File Reviews. During the year, certain stakeholders of BSU including management, treaty reinsurance partners and various state insurance departments may, and as respects treaty reinsurance partners, will, conduct file reviews to measure compliance with state laws, guidelines, treaty terms and letters of authority. As such, underwriting files should be clear, organized, complete and available upon request. All referral and exception authorizations must be in the file and in writing. Underwriting Files should contain at minimum the following information: Ø Application relied upon for underwriting. Bowhead Application if received after quoting should be reviewed to ensure consistency of information with original application and included in file as well as any supporting information attached to the application or relied upon for quoting Ø Financial Information or other product critical information as applicable Ø Rating worksheet or system generated summary Ø Underwriting support documents Ø Underwriters workup with analysis and summary Ø Loss runs Ø Bowhead Claim information Ø Quote Letters Ø Binder Ø Policy with all endorsements Ø Underwriting Correspondence / emails Ø Referral documentation if applicable Ø Accounting Invoice and other issues Casualty Underwriting Guidelines The Casualty Lines Department (CLD) of Bowhead Specialty Underwriters (BSU) was formed in November 2020 by hiring experienced casualty experts with a proven track record of building a portfolio from scratch and creating consistent underwriting profits throughout the market cycle. Excess Casualty coverage will be written for a broad variety of commercial entities but will initially focus on the construction and manufacturing segments where current pricing conditions and capacity restrictions have created a significant opportunity. CLD will institute a collaborative underwriting culture, utilizing underwriting roundtables to discuss individual risks. Each underwriter in CLD will be granted authority over time, as set forth in the Letter of Authority (LOA) issued to that underwriter. CLD’s focus will always be on profits versus premium; this concept is rooted in BSU’s DNA. Product and coverage The goal of CLD is to provide a solution-based Excess Casualty product to commercial insureds and brokers across the country. As a general matter, Excess Casualty policies provide coverage for catastrophic Commercial General Liability and Automobile exposures of an insured. Though the coverage may also apply above ...
File Reviews. Vendor shall give Health Plan access, upon request, to Vendor’s files for Health Plan’s review. Such files may exclude bona fide confidential peer review files. At least annually, or more frequently if deemed necessary by Health Plan representatives, Vendor or Vendor Provider, as applicable, will permit Health Plan to perform on-site performance compliance review, including without limitation review of any verification and re-verification files, upon not less than ten (10) days written notification by Health Plan. Upon request, Vendor shall provide copies of requested files (i) promptly following Health Plan’s request if the request is made during such on-site review, and (ii) upon not less than ten (10) days following Health Plan’s request if the request is made outside of any such on-site review.
File Reviews. 4.7.1. The Client will not pay for file reviews, unless:
File Reviews. Annually, or as needed, Provider shall give Health Plan access, upon request, to credentialing and recredentialing files for remote review, excluding any confidential peer review files. Provider agrees to obtain from each Credentialed Provider the appropriate consent and authorization for the release of credentialing and recredentialing information to Health Plan. All credentialing and recredentialing files will contain appropriate consent and authorization for the release of credentialing and recredentialing information not more than six months old at the time of Provider credentialing committee approval. At least annually, or more frequently, and by type (e.g., desk audit, on-site visit) as deemed necessary by Health Plan representatives, Provider will permit Health Plan to perform performance compliance review, including without limitation review of any credentialing and recredentialing files, upon not less than 10 days written notification by Health Plan. Upon request from NCQA to Health Plan and Health Plan’s subsequent notification of the NCQA request to the Provider, Provider shall provide copies of requested files in accordance with the NCQA’s designated time frame.
File Reviews. 8.2(1) A new Repair Certifier’s first 30 certification files will be subjected to a File Review process by RepairCert NZ (see Note 1 below).
