Claims Audit definition

Claims Audit means the claims review performed by Guardrisk Life Limited on all its binder holders to assess the claims process (flow) documentation, the application of sound and consistent decisions, the application of fairness, equitable and objective claims handling principles, the assessment of claims staff capabilities and the safe keeping and reporting of all claims documentation. For purposes of this definition, a claims audit will be performed as often as is required should a binder holder not be able to demonstrate fair, objective, equitable or consistent claims handling management processes.
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Claims Audit shall have the meaning set forth in Section 4b. of this Agreement.
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Claims Audit means the claims review performed by Guardrisk on all its binder holders or only new binder holders to assess the claims process (flow) of assessments, the application of sound and consistent decisions, the application of fairness, equitable and objective claims handling principles, the assessment of claims staff capabilities and the safe keeping and reporting of all claim’s documentation. For purposes of this definition, a claims audit will be performed on a risk based approach every 2 (two) to 3 (three) years, or when deemed applicable and will be applied in addition to claims sampling on a binder holder to ensure fair, objective, equitable or consistent claims handling management processes.
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Examples of Claims Audit in a sentence

  • The duration of the Processing covers the period of this Grant Agreement and any period thereafter where the GLA require the data in respect of activity that the GLA is required to carry out in respect of Monitoring, Claims, Audit or Evaluation, up to the Retention Date as defined in clause 13.1.4 of this Grant Agreement.

  • A 100% Claims Audit may need to be performed in a number of circumstances.

  • The Trust, with the consent of the TAC and the FCR, shall develop a Claims Audit Program.

  • The 100% Claims Audit consists of the following six tasks to be performed by TFG Partners.

  • Such Claims Audit Program shall include methods for auditing the reliability of medical evidence, as well as the reliability of evidence of exposure to talc or talc-containing products for which the Trust has legal responsibility.

  • The fee to perform the dental claims audit portion of the 100% Claims Audit is $17,000.00 (“Dental Claims Audit Fee”).

  • Absences; Continuing Investments; Workers’ Compensation Filed; Appropriation Status Report; Revenue Status Report; Trial Balance; Claims Audit report Information, Procedural: B.

  • RSU 19 offers transportation to and from Nokomis Regional High for every student.

  • The fee to perform the medical claims audit portion of the 100% Claims Audit is $48,000.00 (“Medical Claims Audit Fee”).

  • Quintana A roll call vote was taken.Ms. Pamela Vigil, called roll.Daniel Benavidez - YesPauline Jaramillo, Secretary - YesBethany Jarrell - YesSammy Quintana - YesK.T. Manis - YesDavid Martinez Jr. - YesTrish Ruiz - YesChris Parrino, Vice-President - Yes Vote: Vote carried unanimously.9. B Request to Initiate RFP for Workers’ Compensation and Property/Liability Claims Audit (Action Item) Mr. Valerio requested approval to initiate an RFP for Workers’ Compensation and Property/Liability Claims Audit.


More Definitions of Claims Audit

Claims Audit means the annual review performed by Guardrisk on its binder holders to assess the claims process (flow) documentation, the application of sound and consistent decisions, the application of fairness, equitable and objective claims handling principles in line with TCF (“Treating Customers Fairly”), The PPR’s (“Policyholder Protection Rules”), sound claims knowledge and technical skills and abilities and the assessment of claims staff capabilities and the safe keeping and reporting of all claims documentation;
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Related to Claims Audit

  • Notice and Claims Agent means Prime Clerk LLC.

  • Claims Agent means Kurtzman Carson Consultants LLC.

  • Claims Administration means the processing of claims made under the Shared Policies, including the reporting of claims to the insurance carriers, management and defense of claims and providing for appropriate releases upon settlement of claims.

  • Claims Bar Date means the applicable bar date by which Proofs of Claim must be Filed, as established by: (a) the Bar Date Order; (b) a Final Order of the Bankruptcy Court; or (c) the Plan.

  • Claims Administrator means the firm proposed by Class Counsel and appointed by the Courts to administer the Settlement Amount in accordance with the provisions of this Settlement Agreement and the Distribution Protocol, and any employees of such firm.

  • Audit means the examination of a person or the inspection of the books, records, memoranda, or accounts of a person, ordered to appear before the Tax Administrator, for the purpose of determining liability for a municipal income tax.

  • Statement of Grievance shall name the employee involved, shall state the facts giving rise to the grievance, shall identify by appropriate reference all the provisions of this Master Contract alleged to be violated, shall state the contention of the employee and of the Association with respect to these provisions, and shall indicate the specific relief requested.

  • Grievance Committee means the Grievance Committee of the Bar.

  • Claims Bar Date Order means that certain order entered by the Bankruptcy Court establishing the Claims Bar Date.

  • Review Panel means a panel responsible for determining whether a reasonable basis exists for finding a violation of BSEF Rules, and for authorizing the issuance of notices of chargers against Persons alleged to have committed violations if the Review Panel believes that the matter should be adjudicated.

  • Claims Objection Bar Date means the deadline for objecting to a Claim, which shall be on the date that is the later of (a) 180 days after the Effective Date and (b) such other period of limitation as may be specifically fixed by the Debtors or the Reorganized Debtors, as applicable, or by an order of the Bankruptcy Court for objecting to Claims.

  • Disputed Claims Reserve means a reserve of Cash that may be funded on or after the Effective Date pursuant to Article VII.E hereof.

  • Appeals Panel means a panel appointed by the Chief Compliance Officer pursuant to Rule 620.

  • Audits means the audits and reviews carried out by the Bank or the Bank’s auditors, experts and insurers, as the case may be in accordance with the terms and conditions set out in Section 18.

  • Complaints Procedure means the School's procedure for handling complaints from parents, as amended from time to time for legal or other substantive reasons, or in order to assist the proper administration of the School. It does not form part of the contract between you and the School. A copy of the most up-to-date procedure is on the School's website and is otherwise available from the School at any time upon request;

  • Appeal Committee means the appeal committee established by the Council in terms of section 12(3)(a);

  • Administrative Claims Bar Date means the deadline for Filing requests for payment of Administrative Claims, which: (a) with respect to Administrative Claims other than Professional Fee Claims, shall be 30 days after the Effective Date; and (b) with respect to Professional Fee Claims, shall be 45 days after the Effective Date.

  • Appeal Panel means a panel comprised of a chair and two individuals appointed by the Board to consider appeals under Chapter 7.

  • QAP shall have the meaning set forth in Clause 11.2;

  • independent review committee means the independent review committee of the investment fund established under National Instrument 81-107 Independent Review Committee for Investment Funds;