Claims Expertise

Tell us what happened. Report a claim.

Experts equipped to handle each unique claim when you need it most

The claims process should be more than just a transaction. For us, our steadfast team works relentlessly on each claim to provide you our gold standard of attentive and efficient advantages. The team engages customers with an innovative plan of action from gathering facts and data to investigation and reporting. They are meticulous about helping you throughout the entire process, achieving the best possible outcome.

 

High Praise for High Value

Highlights from your claims experience, including winning verdicts and testimonials.

ProSight Reduces Customer’s Contractual Risk to Zero

A contractual indemnity law suit was filed by a third party plaintiff against our customer’s construction company seeking $1 million dollars for an injured employee. The third party plaintiff claimed to be owed this amount due to a contract with our customer they said indemnified them. Our defense team discovered that the contract was dated pre-incident and not signed until after the incident. Furthermore, the contract was not presented to our customer until the job was almost done. A thorough investigation by our defense team also unveiled serious credibility issues with the third party plaintiff’s star witness. With questions about witness credibility and the refusal of the third party plaintiff to negotiate, the case went to trial and was ruled in our customer’s favor. The plaintiff was awarded $0.

The facts and outcomes of the claim described herein are offered only as an example. Whether or to what extent a loss is covered depends on the actual facts and circumstances of each claim and the terms, conditions, and exclusions of the applicable policy.

ProSight Reduces Unreasonable Damages for Customer

The plaintiff’s car was rear-ended by a commercial tractor-trailer from our customer’s company. The plaintiff sustained several confirmed injuries and was seeking $1.3 million in damages. Although the liability of the driver was admitted immediately, our defense team focused on the plaintiff not getting the required treatment in the proper time frame. The plaintiff was only awarded $130,000 for the confirmed injuries.

The facts and outcomes of the claims described herein are offered only as examples. Whether or to what extent a loss is covered depends on the actual facts and circumstances of each claim and the terms, conditions and exclusions of the applicable policy.

ProSight Discredits Claim to Protect Customer

The plaintiff’s car was rear-ended by an oil field services truck from our customer’s company, and the driver admitted liability for the accident. The plaintiff claimed that he sustained significant injuries that prevented him from working for three years and unable to return to the same type of work. He was seeking $1.74 million in damages. Our defense team zeroed in on the number of job fairs available close by and the fact that the plaintiff never attended one from the date of the accident until trial, despite being aware of them. The team also obtained surveillance footage of the plaintiff jogging, carrying groceries and doing several other things he claimed that he could not do during the deposition. The plaintiff was awarded a reduced amount, $400,000, for the confirmed injuries.

The facts and outcomes of the claims described herein are offered only as examples. Whether or to what extent a loss is covered depends on the actual facts and circumstances of each claim and the terms, conditions and exclusions of the applicable policy.

ProSight Defends Customer in Fraudulent Claim

The plaintiff’s car was rear-ended by a commercial tractor-trailer from our customer’s company. The plaintiff claimed that she sustained serious injuries that would require future surgery and could no longer do the same exercises as before the accident, including riding a bike. She was seeking $3.2 million in damages. Our defense counsel hired a private investigator who obtained footage of a bike rack on the back of the plaintiff’s new car and her regularly going to the gym. The plaintiff was only awarded $257,000 for the injuries confirmed.

The facts and outcomes of the claims described herein are offered only as examples. Whether or to what extent a loss is covered depends on the actual facts and circumstances of each claim and the terms, conditions and exclusions of the applicable policy.

ProSight Drives a Commercial Bus Suit to Victory

The plaintiff’s car was struck by a bus from our customer’s company. The plaintiff sustained several fractures, but alleged additional injuries in need of medical attention and was seeking $1.4 million in damages. Our claims team’s investigative research concluded that none of the plaintiff’s alleged additional injuries were related to the bus-on-car accident. This strong evidence was presented in court, leading to a verdict that no additional injuries were caused by the bus. The plaintiff was awarded $10,000 for the fractures sustained directly from the collision. 

The facts and outcomes of the claims described herein are offered only as examples. Whether or to what extent a loss is covered depends on the actual facts and circumstances of each claim and the terms, conditions and exclusions of the applicable policy. 

Awesome Claims Experience

I wanted to send a note of thanks to Phil who has helped to prioritize and rush my claim. I appreciate his quick response and due diligence for the file. He’s been helpful and extremely responsive. I really appreciate all his help and support, and wanted to make sure this was recognized

Patrice, Customer

ProSight Uncovers Past Driving Record as Proof

After being rear-ended by a bus from our customer’s company, the plaintiff alleged a flare up of preexisting medical conditions and was seeking $150,000 in damages. Our claims team evaluated medical history documentation and discovered that the plaintiff was involved in several other car accidents. The most severe one happened afterthe collision with our customer. The team presented this strong evidence in court and it took the jury just half an hour to find our customer not responsible. The plaintiff was awarded $0.

The facts and outcomes of the claims described herein are offered only as examples. Whether or to what extent a loss is covered depends on the actual facts and circumstances of each claim and the terms, conditions and exclusions of the applicable policy.

Awesome Claims Experience

I must say it was a pleasure dealing with Stephanie, who answered the phone and directed me to A.J. in claims, and they both were a great help solving my problem. For a change it was a great experience dealing with an insurance company.

Enthusiastic ProSight Customer

A Plaintiff Allegedly Tripped, But ProSight Wasn’t Falling For It

The plaintiff claimed one of her high heels got stuck in a mat over a wood floor, causing her to trip and sustain a fracture at our customer’s restaurant. The plaintiff was suing for $300,000. Our claims team arrived on the scene and began collecting facts and surveillance. They quickly identified the plaintiff’s monetary demand was too high. During the trial, the team was able to produce enough evidence to prove to the jury our customer was not at fault. The plaintiff was awarded $0.

The facts and outcomes of the claims described herein are offered only as examples. Whether or to what extent a loss is covered depends on the actual facts and circumstances of each claim and the terms, conditions and exclusions of the applicable policy.
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A few of your Claims Experts

Marc VidoneClaims Manager
Meet Marc
Angela DuguayClaims Specialist
Meet Angela

Primary Workers' Compensation Information Only

California Claims Information
First Aid Update

Please download and complete the following forms:

Claims Kit
DWC 7
Panel Card

At the Time of Injury
DWC1
5020 Form

For New Hires Only
Pre-Designation Form
New Hire Packet