Claim Denial definition

Claim Denial means our notification to you, after our receipt of a Claim,that we will not pay the Claim due to the application of an exclusion listed in Section 5, or the breach of one or more provisions of this Master Policy. A Rescission under Section 2 shall not be considered a Claim Denial.

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Claim Denial means written notification by the Company to the Insured that it will not pay a Claim filed in connection with a specified Covered Loan due to breach of one or more specified provisions of this Policy.

Claim Denial means a determination of nonpayment by the

Examples of Claim Denial in a sentence

• You will be provided with the identity and qualifications of any medical or vocational expert whose advice was considered, whether or not it was used in making the initial Claim Denial.

• Whirlpool and Class Counsel shall then have an opportunity to review the Valid Claims and the Notices of Claim Denial and request a meet and confer should they decide to challenge any Valid Claims or Notices of Claim Denial.

• In the event Class Counsel challenges a Notice of Claim Denial, that Notice shall not be sent to the Class Member until Class Counsel and counsel for Defendant meet and confer to arrive at a resolution, which must occur within at least 28 days of the Settlement Administrator’s provision of the lists described above to Class Counsel and counsel for Defendant.

• For any Settlement Class Members that will be sent Notices of Claim Denial, the Administrator shall also provide the reason for the claim denial.

• Any warranty claim not rejected by iSecureTrac in a Claim Denial timely delivered to DISTRIBUTOR within the aforementioned time period shall be deemed accepted by iSecureTrac on such date, and the requirement for a return authorization therefor shall be waived.

• Within five (5) business days of its receipt of each warranty claim, iSecureTrac shall issue and deliver to DISTRIBUTOR either (i) a return authorization for each Defective Product, or (ii) a written denial of such warranty claim, accompanied by an explanation therefor ("Claim Denial").

• If the Refund Claim is approved, the Settlement Administrator shall send an Administrator Claim Approval Letter; if the Claim is denied, the Settlement Administrator shall send an Administrator Claim Denial Letter; and if it is denied in part, the Settlement Administrator shall send an Administrator Claim Partial Denial Letter, templates of which are set forth at Exhibits A, B, and C, respectively.

• Porcelana and Class Counsel shall then have an opportunity to review the Valid Claims and the Notices of Claim Denial and request a meet and confer should they decide to challenge any Valid Claims or Notices of Claim Denial.

• Any Claim that arises out of the negligence of a First Party, which negligence (a) materially contributed to the Default resulting in such Claim, or (b) increased the Claim Amount, provided that if the Company can reasonably determine the amount of such increase, the Company will not issue a Claim Denial, but the Claim Amount will be reduced to the extent of such amount.

• If the Settlement Class Member does not provide the materials identified in the Claims Administrator’s email, or fails to respond to the Claims Administrator’s email, the Claims Administrator will issue a Notice of Claim Denial, which will be subject to the meet-and-confer process described in Paragraph 3(C)(vii) above.

More Definitions of Claim Denial

Claim Denial is defined in Section 9.7.

Claim Denial means a written and dated notice from the Claim Administrator to a Settlement Class Member who submitted a Claim Form stating the following: (a) a statement that the Claim or some portion of it is not a Valid Claim; (b) the reason(s) for that determination;

Claim Denial. With respect to a claim for benefits under this Agreement, the Bank shall review and make all decisions related to claim approvals or claim denials.

Claim Denial means notification by the Company to the Insured, after the Company’s receipt of a Claim, that it will not pay the Claim due to the application of an exclusion listed in Section 6, or the breach of one or more provisions of this Master Policy. In the event of a Claim Denial, the Company shall return to the Insured all Premium received with respect to the affected Loan after the earlier of the date of the Default, or the event which triggered the Claim Denial. A Rescission under Section 3 shall not be considered a Claim Denial.

Claim Denial. With respect to a claim for benefits under said Policy, the Insurer shall be the entity which reviews and makes decisions on claim denials according to the terms of the Policy.

Claim Denial means a determination by Radian not to pay a Claim after a Claim has been submitted on a Subject Loan. For the avoidance of doubt, a Curtailment shall not be considered a Claim Denial.