forms & applications
NEED COPY - If you become aware of a claim, it's important to act quickly. In order to expedite the process, we've put the claim contact information for all carriers in one place for you. Below you will find the phone numbers and email addresses needed to report a claim directly with a carrier. Alternatively, you may report a claim to us using the Acord 1 Property Loss, Acord 2 Automobile Loss, or Acord 3 GL Notice of Occurrence Claim, and we will report the claim to the carrier.
AmTrust (affiliated companies: Security National and Wesco)
- Phone:Â (888) 239-3909
- Fax: (877) 207-3961
- Property Claims: commpropertyclaimreport@amtrustgroup.com
- Email:Â anaclaimsreporting@amtrustgroup.com
- Online Reporting Form
Alesco Professional Liability
All new claims are emailed to the following addresses:
- Eric Kaufer: eric.kaufer@wilsonelser.com
- Martin Ween: martin.ween@wilsonelser.com
- Thomas Wilson Jr.: thomas.wilsonjr@wilsonelser.com
- David Doe: david.doe@alsecoDA.com
Attune
- Phone:Â (866) 391-9675
- Fax: (800) 393-8104
- Email:Â reportaclaim@narisk.com
- Mailing Address:
York Services Group
Attn: OSC
PO Box 183188
Columbus, OH 43218-3188 - If you or your Insured have any additional claims-related questions outside of reporting of a claim, please email your request to:Â resolution@blackboardinsurance.com
Please be sure to include a policy number, named Insured, date of loss and claim number (if applicable)
Attune Mainstreet
- Phone:Â (800) 315.6090
- Online:Â www.narisk.com/report-a-claim/
- Email:Â reportaclaim@narisk.com
Atrium
- Phone:Â (844) 268-0415Â Claim Reporting Line
- Fax: (630) 953-6049
- Email:Â augoldclaims@mclarens.com
CNAÂ (Continental Casualty Company)
Please note:Â in order to expedite the claim set-up process, please provide the Insured's policy number when reporting the claim.
- Phone:Â (833) 366-5262
- Fax: (877) 291-2019
- Email:Â ReportClaim@FNOLCNA.com
- Website:Â www.FNOLCNA.com
Coterie
- Phone (First Notice of Loss): (855) 680-2440
- Email:Â claims@coterieinsurance.com
- Website:Â coterieinsurance.com
Evanston Insurance Company
- Phone:Â (800) 362-7535
- Email:Â newclaims@markel.com
Hiscox
- Phone:Â (866) 424-8508
- Email:Â reportaclaim@hiscox.com
- Online Reporting Form
KBIC
- Phone:Â (201)Â 720-2100
- Fax: (201) 720-2119
- Email:Â newclaims@kbicus.com
- Online Reporting Form - Property
- Online Reporting Form - Liability
Markel
- Phone:Â (800) 362-7535
- Email:Â newclaims@markel.com
MetLife
- Phone:Â (800) 638-5433
- Online Reporting Form
Travelers
- Phone:Â (800) 238-6225
- Email:Â first.report@travelers.com
- Online Reporting Form
USLI
- Phone:Â (888) 875-5231
- Fax: (610) 687-9398
- Email:Â newlosses@usli.com
- Online Reporting Form
Westchester
- Phone:Â (800)252-4670
- Online Reporting Form
CNA
- Phone:Â (877) 262-2727
- Fax: (800) 953-7389
- Email:Â lossreport@cnaasap.com
Crum & Forster
- Phone:Â (800) 690-5520Â available 24/7
- Fax:Â (877) 622-6218
- Email:Â crumandforsternol@cfins.com
- Online (if you already have an ID & Password): CFConnect.cfins.com
Everest
- Phone:Â (855) 252-4695
- Everest Claims page
Great American
- Phone:Â (877) 836-1555
- Fax: (888) 223-1317
- Email:Â alternativemarketsclaims@gaig.com
- Online Reporting Form
Navigators
Phone:Â (855) 444-4796Â available 24/7
All current claim emails must be redirected to claimsmail@navg.com. Please make sure you put the claim number, policy number and the Insured's name in the subject line.
