How to File a Claim, Request Claim Status, Claim Contacts and More

Please select the carrier below for claims contacts and other important information:

Managed Carriers

Workers’ Compensation

For Policies with prefix 1AT

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.sedgwickcms.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
Ada Tran, MPN Specialist
Telephone: (916) 851-8030
E-mail:

Claims Kits

  • Click here to download the California 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.sedgwickcms.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
Ada Tran, MPN Specialist
Telephone: (916) 851-8030
E-mail:

Claims Kits

  • Click here to download the Arizona Workers’ Compensation Claims Kit
  • Click here to download the Arkansas Workers’ Compensation Claims Kit
  • Click here to download the California Workers’ Compensation Claims Kit
  • Click here to download the Georgia Workers’ Compensation Claims Kit
  • Click here to download the Illinois Workers’ Compensation Claims Kit
  • Click here to download the Indiana Workers’ Compensation Claims Kit
  • Click here to download the Kansas Workers’ Compensation Claims Kit
  • Click here to download the Kentucky Workers’ Compensation Claims Kit
  • Click here to download the Michigan Workers’ Compensation Claims Kit
  • Click here to download the Missouri Workers’ Compensation Claims Kit
  • Click here to download the Mississippi Workers’ Compensation Claims Kit
  • Click here to download the Nevada Workers’ Compensation Claims Kit
  • Click here to download the New Jersey Workers’ Compensation Claims Kit
  • Click here to download the North Carolina Workers’ Compensation Claims Kit
  • Click here to download the Pennsylvania Workers’ Compensation Claims Kit
  • Click here to download the South Carolina Workers’ Compensation Claims Kit
  • Click here to download the Tennessee Workers’ Compensation Claims Kit
  • Click here to download the Texas Workers’ Compensation Claims Kit
  • Click here to download the Virginia 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 effective 3/1/12 forward including Republic Underwriters Insurance Company (policy prefix ATW), Republic Lloyds (policy prefix ARL), Republic Fire & Casualty Insurance Company (policy prefix AFC), and Southern Insurance Company (policy prefix ASI)

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.sedgwickcms.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
Ada Tran, MPN Specialist
Telephone: (916) 851-8030
E-mail:

Claim Administration: For Policies Effective Prior to 3/1/2012
Irvine Claims
AmTrust Financial Services, Inc.
PO Box 89404
Cleveland, OH 44101
Fax (216) 643-5500

Claims Kits

  • Click here to download the Arizona Republic Underwriters Insurance Company Workers’ Compensation Claims Kit.
  • Click here to download the Arizona Southern Insurance Company Workers’ Compensation Claims Kit.
  • Click here to download the Arkansas Republic Underwriters Insurance Company Workers’ Compensation Claims Kit.
  • Click here to download the Arkansas Southern Insurance Company Workers’ Compensation Claims Kit.
  • Click here to download the California Republic Underwriters Insurance Company Workers’ Compensation Claims Kit.
  • Click here to download the California Southern Insurance Company Workers’ Compensation Claims Kit.
  • Click here to download the Georgia Workers’ Compensation Claims Kit.
  • Click here to download the Mississippi Workers’ Compensation Claims Kit.
  • Click here to download the Nevada Workers’ Compensation Claims Kit.
  • Click here to download the North Carolina Workers’ Compensation Claims Kit.
  • Click here to download the Oklahoma Workers’ Compensation Claims Kit.
  • Click here to download the Oregon Workers’ Compensation Claims Kit.
  • Click here to download the Pennsylvania Workers’ Compensation Claims Kit.
  • Click here to download the South Carolina Workers’ Compensation Claims Kit.
  • Click here to download the Tennessee Workers’ Compensation Claims Kit.
  • Click here to download the Texas Workers’ Compensation Claims Kit.
  • Click here to download the Virginia Workers’ Compensation Claims Kit.

General Information and Bulletins

  • Click here to download the Letter to Policyholders 3/1/12 Through 5/31/13
  • 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

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.sedgwickcms.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
Ada Tran, MPN Specialist
Telephone: (916) 851-8030
E-mail:

Claims Kits

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

Commercial

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 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:

Claims Kit

  • Click here to download the Rockingham Claims Kit.

Non-Managed Carriers

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 Submission
Tel: (877) 676-7575
E-mail:

Endurance requires a Loss Statement or Loss Acord to be filled out by the insurance broker.

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

Claims Administration

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/