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)

Ashmere Insurance Company (AIC)

National Casualty Company (NCC)

QBE Insurance Company

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.
  • 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.


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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:


Sompo International Insurance/Endurance Insurance

To Report a Claim:

Please send all Sompo International Insurance claims to:

[email protected]

ProSight Specialty Insurance

By email:

[email protected]

By phone:

(800)-774-2755

By fax:

(800)-326-2864

By mail:

ProSight Specialty Insurance Claims Department

412 Mt. Kemble Avenue
Suite 300C
Morristown, NJ 07960


For questions, please contact:
[email protected]

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]

AmTrust

To Report a Claim:

To report a General Liability claim please submit an Acord GL Claims Notice to:

[email protected]

Axis

To Report a Claim:

Axis claims will be handled by North American Risk Services.

All claims should be reported to North American Risk Services (NARS) as soon after the loss as possible while information is fresh.
Claims may be reported by any of the following options 24 hours a day, 7 days a week.

By email:

[email protected]

By phone:

(800)315-6090

By Fax:

(866)261-8507

Regular Mail:

North American Risk Services

P.O. Box 166002
Altamonte Springs, FL 32716-6002
Attn: New Loss Unit

In order to ensure proper assistance, it is important to include a Loss Acord form or the policy number, name of the insured and as much information about the loss details and involved parties as possible. An adjuster will be assigned to the claim, and after reviewing the information provided will make personal contact.
Remember to include contact information such as your name, address, phone numbers and email address.

A claim acknowledgement will be transmitted identifying the claim number and assigned claims adjuster.

It is our preference that claims of a serious nature are phoned into NARS. This allows us to escalate the loss immediately.