Examples of Claim Reviewer in a sentence
Benefits will be paid only if the Initial Claim Reviewer (with respect to initial benefit claims) or the Employee Benefit Appeals Committee (with respect to appeals of the denial of benefit claims) decides in its discretion that the Claimant is entitled to them.
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.
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.
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.
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.
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.
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").
Lockers are provided for all sixth through eighth grade students.
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.
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.