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
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 Arizona Workers’ Compensation Claims Kit
• Click Here to download the California Workers’ Compensation Claims Kit – English & Spanish
• Click Here to download the Nevada Workers’ Compensation Claims Kit
• Click Here to download the Illinois 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 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:

Claims Administration
Certus Claims Administration LLC
Address: PO Box 1030, Camarillo, CA, 93011
Tel: (805) 987-8803
E-mail:

Overnight Delivery
Certus Claims Administration LLC
Address: 1525 Rancho Conejo Boulevard, Suite 206, Thousand Oaks, CA, 91320

Claims Administration
AmTrust Claims
Address: 59 Maiden Lane, 6th Floor, New York, NY, 10038
Tel: (866) 272-9267
Fax: (775) 908-3724
E-mail:
Website: www.amtrustgroup.com

Claims Kit

• Click here to download the AmTrust (Security) Claims Kit.
• Click here to download the AmTrust (Technology) Claims Kit.
• Click here to download the AmTrust (Wesco) Claims Kit.

Claims Administration
Amerisafe Claims
Address: 2301 Hwy 190 West, DeRidder, LA 70634
Tel: (800) 699-6240
Fax: (337) 463-8728
E-mail:
Website: www.amerisafe.com

Claims Administration
E-mail:

Claims Administration
Employers Claims
Address: 10375 Professional Circle, Reno, NV 89521
Tel: (888) 682-6671
Fax: (877) 329-2954
E-mail:
Website: www.employers.com/claims-services/

Employers Claims Kit

• Click here to download the Employers Claims Kit.

General Information and Bulletins

• Click here to download the Employers Claim Management Brochure.

Claims Administration

Guard Claims
P.O. Box 1368
Wilkes-Barre, PA 18703
Tel: (888) NEW-CLMS (639-2567)
Fax: (570) 825-0611
E-mail:
Website: www.guard.com

Claim Administration
RTW Claims
P.O. Box 390327
Minneapolis, MN 55439-0327
Tel: (866) 620-3137
Fax: (866) 286-5258
E-mail:
Website: www.rtwi.com

Claims Kit

• Click here to download the RTW Claims Kit.

Claims Administration
Safety National Claims
1832 Schuetz Road
St Louis, MO 63146
Tel: (314) 995-3897
Fax: (314) 995-3897
E-mail:
Website: https://www.safetynational.com/claims-expertise/