Third Party Claims Administrator definition

Third Party Claims Administrator means the organization under contract to the Board responsible for processing all medical claims, other than claims for prescription drug services, received from participants.
Sample 1Sample 2Sample 3
Third Party Claims Administrator means the third party retained by GAF, who will, at GAF’s direction and request, assist GAF with the initial intake of claims, including (i) answering telephone calls, (ii) monitoring and responding to email and website requests, (iii) mailing Claims Kits, (iv) receiving claim forms and supporting documentation, (v) assigning claim numbers, (vi) reviewing claims for completeness (i.e., verifying that a claim includes the documentation and materials required under Section 7 of the Agreement) and (vii) sending Deficiency Notices.
Sample 1
Third Party Claims Administrator or “TPA” means a third party firm contractually responsible for performing professional claims adjusting and other ancillary risk management services for the Port Authority.
Sample 1

Examples of Third Party Claims Administrator in a sentence

  • The Plan is a self-funded group health Plan and the administration is provided through a Third Party Claims Administrator.

  • In the alternative and as a convenience to both parties, the Third Party Claims Administrator can also mail the checks directly to the District made payable to the District during the employee’s full pay status.

  • Within one (1) business day after making the decision, the IRO must notify you, Third Party Claims Administrator and the Plan.

  • The accident or illness shall have risen out of and in the course of employment of the teacher and shall be accepted as a bonafide injury or illness arising out of and in the course of employment by the Kings County Insured Schools Joint Powers Authority and/or the Third Party Claims Administrator.

  • The Third Party Claims Administrator will be expected to perform its services in accordance with the requirements of any regulatory authority having jurisdiction as well as any applicable State, Federal or Local law.

  • Finance staff monitors the Town’s Third Party Claims Administrator (CIRMA) to insure, on a quarterly basis, that all contractual performance standards and requirements are met 95% of the time.

  • Student Signature Date Parent Signature DateOne parent signature is required if all questions in SECTION 2 (question 44-56) were answered “NO.” Mark which parent signed above.

  • The annual premium is RM120.00 per foreign worker insured (RM105.00 for insurance premium and RM15.00 for Third Party Claims Administrator (TPCA) fee).

  • An Insured’s actions, activities, responsibilities or duties as a Third Party Claims Administrator, or anInsured's public claims adjusting or public appraisal services.

  • Starr uses a Third Party Claims Administrator in Europe, which is Aon Consulting, Admiral- iteitskade 62, Rotterdam, Netherlands.

Related to Third Party Claims Administrator

  • 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.

  • Third party claimant means any individual, corporation, association, partnership, or other legal entity asserting a claim against any individual, corporation, association, partnership, or other legal entity insured under an insurance policy or insurance contract.

  • Third Party Claim has the meaning set forth in Section 9.5(a).

  • Claims Administration means the processing and payment of claims received from Settlement Class Members by the Claims Administrator.

  • First party claimant means an individual, corporation, association, partnership, or other legal entity asserting a right to payment as a covered person under an insurance policy or insurance contract arising out of the occurrence of the contingency or loss covered by such a policy or contract.

  • Third Party Claim Notice shall have the meaning set forth in Section 6.5(a).

  • Notice and Claims Agent means Prime Clerk LLC.

  • Third Party Claims has the meaning set forth in Section 11.1.

  • Claims Agent means Kurtzman Carson Consultants LLC.

  • 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.

  • Third Party Administrator (TPA means any organization or institution that is licensed by the IRDA as a TPA and is engaged by the Company for a fee or remuneration for providing Policy and claims facilitation services to the Insured / Insured Person as well as to the Company for an insurable event.

  • Third party administrator means an administrator operating under a certificate of authority issued by the commissioner pursuant to the third party administrator act.

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

  • Direct Claim has the meaning set forth in Section 8.05(c).

  • Indemnifying Party shall have the meaning set forth in Section 5(c).

  • Joint Remediation Committee has the meaning set forth in Section II.A.2.

  • Appeals Committee means a Committee or Tribunal duly appointed by by-law to conduct hearings under this By-law;

  • Claims Notice has the meaning set forth in Section 9.3(a).

  • CFD Administrator means an official of the City, or designee thereof, responsible for determining the Special Tax Requirement and providing for the levy and collection of the Special Taxes.

  • Plan Administrator means the plan administrator described in Article 8.

  • Third Party IP Claim has the meaning given to it in clause E8.7 (Intellectual Property Rights).

  • Indemnified Party shall have the meaning set forth in Section 5(c).

  • Third Party Infringement Claim has the meaning set forth in Section 8.7.1.

  • Claim Form or “Proof of Claim Form” means the form, substantially in the form attached hereto as Exhibit 2 to Exhibit A, that a Claimant or Settlement Class Member must complete and submit should that Claimant or Settlement Class Member seek to share in a distribution of the Net Settlement Fund.

  • Claimant means a person or entity who or which submits a Claim Form to the Claims Administrator seeking to be eligible to share in the proceeds of the Settlement Fund.

  • Claims and Noticing Agent means Epiq Bankruptcy Solutions, LLC, retained as the Debtors’ notice and claims agent pursuant to the Order Approving the Retention and Appointment of Epiq Bankruptcy Solutions as the Claims and Noticing Agent for the Debtors [D.I. 321].