Claims adjusting expert fraud ingestigation, insurance fraud. Adjustors of claims worker's comp negligence compensation malpractice, so injury claims disability.
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Philip D. Smith & Associates provides claims adjusting and insurance fraud investigation
   

Claims Adjusting Assignment Sheet
    This Information Will Remain Confidential.

An Investigator will call to confirm the
assignment within 48 hours of being submitted.
Today's Date:
  Completion Deadline:
  Trial/Hearing Date:

  Insured's Name:
  DOB:    SS#:
  Insured's Address:
Phone:
  Claimant's Name:
Phone:
  Claimant Attorney:
  Date of Loss:
  Type of Claim: Compensation

Liability

Verification

Other:
  Policy #:
  Claim #:
  Injury/Damage
Sustained:
  Special
Instructions:

  Adjuster:
  Company:
  Address:
  Phone:    Fax:
  E-Mail:    File #:
   
 
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