Client Service Center: +1 877 886 4334

Report A Claim

 

 

To get started, Please select a carrier from the drop-down below:


American International Group (AIG)

Guarantee Insurance Company (GIC)

Zurich Insurance

Hotline: (866) 479-1554 E-Mail: [email protected] Fax: (321) 206-4525


In order to submit your workers’ compensation claim electronically, please follow the instructions below:

  • Select the state in which the injury occurred by clicking on the map or drop-down.
  • Enter information directly into the First Report of Injury (FROI) form.
  • After completing the form, save the document by either clicking the save icon or selecting ‘File’ on the menu and ‘Save As’ and name the file as you wish.
  • Submit the completed FROI to the email address or fax number that are shown above.


Please select your state:


Travelers Insurance

 

In order to submit your workers’ compensation claim, Please click below


Submit Here

Starstone Insurance

 

In order to submit your workers’ compensation claim, Please click below


Submit Here

CompWest Insurance Company

 

In order to submit your workers’ compensation claim, Please click below


Submit Here

Food Service Insurance Managers (FSIM)

 

In order to submit your workers’ compensation claim, Please click below


Submit Here

AmTrust

 

In order to submit your workers’ compensation claim, Please click below


Submit Here

ArrowHead General Insurance Agency

 

In order to submit your workers’ compensation claim, Please click below


Submit Here

 

To get started, Please select a carrier from the drop-down below:


State National

To Report a Claim:

To report a General Liability claim, please submit a Claims Notice to:

[email protected]

To report a Property claim, please submit a Claims Notice to:

[email protected]

First notice of a severe property claim can be reported 24 hours a day to:

[email protected]