All new claims should be sent to:Â newloss@navg.com. Please include the reports and add a note that you do not have a claim number.
RLI
- Email (preferred):Â new.claim@rlicorp.com
- Phone:Â (800) 444-0406
- Fax:Â (866) 692-6796
- Online:Â rlicorp.com/how-report-claim
- Mailing Address:
RLI Claim Department
PO Box 3961
Peoria, IL 61612-3961
USLI
- Phone:Â (888) 875-5231
- Fax: (610) 687-9398
- Email:Â newlosses@usli.com
- Online Reporting For
AmTrust (affiliated companies: Security National and Wesco)
- Phone:Â (888) 239-3909
- Fax: (877) 207-3961
- Email: glclaimreport@amtrustgroup.com
- Online Reporting Form
- Affiliated Companies: Security National and Wesco
Attune
- Phone:Â (866) 391-9675
- Fax: (800) 393-8104
- Mailing Address:
York Services Group
Attn: OSC
PO Box 183188
Columbus, OH 43218-3188 - If you or your Insured have any additional claims-related questions outside of reporting of a claim, please email your request to:Â resolution@blackboardinsurance.com
Please be sure to include a policy number, named Insured, date of loss and claim number (if applicable)
Attune Mainstreet
- Phone:Â (800) 315.6090
- Online:Â www.narisk.com/report-a-claim/
Best Choice
Please note:Â in order to expedite the claim set-up process, please provide the Insured's policy number when reporting the claim.
- Phone:Â (833) 366-5262
- Fax: (877) 291-2019
- Email:Â ReportClaim@FNOLCNA.com
- Website:Â www.FNOLCNA.com
Clear Spring
- Phone:Â (866) 648-4744Â available 24/7
Referencing Contract Number: 9982 - Email:Â 9982ClearSpringBTISGL@sedgwick.com *this email is for reporting NEW LOSSES ONLY
Referencing Contract Number: 9982 - URL:Â intake.sedgwick.com/u/ClearSpringBTISGL/intake
Access code: 9982Smartly!
Referencing Contract Number: 9982 - Report of Incident form
CBIC
- Phone:Â (800) 444-0406
- Fax: (866) 692-6796
- Email: new.claim@rlicorp.com (preferred method)
Hiscox
- Phone:Â (866) 424-8508
- Email:Â reportaclaim@hiscox.com
- Online Reporting Form
Navigators
- Phone:Â (855) 444-4796Â (24/7 reporting)
- Email:Â newloss@navg.com
Next Insurance
- Phone:Â (855) 222-5919
- New Claims:Â newclaims@next-insurance.com
- Email:Â support@next-insurance.com
- Web:Â www.next-insurance.com
Palomar: reporting to North American Risk Services, Inc. (NARS)
- Phone: (800) 315-6090 (24/7 reporting)
- Fax: (866) 261-8507
- Email:Â reportaclaim@narisk.com
- Web:Â www.narisk.com
- Mailing Address:
PO Box 166002
Altamonte Springs, FL 32716-6002
Attn: New Loss Unit
NOTE: Claims should be reported with a completed Loss Acord form. At a minimum, please include
- Policy Number
- Policyholder contact information: name, phone number, address, email
- Agent contact information: name, phone number, address, email
- Detailed description of loss
RLI
- Email (preferred):Â new.claim@rlicorp.com
- Phone: (800) 444-0406
- Fax: (866) 692-6796
- Online:Â www.rlicorp.com/
- Mailing Address:
RLI Claim Department
PO Box 3961
Peoria, IL 61612-3961
Risk Retention Group / Golden State Adjusters
- Phone: (866) 472-7662
- Email:Â claims@gstateca.com
- Website:Â www.goldenstateadjusters.com
Starr Commercial Marine Liability
NOTE: All claims should be reported directly to Carolyn O'Connor at Sedgwick with a copy to Robert Fox at STARR Adjustment Services, Inc.
