We hope you find answers here, but if you still have questions, contact the Customer Care Center: 858.350.2835.
A claim is classified as a first aid claim if the employee requires one-time treatment and/or a follow up visit for the purpose of observation of scratches, cuts, burns, splinters or other minor industrial injuries, which ordinarily would not require medical care.
You do not provide the claim form or complete the employer's report of injury - unless the injury results in lost time beyond the date it occurred or your employee requires medical treatment beyond first aid.
Yes, you must provide a claim form to the employee and file as usual. Document your concerns in writing to ICW Group. It is our job to investigate. If it is determined that it is not work-related, your employee must be sent a written notice to that effect.
If you have this concern, talk to your claims adjuster.
Yes. ICW Group proudly employs many bilingual Claims Examiners and Assistants. We have Experts fluent in Spanish, Vietnamese and Tagalog. We also partner with outside translation services as needed.
While the years of experience vary, our Claims Examiners are certified or in the process of being certified pursuant to California Insurance Code Section 11761. In addition, we provide extensive training to each examiner.
No. You have an obligation to report all work-related injuries or illnesses to ICW Group.
The law recognizes that you may have legitimate business reasons for replacing an employee who cannot continue on the job, and does not prohibit you from doing so. However, you should be aware of your responsibilities under state and federal laws that may apply in this situation. Consult ICW Group, an attorney or a state information and assistance officer for more information.
You can contact our claims experts at any time to discuss the status of the claims. You can also request to receive formal status reports quarterly through your agent or broker or our Claims Supervisors.
Our examiners set reserves to reflect our best estimate of the most likely cost of the claim based on the information available and our years of experience. New claims are generally reserved within five (5) days from our receipt of the claim.
We have experts in our Special Investigation Unit (SIU) who work closely with our Claims Examiners on investigating possible fraudulent claims. Subrosa is utilized when we have adequate information to secure quality surveillance.
ICW Group utilizes Mitchell International bill review services for medical bill review and PPO access.
Because of privacy statutes, outside sources do not have access to our claim notes. However, we encourage open communication and are always available to discuss your company's claims.
Your agent or broker or a member of our Underwriting Team can provide you with loss runs via email, fax or mail. You can also Contact Us to submit a request.
Contact your Agent/Broker directly or our Claims Department at Contact Us.
877.4 ICW NOW - or 877.442.9669
Send your forms to firstnotice@icwgroup.com.
858.436.8916
First Notice of Loss
P.O. Box 85563
San Diego, CA 92186-5563
Questions?
Contact our Customer Care Center: customercare@icwgroup.com
858.350.2835
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Corporate Offices: 11455 El Camino Real, San Diego CA 92130
800.877.1111
www.icwgroup.com
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