(A) Upon a claimant filing notice that complies with this article, the Claims Administrator shall promptly transmit a copy of the claim to the Karuk Legal Department and the Tribe’s Class III gaming insurance carrier. The Tribe’s Class III gaming insurance carrier shall promptly investigate the claim and refer to claim for adjustment in accordance with its normal practice.
(B) Upon claimant’s timely request, the Tribe’s insurance carrier shall review the claim and supporting documentation and, if necessary, further investigate the claim and inform the claimant in writing that the claim has been denied or accepted and the award amount, if any.
(C) If the claim is denied or the claimant is dissatisfied with the resolution of the claim, the claimant shall have thirty (30) days from receipt of the denial to appeal the insurance carrier’s decision to arbitration, otherwise the claim will be forever barred.
(D) The decisions reached as a result of the Tribal dispute process shall be in writing, based on the facts surrounding the dispute, shall be a reasoned decision, and shall be rendered within one hundred eighty (180) days from the date the claim was filed, unless the parties mutually agree upon a longer period.