Report and Manage Claims

What to do when an incident occurs

1

1Get medical treatment if necessary

If your employee’s need for treatment appears urgent — for example, bleeding profusely, unconscious or may be having a heart attack — get them to the nearest emergency room or call 911.

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2

Complete your state’s claim form(s)

Each state has its own claim forms, which must be completed to report a claim. To get your state’s claim forms,

If you have any questions about how to complete the form(s), call ICW Group’s Claims Department at 877.4.ICW.NOW (877.442.9669).
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3

Send the form(s) to ICW Group’s claims department

Simply use one of these methods:

Fax

858.436.8916

Phone

877.4.ICW.NOW
(877.442.9669)

Mail

First Notice of Loss
PO Box 509039
San Diego, CA 92150

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4Fulfill OSHA requirements

OSHA requirements vary by state. For more information on whether employers in your state are required to report incidents to OSHA, see the State Plan Adoption of OSHA’s Revised Reporting Requirements.

What to do after you’ve reported a claim

Help your injured workers

We understand navigating the claims process can be challenging. ICW Group provides you several tools to make this easier.
 
 
Learn more about helping your injured workers >
 
 
Send your workers On the Road to Recovery ECards >
 

Maintain contact with your ICW Group examiner

Communication is the best way to manage claims. Contact your Claims Examiner if:

  • An injured worker’s job status changes.
  • The availability of modified work changes.
  • The injured worker is terminated.
  • The injured worker’s rate of pay has changed.
  • You believe they’re working elsewhere or are involved in recreational activities.
  • You suspect fraud.

Claims materials and forms

4 Ways to File a Claim
Download PDF
Prescription Authorization
Download PDF
Accident Investigation
Download PDF
To request claims and other materials, see the Request Materials Form.