Claims Review

Administer benefits to injured workers in accordance with statutory and case law as well as pertinent regulations.

Watches reserves...

...manages and bring Workers’ Compensation claims to an equitable conclusion within the carrier’s standards and best practices guidelines. ESG will maintain a good working relationship with injured employee, employee’s family, employer and the carrier of said insurance. ESG is your first line of defense and ESG will provide training and mentoring to Claims Examiners as needed. 

Review reserves in a timely manner, watch cost of claim and manage it.

Communicate with injured employee to obtain information necessary for processing claims.

Contact and work with legal counsel on claims requiring litigation.

Attend depositions and hearings.

Contacts and/or interviews claimants, doctors, medical specialists, or employers to get additional information.

Review / Examines claims with outside adjusters, further investigating questionable claims to determine whether to authorize payments or deny claim.

Participates in claim reviews and service calls with carrier and Employer.

Presents cases and participate in their discussion at claim committee meetings.

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  • James Hobson - 702-498-0918

  • info@esginsuranceservices.com

  • 800 North Harbor Blvd. Suite B.
    La Habra, CA 90631

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