Assist the injured employee: Ensure the injured employee receives prompt medical attention. Provide necessary assistance in arranging transportation to a medical facility if required. Always call 911 in case of an emergency.
Document the incident: Document the details of the incident accurately. This includes gathering witness statements, taking photographs of the scene if possible, and recording any relevant information regarding the circumstances leading to the injury.
Notify Pie Insurance: Report the incident within 24 hours with our online workers' comp claim form. This is the fastest route to having an adjuster assigned to your claim. You can also report via phone at 844-581-0828 or email at claims[at]pieinsurance.com. For info on what details to provide in your email, visit our claims page.
Complete and submit forms: Work with your adjuster to complete and submit any required forms related to the workers' compensation claim. This may include the First Report of Injury form or other state-specific documentation.
Maintain communication: Maintain open communication with both the injured employee and your insurance carrier throughout the claims process. Keep the employee informed about the status of their claim and any developments, while also providing updates to your insurance carrier as necessary.
Cooperate with investigations: Cooperate fully with any investigations conducted by your insurance carrier or relevant authorities. Provide requested documentation and information in a timely manner to facilitate the claims process.
Return-to-work program: Work with your adjuster to develop a return-to-work program for the injured employee, if applicable. This may involve offering modified duties or accommodations to facilitate their return to work while they recover.
Monitor claim progress: Regularly monitor the progress of the workers' compensation claim and follow up with your adjuster as needed to ensure timely resolution. Stay informed about any decisions or settlements reached in relation to the claim.
Review prevention measures: Take this opportunity to review your workplace safety procedures and implement any necessary changes to prevent similar incidents from occurring in the future. Continuously strive to maintain a safe work environment for all employees.
If you need assistance locating a provider, Pie has partnered with Rising Medical to provide a robust network of medical providers for our injured employees. Access the portal here: https://goperspecta.com/VPD/PIEInsurance/public/ProviderSearch/Main
The definition of insurance fraud is a deceptive act against an insurance company by a person, usually for financial gain. The FBI estimates that non-healthcare insurance fraud costs around $40 billion a year for insurance companies, resulting in a $400-$700 yearly increase in premiums for the average American family. If you believe you have witnessed insurance fraud or may be a victim of a scam, follow these steps to report the issue:
Yes. All Pie policy holders must report all claims, ideally within 24 hours of knowledge.
It depends on the circumstances of the injury or illness. When in doubt, please contact Pie.
You may contact your Pie Claims Adjuster directly or call for a status update