Claims Services a. TCG will not commence the Claims Services until TCG receives Your Instruction.
Claims Services a. Wellbeing Services Limited will not commence the Claims Services and process Your Claim(s) until Wellbeing Services Limited receives Your Instruction.
Claims Services. Assist Company by (i) processing, examining, investigating, payment, and administering claims and (ii) providing general claims advice. Final decisions will be based upon guidelines and procedures established and approved by the Company from time to time and communicated in writing to Servicer by the Company, and (ii) the Company retains final approval authority on all claim payments. Payment of claims shall be made using the Company’s checks. In performing claim services for the Company pursuant to this Agreement, Servicer shall obtain and maintain all necessary licenses and permits required in order to comply with the applicable laws and regulations, including an Independent Adjustor’s License.
Claims Services. 1. Establish reporting procedures which are compatible with the needs of the EMPLOYER.
Claims Services. WPS shall provide the following administrative services: Inquiry services; Determination of CHARGES; Medical advisor review; Pattern practice review; Coordination of BENEFITS; Appropriate claims edits; BENEFITS determination; Payment of BENEFITS; Preparation and sending Federal Form 1099 to providers (ETF specific are not required); Subrogation services.
Claims Services a. If TCG identifies a PPI policy(ies), TCG will send You a Lender Questionnaire. TCG will not commence the Claims Services and process Your Claim(s) until TCG receives Your Instruction. The Lender Questionnaire is Your Instruction to TCG to investigate the existence and merits of Your Claim(s). For Plevin Claim(s) only, the LOA is Your Instruction.
Claims Services. WPS shall provide the following administrative services:
Claims Services. 1. Party A shall actively coordinate with all co-insurers to handle insurance claims in accordance with relevant laws and regulations.
Claims Services. (a) The Claims Services are to consist in all material respects of those claims services provided by Claims Servicer to Underwriter with respect to the Policies during the Prior Period, which include the following:
Claims Services. (i) Claims Review Services: Assist in the review and analysis of claims made by reinsureds under all treaties including, without limitation, claim reviews, audits, analysis of claims, advice regarding the contesting of claims, recommendations for settlements of claims and advice regarding the negotiation thereof, and advice regarding the payment of claims; and
