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1 0 obj The only way to initiate a workers' compensation claim is in Workday. The Risk Management Department will not have a claim number on the day you are injured. Note: all questions regarding FMLA must be directed to HR or Leave Management. endobj If the DWC25 is not given to you, you must ask for it. Investigate the accident to determine cause. Looking for a long-term partner that works hard for you and your business? b) When you arrive at the clinic, present your University of Miami ID/badge. Gallagher Bassett Po Box 2934 Clinton Ia - Explore Recent gallagher bassett services inc. po box 2934 . Upon completion click on Submit. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Authorization to Use or Disclose Information Form. Their staff is knowledgeable and skilled in workmans compensation. %PDF-1.5 % 2023 Old Republic General Insurance Group. Gallagher Bassett Services - Rude & Unprofessional!!! Please refer to your BITCO Construction Group Welcome Kit for phone and fax claim reporting information. Box 2831, Clinton, IA 52733-2831 . BBB Business Profiles generally cover a three-year reporting period. %%EOF Send bills and medicals to Gallagher Bassett Services, Inc. Gallagher Bassett Services, Inc. P.O. PO BOX 2934. <> yet. b) It is your responsibility to provide your manager, HR Partner, and Leave and Accommodations Coordinator with a copy of your DWC25 form, within 24 hours after every medical appointment. PO Box 2831. CLINTON,IA 52733-2934. network, you will need to give the medical provider your claim number and CSU's Workers' Compensation billing information: Gallagher Bassett, PO Box 2831, Clinton, IA 52733-2850, Phone: 800-933-8143, Fax: (303) 796-9498 Unless you are taken off work by one of CSU's Authorized Treating Physicians (ATP), you are expected to continue to Having dedicated locations near your business means we expedite contact with you and claimants, were there to assist with communication during the life of your claim, and we can accelerate your claim resolution. We also realize that reducing the cost of Workers Compensation claims involves helping employees return to productive employment as soon as possible. To submit a corrected claim or reconsideration, the bill must be labeled "RECONSIDERATION" with a copy of the original Explanation of Review (EOR) and any supporting documentation. <> Phone Number * Location * . New claim numbers apply for all subsequent bills. WELCOME TO THE WORLD OF GALLAGHER BASSETT A WORLD OF POSSIBILITIES As the premier multiline claims services provider we help people, companies and organizations around the world get back on track. However, Jopari also maintains a Payer ID for AIG. All claims currently administered by AIG Claims will be transferred to Gallagher Bassett, which will assign new claim numbers to the former AIG claims. The next step is to complete the appropriate workers compensation forms: 1. 0 If you need medical treatment for your injury or illness, you must select a medical provider from the University's Approved Medical Providers List. DOI: 01/05/2017. Burglary. 5 M}QBVH@F$T vw`,AkT$}$;i&$kA6,75 Y@[A6Ydm_H6&ds~qdnMgpHvdEyTHvs:HvS i:N;fm$; YTuE-"$kAn.$kBdmd{!YW"pG6/$k Y@/$k,Hx Y5=HvSO Y#^HvdM$+*)0[$k}!]$~!ICA[=H Y 9.YK^dgHvSdgZ Y^Hvd Looking for more information? Im try to find whos open a claim with this Gallagher Basset because I ask my employer I ask my attorney and I try to call with the adjuster whos in the letter but they not have any phone number .. And don't receive any answer from no body.. the Adjuster is Christine Rouwney , PO Box 2934 Clinton la 57233