Allocated Loss Adjustment Expense (ALAE) definition
Allocated Loss Adjustment Expense (ALAE) means those expenses related to adjusting and defending claims for such statutory benefits, including, without limitation, charges for medical records, Independent Medical Exams, Independent Vocational Exams, Independent Pharmacological Evaluations and Nurse Case Management services that directly benefit the claimant. Provided, however, that medical cost-containment expenses incurred by Contractor, including those related to medical bill review, PPO access fees, Certified Managed Care fees, and Nurse Case Management fees for services that do not directly benefit the claimant (such as negotiating a reduction in facility fees or utilization review services) are not a Plan expense.
Allocated Loss Adjustment Expense (ALAE) means those expenses directly associated with a particular claim, including those expenses incurred by a Servicing
Examples of Allocated Loss Adjustment Expense (ALAE) in a sentence
Whenever a claim involves subrogation actions, an additional fee of 10% of the recovery shall be billed to the claim file as Allocated Loss Adjustment Expense (ALAE), not to exceed $1,125.00 per claim.
The Allocated Loss Adjustment Expense ("ALAE") reimbursement (ALAE as defined under the WYO Program) pursuant to the "Fee Schedule" in the WYO Arrangement shall be received by Vendor to pay for claims adjustment.
Payment for these services will be made by the Contractor from the City’s loss fund as an Allocated Loss Adjustment Expense (ALAE).
Allocated Loss Adjustment Expense ("ALAE") shall be defined in the Policy(ies).