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, paying, 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 applicable laws and regulations, including an Independent Adjuster’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. Adjudicating and paying claims according to Customer’s written claims guidelines, as provided to IBM IOS from Customer.
Claims Services. 6 Section 4.2 Handling of Certain Types of Claims Services............................................... 12 Section 4.3 Conflict of Interest Arising in Connection with Performance of Claims Services............. 13
Claims Services. On and after the Closing Date, and except as otherwise provided in Section 4.2, Article IX or any other provision of this Agreement, URC shall investigate, adjust, settle, handle and process all claims, including those basic services set forth below, with respect to incidents arising under the Covered Contracts prior to the Effective Date ("Claims Services"). The Claims Services shall be provided in accordance with the Royal Insurer Affiliates' claim handling guidelines and generally accepted claims servicing practices within the settlement limits set forth below until each claim is closed, the Agreement is terminated or as otherwise directed by the Royal Insurer Affiliates.
