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Claim Scenario

Injury on the dance floor

ABC Events is a small event planning firm that specializes in organizing and coordinating various types of events. While setting up for a conference, Sarah, sustained injuries to her wrist. 

ABC Events is a small event planning firm that specializes in organizing and coordinating various types of events, including weddings, corporate conferences, and social gatherings. They have a team of dedicated employees who work both in the office and on-site at event venues.

During the setup for a large corporate conference, one of ABC Events' employees, Sarah, was helping to arrange the stage equipment when she accidentally tripped over a loose cable and fell. Sarah sustained injuries to her wrist and required immediate medical attention.

Recognizing the importance of providing timely support to their injured employee, ABC Events promptly reported the incident to their insurance agent to initiate a Workers Compensation claim. They provided all necessary details, including the date, time, and location of the accident, as well as the nature and extent of Sarah's injuries.

The insurance company assigned a claims adjuster to investigate the claim and ensure that Sarah received the appropriate medical treatment and benefits as per the Workers Compensation policy. The adjuster reviewed the incident report, interviewed witnesses, and obtained Sarah's medical records to assess the severity of her injuries.

Based on the investigation, it was determined that Sarah's injuries were indeed work-related and eligible for coverage under the Workers Compensation policy. The insurance company authorized the necessary medical treatments, including doctor visits, diagnostic tests, and physical therapy, to facilitate Sarah's recovery.

Throughout the claims process, ABC Events maintained regular communication with the insurance company and provided any additional information or documentation required. They also supported Sarah during her recovery and ensured that she received the necessary time off work to heal and rehabilitate.

The insurance company worked closely with the medical providers to monitor Sarah's progress and evaluate her ability to return to work. Once Sarah reached maximum medical improvement, a return-to-work plan was developed in collaboration with ABC Events to facilitate her smooth transition back to her job responsibilities.

This scenario highlights the importance of having Workers' Compensation coverage in place. The coverage provided protected both the employee, Sarah, and the employer, ABC Events, by ensuring that Sarah received the necessary medical care and benefits while minimizing the financial impact on the business.

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For more information, contact the Victor Small Business team at info.smallbusiness@victorinsurance.com

* The claims scenario is strictly documented for illustrative purposes only and provides an example of what a policy could cover. It is intended to provide a general overview of the program described. Please remember only the insurance policy can give actual terms, coverage, amounts, conditions and exclusions. Program availability and coverage are subject to individual underwriting criteria.

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