PGCS Workers' Compensation Division

The Workers' Compensation claims are handled by licensed professional adjusters with the work load assigned at 125 cases per lost time adjuster and 300 cases per no lost time adjuster. The adjusters handle either no lost time cases (medical only) or lost time cases (both medical and indemnity). They do not handle both unless specified by the client. The supervisor monitors the files on a regular basis for promptness in handling and severity of cases. Adjuster inventory is controlled to maintain a high quality service to claimants and the employer. PGCS is dedicated and committed to providing superior claims processing to its members.

File A Workers' Compensation Claim

Anti Fraud / Special Investigative Unit

Anti Fraud Posters

Preferred Governmental Recovery Services (PGRS)

Please note that there has been a change in our after-hours claim reporting number.

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

PGCS partners with governmental entities in the prevention of fraudulent workers' compensation claims. As a result of our aggressive pursuit to deter fraud, PGCS has been approved by the State of Florida for implementation of our Anti Fraud / Special Investigative Unit (SIU).

PGCS is providing rewards up to $10. 000.00 for the arrests and convictions of individuals committing workers' compensation fraud. If you are a PGCS partner and have information regarding a fraudulent Workers' Compensation Claim, please call our toll free hotline today.
Available 24 hours a day, 7 days a week.

1-866-887-PGCS
(1-866-887-7427)

Callers may provide information anonymously.

In order to help educate employees on how to report a fraudulent claim, PGCS has created informational posters that provide the process for reporting any potential workers' compensation fraud. By working with our clients we have successfully pursued the arrest of persons who have filed fraudulent claims.

Poster

PGCS has always pursued workers' compensation subrogation to the fullest extent available under Florida Statutes 440.39. Based on the volume of potential subrogation claims, we established a dedicated subrogation department. To date PGCS has recovered, through workers' compensation subrogation, an average of 54% of the expenses incurred on workers' compensation claims where a third party is at fault.

PGCS Contact Page