Claim Administrator definition

Claim Administrator means the trading partner sending electronic transactions to the Commission, which can be an insurer filing directly with the Commission on its own behalf, or a servicing company/third party administrator filing on behalf of the insurer.
Claim Administrator means the independent company agreed upon by
Claim Administrator has the meaning set forth in the Agreement.

Examples of Claim Administrator in a sentence

  • The Claim Administrator must immediately send you a notice of its eligibility determination that meets the requirements set forth in Standard External Review section above.

  • Immediately upon receipt of the request for expedited external review, the Claim Administrator must determine whether the request meets the reviewability requirements set forth in the Standard External Review section above.

  • Upon a determination that a request is eligible for external review following the preliminary review, the Claim Administrator will assign an IRO pursuant to the requirements set forth in the Standard External Review section above.

  • The Claim Administrator must provide or transmit all necessary documents and information considered in making the Adverse Benefit Determination or Final Internal Adverse Benefit Determination to the assigned IRO electronically or by telephone or facsimile or any other available expeditious method.

  • To continue coverage beyond the 31 days, the Claim Administrator through the Plan Administrator must receive all necessary forms and the required contributions within the 31-day period.


More Definitions of Claim Administrator

Claim Administrator means the independent third-party administrator to be retained by Defendants to provide services in the administration of this Settlement, including providing Class Notice to the Class Members, the processing and evaluation of Claims, and the processing of other documents or tasks as provided for in this Agreement or as otherwise agreed to by the Parties or as ordered by the Court.
Claim Administrator means the person or people delegated by the Treasurer with the administrative duty of processing claims.
Claim Administrator means the independent company agreed
Claim Administrator means, subject to Court approval, RG/2 Claim Administration. The Claim Administrator’s estimate of its costs is $75,000 and has agreed to a hard cap of $100,000.
Claim Administrator means Angeion Group, an independent entity, which the Parties will ask the Court to appoint, to provide services in the administration of this Settlement as described in Section 5.
Claim Administrator means Unum.
Claim Administrator means a qualified third-party retained by Plaintiffs’ Counsel for the dissemination of Class Notice and for the processing and fulfillment of claims in connection with this settlement.