- Ms. Carolyn O'Connor - Senior Hull & Liability Adjuster
Sedgwick
120 Broadway Suite 900
New York, NY 10271 - Email:Â carolyn.OConnor@sedgwick.com
- Phone: (212) 266-4255
- Fax: (212) 406-3932
- Cell: (917) 330-1954
- Mr. Robert Fox - Regional Claims Manager
STARR Adjustment Services, Inc.
399 Park Avenue, 2nd Floor
New York, NY 10022 - Email:Â robert.fox@starrcompanies.com
- Phone: (646) 227-6687
USLI
- Phone: (888) 875-5231
- Fax: (610) 687-9398
- Email:Â newlosses@usli.com
- Online Reporting Form
OUR INCIDENT ROAD MAP: A VITAL TOOL AFTER A DATA BREACH
If breaches happen, utilize these resources:
- First Response Hotline:Â (800) 370-0605
- First Response Mailbox:Â firstresponse@thehartford.com
AmTrust FNOL
Canopius
- Email:Â btisclaims@littletongroup.com
- Online:Â www.canopius.com
Kemper/Infinity
For NEW claims:
- Phone:Â (800) 334-1661Â available 24/7 - option 4 for Claims
- Online:Â Report a Claim Kemper
For EXISTING claims:
- Phone:Â (800) 334-1661Â available 24/7 - option 4 for Claims
- Email: mail.claims@kemper.com reference the existing claim number
Liberty Mutual
- Phone:Â (844) 325-2467
MetLife
- Phone:Â (800) 638-5433
- Email:Â 9062metlifejuris@sedgwickcms.com
- Online Reporting Form
National General
- Phone:Â (800) 468-3466
- Email:Â claimslossreporting@ngic.com
- Newly enhanced online reporting:
mynatgenpolicy.com or natgenagency.com
(information entered through either of these sites will bridge directly into National General's claim handling system)
Travelers
- Phone:Â (800) 238-6225
- Online Reporting Form
AIG
- Phone:Â (877) 802-5246Â (West US)
- Phone:Â (866) 642-5246Â (East US)
- Email:Â excessfnol@aig.com
- Online Reporting Form
Devon Park
- Phone:Â (844) 438-6775
- Email:Â newlosses@devonparkspecialty.com
RLI
- Phone:Â (800) 444-0406
- Fax: (866) 692-6796
- Email:Â new.claim@rlicorp.com
- Online Reporting Form
USLI
- Phone:Â (888) 875-5231
- Fax: (610) 687-9398
- Email:Â newlosses@usli.com
- Online Reporting Form
Westchester
- Phone:Â (800)252-4670
- Online Reporting Form
AmTrust
- Phone:Â (866) 272-9267
- Fax: (877) 207-3961
- Email:Â anaclaimsreporting@amtrustgroup.com
- Online Reporting Form
- Affiliated Companies: Security National and Wesco
Best Choice
Please note:Â in order to expedite the claim set-up process, please provide the Insured's policy number when reporting the claim.
- Phone:Â (833) 366-5262
- Fax: (877) 291-2019
- Email:Â ReportClaim@FNOLCNA.com
- Website:Â www.FNOLCNA.com
- Phone:Â (877) 262-2727
- Fax: (800) 953-7389
- Email:Â lossreport@cnaasap.com
Crum & Forster
- Phone:Â (800) 690-5520Â available 24/7
- Fax:Â (877) 622-6218
- Email:Â crumandforsternol@cfins.com
- Online (if you already have an ID & Password): CFConnect.cfins.com
Everest
- Phone:Â (855) 252-4695
- Everest Claims page
Great American
- Phone:Â (877) 836-1555
- Fax: (888) 223-1317
- Email:Â alternativemarketsclaims@gaig.com
- Online Reporting Form
Navigators
Phone:Â (855) 444-4796Â available 24/7
All current claim emails must be redirected to claimsmail@navg.com. Please make sure you put the claim number, policy number and the Insured's name in the subject line.
All new claims should be sent to:Â newloss@thehartford.com. Please include the reports and add a note that you do not have a claim number.
