New Medical Network
We have begun using the Coventry medical provider netwrok. Click here to find a provider.
|
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
|
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.
PGIT
W/C first reports for our PGIT Members at 800-237-6617, ext 4069 or fax to 321-832-1448 or e-mail to rhumphreys@pgcs-tpa.com during normal business hours - 8:00a.m. to 5:00 p.m. M-F.
Liability first reports for our PGIT Members at 800-237-6617, ext 4080 or fax to 321-832-1717 or e-mail to LiabilityClaims@PGCS-TPA.com during normal business hours - 8:00a.m. to 5:00 p.m. M-F.
Self-Insured
W/C first reports for our Self-Insured Clients at 800-237-6617, ext 4024 or fax to 321-832-1448 or e-mail to etoro@pgcs-tpa.com during normal business hours - 8:00a.m. to 5:00 p.m. M-F.
Liability first reports for our Self-Insured ClientsMembers at 800-237-6617, ext 4080 or fax to 321-832-1717 or e-mail to LiabilityClaims@PGCS-TPA.com during normal business hours - 8:00a.m. to 5:00 p.m. M-F.
After Hours and Weekend reporting is available for registered users through the the online reporting page or by fax to (407)513-4252..
|
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 fifty-three (53) 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. |
PGCS is a lean, highly competitive service organization comprised of people of the highest integrity and quality, bound together by clearly defined goals and prideful relationships.
Our mission is to serve our customers, employees and society by providing a broad range of services.
We will develop innovative programs which meet the needs of our clients and contribute to their success.
We will foster an environment which stimulates professional excellence and encourages contribution by all employees.
We will demonstrate good corporate citizenship through the ethical conduct of our business.
|