CLAIM AUTHORITY Sample Clauses

CLAIM AUTHORITY. A. The Agency, as an independent contractor of the Company, subject to any requirements imposed upon the Agency and the Company by any governmental entity, the terms of this Agreement, and the Underwriting Rules, is authorized and is delegated responsibility to perform or contractually arrange for the adjustment of all claims arising under the Policies issued by the Agency on behalf of the Company hereunder. The Company reserves the right to disapprove any contract adjusters appointed by the Agency. All such services shall be performed by duly licensed and qualified casualty adjusters. The Agency shall maintain claim files in hard copy or shall otherwise make such files electronically available to the Company. The Agency shall also effect a comprehensive program of health care cost management related to medical services provided policyholders, if the Policies so require. The Agency, directly or through its adjusters, may settle claims and set loss reserves, and the Company retains final authority over such matters. The Agency shall immediately report to the Company any claim arising under any Policy produced under this Agreement, and may represent the Company in the investigation, control and settlement of any such claim. The Agency may charge the Company for adjusting indemnity, medical and information claims based upon a fee schedule agreed between the Agency and the Company, plus reasonable and customary rates for allocated loss adjustment expenses, plus a percentage to be agreed initially and amended from time to time of the difference between medical, hospital and similar services as originally billed by a provider and the total charge ultimately paid to the provider. The parties recognize that this adjusting service may be bid or contracted out to third parties for medical claims. B. In the course of its duties under this Agreement, the Agency shall: 1. Record and report each claim promptly to the Company with a recommended reserve; 2. Maintain a claim file with a copy of the Policy for each reported claim. The claim file will have a daily activity log and shall be available for inspection, review and/ or copying by the Company or its duly authorized representatives; 3. Perform reasonable and necessary administrative and clerical work in connection with reported claims; 4. Prepare checks and vouchers, compromises, releases, agreements and any other documents reasonably necessary to finalize and close claims; 5. Perform a continuous review of outstand...
Sample 1
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CLAIM AUTHORITY. The Reinsured shall at all times retain ultimate authority on the handling of claims, regardless of whether Reinsured performs administration of those claims or whether Reinsurer provides them under Section 6.5.
Sample 1
CLAIM AUTHORITY. The Company shall retain sole authority for its claims handling on the Covered Business and the pursuit and collection of any Inuring Reinsurance or salvage, subrogation, contribution or similar claims related thereto. The Company shall manage and administer such claims and collections both below and above the Retention in good faith and in a prudent manner consistent with its practices and to the same or better service levels as of the Effective Date, as though this Agreement had not been consummated. The Company shall notify the Reinsurer of any material changes that the Company makes to its claims handling practices on or after April 1, 2017, including but not limited to claims staffing models, which impact the Covered Business. Such notice shall be given within fifteen (15) days of such material changes.
Sample 1
CLAIM AUTHORITY. The Reinsured shall retain sole responsibility for its claims handling and reinsurance on the Covered Business, including Ceded Reinsurance, and for the pursuit and collection of any Salvage And Subrogation with respect thereto. The Reinsured shall administer and manage such claims, reinsurance and Salvage And Subrogation, both within and in excess of the Retention, in good faith, and in a prudent manner consistent with its practices and to the same service levels as of the Effective Date, as though this Reinsurance Agreement had not been issued. The protocols set forth in the remainder of this Article V shall also be followed after the Closing Date.
Sample 1

Related to CLAIM AUTHORITY

  • Final Authority In case of dispute with respect to credits or deductions, the decision of the Board shall be final subsequent to prior consultation between the employee concerned and the administrative officials.

  • Decision-Making Authority BMS shall have the sole decision-making authority for the operations and Commercialization strategies and decisions, including funding and resourcing, related to the Commercialization of Products; provided that such decisions are not inconsistent with the express terms and conditions of this Agreement, including BMS’ diligence obligations set forth in Section 5.1.

  • Legal Authority The Contractor warrants and assures H-GAC that it possesses adequate legal authority to enter into this Agreement. The Contractor's governing body, where applicable, has authorized the signatory official(s) to enter into this Agreement and bind the Contractor to the terms of this Agreement and any subsequent amendments hereto.

  • Proper Authority Each Party represents and warrants that the person executing this Grant Agreement on its behalf has full power and authority to enter into this Grant Agreement.

  • Developer Authority Consistent with Good Utility Practice and this Agreement, the Developer may take whatever actions or inactions with regard to the Large Generating Facility or the Developer Attachment Facilities during an Emergency State in order to (i) preserve public health and safety, (ii) preserve the reliability of the Large Generating Facility or the Developer Attachment Facilities, (iii) limit or prevent damage, and (iv) expedite restoration of service. Developer shall use Reasonable Efforts to minimize the effect of such actions or inactions on the New York State Transmission System and the Connecting Transmission Owner’s Attachment Facilities. NYISO and Connecting Transmission Owner shall use Reasonable Efforts to assist Developer in such actions.

  • Power; Authority It has all requisite power and authority to enter into this Agreement, to perform its obligations hereunder and to consummate the transactions contemplated hereby. The execution, delivery and performance of this Agreement, the purchase of the Transferred Assets and the consummation of the transactions provided for herein have been duly authorized by all necessary action on the part of the Buyer. This Agreement has been duly executed and delivered by the Buyer and constitutes the legal, valid and binding obligation of the Buyer enforceable against the Buyer in accordance with its terms, except as such enforceability may be limited by bankruptcy, insolvency, reorganization, moratorium or other laws affecting creditors’ rights and by general principles of equity (whether applied in a proceeding at law or in equity).

  • Settlement Authority The Recipient will not enter into a settlement of any Proceeding against any of the Indemnified Parties unless the Recipient has obtained from the Province or Canada, as applicable, prior written approval or a waiver of this requirement. If the Recipient is requested by the Province or Canada to participate in or conduct the defence of any Proceeding, the Province or Canada, as applicable, will cooperate with and assist the Recipient to the fullest extent possible in the Proceeding and any related settlement negotiations.

  • Seller’s Authority Seller has the legal power, right and authority to enter into this Agreement, to consummate the transactions contemplated hereby and to execute and deliver all documents and instruments to be delivered by Seller hereunder.

  • Governmental Body “Governmental Body” shall mean any: (a) nation, state, commonwealth, province, territory, county, municipality, district or other jurisdiction of any nature; (b) federal, state, local, municipal, foreign or other government; or (c) governmental or quasi-governmental authority of any nature (including any governmental division, department, agency, commission, instrumentality, official, organization, unit, body or Entity and any court or other tribunal).

  • Governmental Authority Any national, state or local government or political subdivision thereof, independent system operator, regional transmission owner or operator, or any other governmental, judicial, regulatory, legislative, public or statutory instrumentality, authority, body, agency, department, bureau, board, commission, or entity.

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