Claims Management definition

Claims Management means the process of identifying, controlling and resolving demands by individuals or public entities to recover losses from any Member of the Association. Disposing of such demands for payment requires skills in insurance law, adjusting/investigation, loss control engineering and general business. Claims management is the function of supervising legal, adjusting, investigation and engineering services to resolve such demands.

Split View

AI-Powered Contracts

Draft, Review & Redline at the Speed of AI

Get StartedSchedule a Demo

Claims Management means handling matters related to customers or third parties bringing a claim against a Party or claims by a Party against customers or third parties, including investigations, litigation support, and settlements.

Claims Management means the entirety of the functions which are necessary for or incidental to the receipt, assessment, determination, payment, administration, review, finalisation and recording of a Claim.

Examples of Claims Management in a sentence

• The reporting requirement will be documented in the Claims Management System.

• As part of this Electronic Claims Management (ECM) function, the Contractor shall also provide on-line and phone-based capabilities to obtain Claims processing status information.

• I understand and agree to let the University of Illinois Claims Management office adjudicate the claim and will abide by their findings.

• A) All services will be performed in accordance with Appendix B, the Claims Management Agreement.

• If not approved by Risk and Claims Management, application may be made to use sick leave, if available, and then application may be made for a medical leave of absence under University Policy.

• Any unit member disabled because of a job-related injury shall, if approved by Risk and Claims Management, be granted a leave of absence.

• The Claims Management Agreement may be revised only by changes agreed to by both parties and documented in writing.

• Budget Rent A Car Licensor, LLC Budget Truck Rental LLC PF Claims Management, Ltd.

• If the dispute is not promptly resolved, it shall be referred to the Manager, Claims Management Health Procurement ACC, and the Director, National Health Purchasing, National Health Board Ministry of Health and the chief executive of the Provider jointly to seek agreement upon a resolution.

• I acknowledge receipt of the Workers’ Compensation Claims Management Litigation Protocols for the County of Orange.

More Definitions of Claims Management

Claims Management shall have the meaning set forth in the Recitals.

Claims Management means the effective coordination of all activities associated with the just and economic resolution of an injured Worker’s Claim and includes activities associated with determining liability, providing Benefits and processing the Claim.

Claims Management means Third Party Claims Management, Inc., a Connecticut corporation and its successors and assigns.

Claims Management or "Claims Management Services" shall mean the process by which claims for payment are paid to Network Providers (but not non-Network Providers or non-Participating Providers) for Home Health Services provided to Network Members, including emergency and urgent services as defined by the Health Care Financing Administration, and records that are to be maintained of claims and payments for such services. Network shall provide Claims Management Services in accordance with Company standards, subject to Network's ability to cure pursuant to section 6.F hereof. Network represents, warrants and agrees that at all times its provision of Claims Management services meet or exceed (i) all Company standards, policies and procedures; (ii) all applicable state and federal statutes and regulations, including but not limited to, Medicare statues and regulations and all fiduciary obligations under ERISA; and (iii) the standards of any applicable accrediting organization, including, but not limited to, NCQA. In the event that Company or an accrediting organization's standards or any state or federal statutory or regulatory provisions are materially changed or revised, Network agrees, without limiting the Parties' rights and obligations pursuant to section 6.G hereof, to comply with or implement, as applicable, and to the reasonable good faith satisfaction of Company, any such change or revision within the earlier of sixty (60) calendar days of receiving notice of such change or within such time frame as may be required by the accrediting organization or applicable law or regulation. Company agrees to promptly notify Network of any and all such changes, whether through written communication or through the Operating Committee.

Claims Management. To the extent different from Operational Accounting, Prudential Management and Underwriting Management, any System or Control and/or Mediation Activity in order to identify, account for, audit or otherwise analyse or verify, reserve against, settle, indemnify for or otherwise pay, or receive, any incurred or potential Flood Risk, including by way of any claim on any Inwards Reinsurance, Retrocession and/or ART Contract, including by reference to any event or circumstance which constitutes, gives, has given or may give rise to any Flood Risk in whole or in part, as further particularised in SOR section 5.4