Examples of Claim Reviewer in a sentence
The development of policies to motivate the employment of women by addressing their key concerns can have an important impact on increasing their participation.
If a claim is denied in whole or in part by the Initial Claim Reviewer in its discretion, the Initial Claim Reviewer shall notify the Claimant of the decision by written or electronic notice, in a manner calculated to be understood by the Claimant.
To the extent of the responsibility to review initial benefit claims (with respect to the Initial Claim Reviewer) or to review appeals of the denial of benefit claims (with respect to the Employee Benefit Appeals Committee), the Initial Claim Reviewer and the Employee Benefit Appeals Committee, shall have the discretionary authority to interpret and apply the provisions of the Plan and such decisions shall be afforded the maximum deference permitted by law.
The extension notice shall indicate the special circumstances requiring the extension and the date by which the Initial Claim Reviewer expects to render its decision on the claim.
In connection with a claim denial (either an initial denial by the Initial Claim Reviewer or a denial on appeal by the Administrator), the Claimant will be provided, upon request and free of charge, reasonable access to, and copies of, documents, records and other information relevant to his claim.
If a Class 7 Claimant chooses to be treated as a Distribution Plan Claimant and is determined to be entitled to a distribution under the Trust Distribution Plan (to become a “Qualified Distribution Plan Claimant”), the Class 7 Claim Reviewer will determine the number of points to be assigned to the Distribution Plan Claimant pursuant to the Trust Distribution Plan.
The Initial Claim Reviewer may prescribe a form for filing such claims, and, if he or she does so, a claim will not be deemed properly filed unless such form is used, but the Initial Claim Reviewer shall provide a copy of such form to any person whose claim for benefits is improper solely for this reason.
A Participant or a Beneficiary, or the authorized representative of either (the "Claimant"), who believes that he has been denied benefits to which he is entitled under the Plan may file a written claim for such benefits with the person or entity designated by the Administrator (the "Initial Claim Reviewer").
In the case of a Disability Claim, if, prior to the end of the 30-day extension period, the Initial Claim Reviewer determines that, due to matters beyond the control of the Plan, a decision cannot be rendered within that extension period, the period for making the determination may be extended for up to an additional 30 days, provided that the Claimant is notified in writing of the extension prior to the termination of the initial 30-day period.
Any extension notice shall indicate the special circumstances or matters requiring the extension and the date by which the Initial Claim Reviewer expects to render its decision on the claim.