Common use of Description of Claim Administration Services Clause in Contracts

Description of Claim Administration Services. Without limiting the foregoing, the Administrator shall: (i) provide claimants under the Reinsured Contracts and their authorized representatives (collectively, “Claimants”) with Claim forms and provide reasonable explanatory guidance to Claimants in connection therewith; (ii) establish, maintain and organize Claim files and maintain and organize other Claims-related records; (iii) review all Claims and determine whether the Claimant is eligible for benefits and if so, the nature and extent of such benefits; (iv) prepare and distribute to the appropriate recipients and Governmental Entities any Claims reports as required by applicable Law; (v) respond to all written or oral Claims-related communications that the Administrator reasonably believes to require a response; (vi) maintain a complaint log with respect to the Reinsured Contracts in accordance with applicable requirements of Governmental Entities, and at the Company’s request, provide a copy of such log; (vii) respond to and manage any Claims-related matters pursuant to Article VII; and (viii) adopt death claim processing procedures that ensure: (a) reasonable and diligent efforts are made to timely locate beneficiaries in accordance with applicable Law, (b) beneficiaries are provided notification in accordance with the applicable state’s unfair claim practice requirements and (c) interest owed on death proceeds is calculated in accordance with the applicable Reinsured Contract and the applicable state’s interest requirements.