For Policies with prefix 1AT and 1AG

Report a Claim
Sedgwick Claims Management
Telephone: (855) 7ATLAS7 or (855) 728-5277
Fax: (866) 383-3296
E-mail:

Claim Administration
Sedgwick Claims Management
P.O BOX 14779
Lexington, KY 40512
Telephone: (866) 738-9201
Fax: (859) 264-4368
E-mail:
Website: www.sedgwick.com

Customer Service – For All Claims Related Inquiries
Toll Free: (866) 738-9201
E-mail:

Request Claim Status Reports
E-mail:

Request Loss Runs
E-mail:

California Medical Provider Network
Find a Physician: www.sedgwickproviders.com/AG
Thiem Colunga, MPN Coordinator
Telephone: (951) 231-6802
E-mail:

Claims Kits

• Click here to download the California Workers’ Compensation Claims Kit. – English & Spanish
• Click here to download the Colorado Workers’ Compensation Claims Kit.
• Click here to download the New Jersey Workers’ Compensation Claims Kit.
• Click here to download the New York Workers’ Compensation Claims Kit.
• Click here to download the Pennsylvania Workers’ Compensation Claims Kit.

General Information and Bulletins

• Click here to download the Fraud Poster 1 (English)
• Click here to download the Fraud Poster 2 (English)
• Click here to download the Fraud Poster 3 (English)
• Click here to download the Fraud Poster 4 (English)
• Click here to download the Fraud Poster 1 (Spanish)
• Click here to download the Fraud Poster 2 (Spanish)
• Click here to download the Fraud Poster 3 (Spanish)

For policies with prefix FLA and FNA.

Report a Claim
Sedgwick Claims Management
Telephone: (855) 7ATLAS7 or (855) 728-5277
Fax: (866) 383-3296
E-mail:

Claim Administration
Sedgwick Claims Management
P.O BOX 14779
Lexington, KY 40512
Telephone: (866) 738-9201
Fax: (859) 264-4368
E-mail:
Website: www.sedgwick.com

Customer Service – For All Claims Related Inquiries
Toll Free: (866) 738-9201
E-mail:

Request Claim Status Reports
E-mail:

Request Loss Runs
E-mail:

California Medical Provider Network
Find a Physician: www.sedgwickproviders.com/AG
Thiem Colunga, MPN Coordinator
Telephone: (951) 231-6802
E-mail:

Claims Kits

• Click Here to download the California Workers’ Compensation Claims Kit

For Policies with prefix EA

Report a Claim

Gallagher Bassett
Telephone: (833) 378-4031
Fax: (866) 668-7780
E-mail: 

Claim Administration
Gallagher Bassett Services, Inc.
PO Box 2831
Clinton, IA 52733-2831
Telephone: (833) 707‐6338
E-mail: 
Website: www.gallagherbassett.com

Customer Service – For All Claims Related Inquiries
Telephone: 847-631-6365
E-mail:

Request Claim Status Reports
E-mail:

Request Loss Runs
E-mail: 

California Medical Provider Network

• Find a Physician:  www.talispoint.com/cvty/gbmpn
• Telephone: 1-855-203-2845
• E-mail: 

Gallagher Bassett Claims Kits:

• Click Here to download the California Workers’ Compensation Claims Kit – English and Spanish
• Click Here to download the Arizona Workers’ Compensation Claims Kit
• Click Here to download the Illinois Workers’ Compensation Claims Kit
• Click Here to download the Louisiana Workers’ Compensation Claims Kit
• Click Here to download the Nevada Workers’ Compensation Claims Kit
• Click Here to download the Pennsylvania Workers’ Compensation Claims Kit
• Click Here to download the Texas Workers’ Compensation Claims Kit

For Policies with prefix T1
Please note that Titan and Sedgwick do not handle StarStone claims on policies that begin with T1.

Claim Contact Information (prefix T1)
Telephone: (866) 367-7242. A trained representative will guide you through the reporting process.
E-mail: . This is the fastest, most efficient way of complying with laws requiring workers’ compensation policyholders to notify the jurisdiction in which the accident occurred.

For Policies with prefix T2 and T6

Report a Claim
Sedgwick Claims Management
Telephone:(855) 7ATLAS7 or (855) 728-5277
Fax: (866) 383-3296
E-mail:

Claim Administration
Sedgwick Claims Management
P.O. BOX 14779
Lexington, KY 40512
Telephone:(866) 738-9201
Fax:(859) 264-4368
E-mail:
Website: www.sedgwick.com

Customer Service – For All Claims Related Inquiries
Toll Free: (866) 738-9201
E-mail:

Request Claim Status Reports
E-mail:

Request Loss Runs
E-mail:

California Medical Provider Network
Find a Physician: www.sedgwickproviders.com/AG
Thiem Colunga, MPN Coordinator
Telephone: (951) 231-6802
E-mail:

Claims Kits

• Click Here to download the California Workers’ Compensation Claims Kit.
• Click Here to download the New York Workers’ Compensation Claims Kit.

For Policies with Prefix AASA

Report a Claim
York Risk Services Group
Telephone: (866) 391-9675
Fax: (800) 393-8104
E-mail:

Claim Administration
York Risk Services Group
1950 S. Sunwest Lane, Suite 110
San Bernardino, CA 92408
Telephone: (866) 391-9675
Fax: (800) 393-8104
E-mail:

Customer Service – For All Claim Related Inquiries
Toll Free: (866) 391-9675
E-mail:

Request Claim Status Reports
E-mail:

Request Loss Runs
E-mail:

For Policies with Prefix ‘R’

Report a new claim to Rockingham
Telephone: (833) 506-9238
E-mail:
Optional: Complete this claim reporting form and email to Rockingham.

Request Loss Runs
E-mail:

For Policies with Prefix ‘T’

Report a new claim to Gallagher Bassett
Telephone: (833) 390-2409

Email: Complete this claim reporting form and email to 

 Request Loss Runs
E-mail: 

For more information check out the Claims Management Flyer.