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  2. Adjustment clause - Wikipedia

    en.wikipedia.org/wiki/Adjustment_clause

    In insurance, an adjustment clause in a contract specifies how the amount of a claim (particularly a claim against an insurance company) will be determined for the purposes of a settlement, giving consideration to objections made by the debtor or insurance company, as well as the allegations of the claimant in support of his claim. For example ...

  3. Confessions of an insurance claims adjuster - AOL

    www.aol.com/finance/confessions-insurance-claims...

    If you get a phone call, voicemail, email or mailed letter from your adjuster, responding promptly can help your claim move faster. Ask questions: If you are unsure of something, always ask questions.

  4. Explanation of benefits - Wikipedia

    en.wikipedia.org/wiki/Explanation_of_benefits

    Generally, secondary insurance pays only the amount the EOB says the member is responsible for. Secondary EOBs show if the patient still has any responsibility to the provider. After the member's insurances have processed the claim, the provider bills the member for the remaining balance, if any.

  5. Adjustment (law) - Wikipedia

    en.wikipedia.org/wiki/Adjustment_(law)

    Adjustment of claims is not confined to claims against insurance companies. An allowance made by a creditor, particularly a storekeeper, in response to a complaint by the debtor respecting the accuracy of the account or other claim, or a reduction in the claim or account made to induce a prompt payment, is in a proper sense an adjustment.

  6. Loss payee clause - Wikipedia

    en.wikipedia.org/wiki/Loss_payee_clause

    a claim in respect of any one casualty where the aggregate claim against all insurers exceeds $500,000 or the equivalent in any other currency prior to adjustment for any franchise or deductible under the terms of the policy, shall, subject to the prior written consent of the Assignee, be paid to the Owner as and when [the vessel] (the "Vessel ...

  7. Reservation of rights - Wikipedia

    en.wikipedia.org/wiki/Reservation_of_rights

    The term "reservation of rights" (particularly a "reservation of rights letter”) is often used in connection with insurance claims. The insurance company issues a reservation of rights letter stating that it may deny coverage for some or all of the claim even while the company is investigating the claim or beginning to treat the claim as if ...

  8. Insurance - Wikipedia

    en.wikipedia.org/wiki/Insurance

    For policies that are complicated, where claims may be complex, the insured may take out a separate insurance-policy add-on, called loss-recovery insurance, which covers the cost of a public adjuster in the case of a claim. Adjusting liability-insurance claims is particularly difficult because they involve a third party, the plaintiff, who is ...

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