Report a Workers Compensation Claim on Your Policy.

Report your workers' compensation claim so we can help advise your business and notify the carrier.
Need help filing your insurance policy claim? Call 888-611-7467, or complete the online form below.

Workers Comp Claim Form

If your employee is injured on the job please seek medical help immediately and inform your employee of their rights under state workers' compensation laws. To file your claim, please complete all requested fields below so we are able to advise you quickly and notify your insurance company.

If you would prefer to report your claim over the phone, please call our agency at 888-611-7467. You may also report your claim directly to the carrier by visiting the appropriate insurance company page.

Step 1
Your Contact Information
Step 2
About the Claim
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Workers' Compensation Claims

If you have an injured employee with an emergency, the first order of business is to get medical attention immediately. All injuries should be reported to the proper supervisor as soon as practical.

Employers should have their state required compliance poster placed somewhere conspicuous in their workplace. This poster, also known as the Broker Arm Poster, indicates: a) The name of the insurance company, b) Policy Number and c) Effective date of the policy. This information will need to be provided to any medical professionals treating the injured worker.

Once a claim is filed with the insurance company, a Case Manager will be assigned to manage the claim directly with the employee and the treatment center. Employers have the right to ask questions about the treatment and the costs associated with the claim.

If you know who your workers compensation carrier is, and would like to report your injury or claim directly to the carrier, please click below and choose the link to your insurance carrier to get information on how to report a claim.

Shop workers comp insurance with an independent agency. Buy workers compensation insurance online.
Visit NCCI for more resources and information about workers' compensation class codes. Visit United States Department of Labor for more information about government agencies managing workers compensation insurance rates.

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