Submit a Claim

Policyholders must submit a claim to the insurance carrier directly.

How to Submit a Workers’ Comp Claim

Accident Fund Insurance Company of America

Submit a claim by phone: 866-206-5851
Submit a claim by email: ClaimsExpress@AccidentFund.com
Download the First Report of Injury Form

AMERISAFE

Submit a claim by phone: 800.699.6240.

Benchmark

Submit a claim online: Click Here

Chubb

Submit a claim by phone: 1-800-252-4670
Submit a claim by email: wcfnol@chubb.com
Submit a claim online: Click Here

Liberty Mutual

Submit a claim by phone: 1-844-325-2467
Submit a claim online: Click Here

Markel Insurance

Submit a claim by phone: 800-362-7535
Submit a claim by fax: 855-662-7535
Submit a claim by email: newclaims@markel.com

Pie

Submit a claim by phone: 844-581-0828

Utica First

Submit a claim by phone: (800) 456-4556
Submit a claim by fax: (315) 736-2139
Submit a claim by email: claims@uticafirst.com
Submit a claim by mail: PO Box 851 Utica, NY 13503-0851

How do I submit an accident policy claim?

Combined Insurance

Submit a claim by phone: 1-800-544-9382