New Phone Number
Phoning in a workers' compensation claim after hours? We have a new number
Information listed below.
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PGCS Claim Services, is the premier governmental third party claim adjusting (TPA) company in Florida. PGCS currently provides third party claims administrative service to over 400 municipal clients in the state of Florida with an administration program consisting of:
- Workers' Compensation
- Property
- General Liability
- Bodily Injury
- Personal Injury
- Auto Liability
- Physical Damage
- Employment Practice Liability
- School Leaders / Educators Liability
- Public Officials Liability
- Hurricane / Catastrophic Adjusting Services
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Communication is the cornerstone of our claims administration program. Professional adjusters, quarterly in-depth claim review meetings, 24/7 claim reporting, return to work programs and loss control are just samples of how PGCS has set the standard for quality in the industry.
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Please note that there has been a change in our claim reporting number for PGIT members.
PGIT Members should call 866-683-7710 to report claims.
Please note that there has been a change in our after-hours claim reporting number for Self Insured members.
PGCS will continue to take W/C first reports for our self-insureds here at (800) 237-6617, ext 4024, or e-mail to etoro@pgcs-tpa.com, or fax to (321) 832-1448 during normal business hours - 8:00 a.m. to 5:00 p.m.
After Hours and Weekend reporting is available through our vendor, QRM at:
Claim reporting toll free number: (866) 683-7710.
Fax Number: (407) 513-4252
Email: pgcsclaims@qrm-inc.com
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In January of 2004, PGCS established Public Entity Legal Solutions (PELS), an in-house legal service that is available as a resource to answer legal questions surrounding claim issues. In addition, PELS provides litigation management and specializes in the defense for claims filed under the Fire Fighter Presumption. PGCS was the first TPA in the state of Florida to provide this service to governmental entities. |
PGCS utilizes a dedicated Subrogation Unit to pursue reimbursement from at-fault third parties. Our current recovery rate is 54% of the claim cost expended.
PGCS has a dedicated Excess Reporting Unit for communication to and securing reimbursements from the excess or reinsurance carriers.
We also provide a Special Investigation Unit (SIU) to pursue fraudulent claims and offer rewards up to $10,000.00 for arrests and convictions of persons committing workers' compensation fraud. This service is available via a 24 hour, seven days a week hotline.
PGCS has a dedicated in-house nursing staff and bill review / audit team. |
PGCS brings over forty-five (45) years of claims experience to each and every program we administer. We are a service-oriented company dedicated to providing the best quality claims administration program to our clients. While we are recognized as the leader in our industry, we are always striving to improve the quality of our program and expand the services that are offered. |
