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.

2

2Complete your state’s claim form(s)

Each state has its own claim form(s), which must be completed to report a claim.

To get your state’s claim form(s), use the state selector above.

3

3Submit applicable forms

Select one of these convenient ways to submit your forms. If you have questions feel free to call us 877.4.ICW.NOW (877.442.9669).

Fax

858.436.8916

Mail

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

4

4Fulfill OSHA requirements

OSHA requirements vary by state.

For information on OSHA requirements in your state, use the state selector above.

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
Keep this card handy in case you need to report a claim using one of these methods.
Download PDF
Prescription Authorization
Fill this out and provide to your injured employee in the event they are sent to a pharmacy.
Download PDF
Accident Investigation
After reporting your claim, document the investigation for your records.
Download PDF
To request claims and other materials, see the Request Materials Form.