay or otherwise dispose of each claim arising under an Insurance Contract (each, a “Claim” and collectively, the “Claims”). Administrator shall pay from its own funds in accordance with Article XVII all Claims and associated expenses that constitute Insurance Liabilities.
Claim Administration Services. Provider will provide the following off-site administrative services concerning Inmate-related medical claims (“Claim Administration Services”) that are not within the scope of On-Site Services:
Claim Administration Services. A. Upon receipt of the submitted claims, Claims Administrator shall perform certain services with respect to the review of Plan claims made by Plan participants including, but not limited to, the following:
Claim Administration Services. From and after the Effective Date, the Administrator shall acknowledge, consider, review, deny, settle, pay or otherwise dispose of each Claim reported under each Administered Contract. Notwithstanding the preceding sentence, the Company retains the final binding and exclusive discretionary authority with regard to the administration and disposition of all Claims.
Claim Administration Services. From and after the Effective Date, subject to Section 1.2, the Administrator shall acknowledge, consider, review, investigate, deny, settle, pay or otherwise dispose of each claim for benefits and disbursements reported under each Lincoln VA Contract (each, a “Claim” and collectively the “Claims”).
Claim Administration Services. Managing Agent shall perform claim administration services as more fully described in Appendix C for all claims incurred under Policies. Managing Agent shall perform claim administration services with the care, skill, prudence, and diligence of a person experienced in the group disability insurance claims administration industry, in accordance with customary group disability insurance claim administration practices and standards, and in compliance with all applicable laws, rules and regulations.