Palomar: reporting to North American Risk Services, Inc. (NARS)
- Phone: (800) 315-6090 (24/7 reporting)
- Fax: (866) 261-8507
- Email: reportaclaim@narisk.com
- Web: www.narisk.com
- Mailing Address:
PO Box 166002
Altamonte Springs, FL 32716-6002
Attn: New Loss Unit
Note: Claims should be reported with a completed Loss Acord form. At a minimum, please include:
- Policy Number
- Policyholder contact information: name, phone number, address, email
- Agent contact information: name, phone number, address, email
- Detailed description of loss
RLI
- Email (preferred):Â new.claim@rlicorp.com
- Phone:Â (800) 444-0406
- Fax:Â (866) 692-6796
- Online:Â rlicorp.com/how-report-claim
- Mailing Address:
RLI Claim Department
PO Box 3961
Peoria, IL 61612-3961
USLI
- Phone:Â (888) 875-5231
- Fax: (610) 687-9398
- Email:Â newlosses@usli.com
- Online Reporting Form
AmTrust
Attn: Claims Department
- Phone:Â (866) 272-9267
- Fax:Â (877) 207-3961
- E-Mail:Â anaclaimsreporting@amtrustgroup.com
CCI Surety Bonds
- Phone:Â (866) 317-3294
- Email:Â info@ccisurety.com
CNA
- Phone:Â (877) 672-6115
- Fax:Â (312) 755-7276
- E-Mail:Â claims@cnasurety.com
Crum & Forster
- Phone:Â (800) 690-5520Â available 24/7
- Fax:Â (877) 622-6218
- Email:Â crumandforsternol@cfins.com
- Online (if you already have an ID & Password): CFConnect.cfins.com
Hartford Bond
- Email:Â bond.claims@thehartford.com
- Phone:Â (888) 266-3488
- Fax: (860) 757-5835 or (860) 221-3965
- Mail:
The Hartford
BOND, T-11
One Hartford Plaza
Hartford, CT 06155
Merchants Bonding Company
- Phone:Â (800) 678-8171
- Fax:Â (515) 243-3854
- Email:Â claims@merchantsbonding.com
- Mail:
Merchants Bonding Company
Attention: Claims
PO Box 14498
Des Moines, IA 50306
Navigators
- Email:Â newloss@navg.com
- Phone:Â (855) 444-4796Â 24 hour claim reporting
Old Republic Surety Company
- Phone:Â (262) 797-2640Â option 2
- Toll Free:Â (800) 217-1792Â option 2
- Fax:Â (262) 797-9495
- Email:Â claims@orsurety.com
- Mail:
Old Republic Surety Company
Attn: Claims Department
PO BOX 1635
Milwaukee, WI 53201 - Overnight deliveries, please use:
Old Republic Surety Company
Attn: Claims Department
445 S Moorland Road, Suite 200
Brookfield, WI 53005
Philadelphia Insurance Companies
- Phone: (800) 765-9749 (M-F 8:30am - 8pm EST)
- After-hours Claims: available 24/7 (800) 765-9749
- Fax: (800) 685-9238
- Email: claimsreport@phly.com
- Mail:
Philadelphia Insurance Companies
Attn: Claims Department
One Bala Plaza Suite 100
Bala Cynwyd, PA 19004-0950
AmTrust
- Phone:Â (888) 239-3909
- Website: www.amtrustfinancial.com
- Email: workerscompclaimreport@amtrustgroup.com
- Claims Reporting Kit
Clear Spring
- CS WC Claim Kit
- CS WC RX Card
- Phone: (866) 648-4744Â available 24/7
Referencing Contract Number: 9981 - Email: 9981ClearSpringBTISWC@sedgwick.com *this email is for reporting NEW LOSSES ONLY
Referencing Contract Number: 9981 - URL:Â intake.sedgwick.com/u/ClearSpringBTISWC/intake
Access Code: 9981Smartly!
Referencing Contract Number: 9981 - Report of Incident form
CNA
- Phone:Â (877) 262-2727
- Fax: (800) 953-7389
- Email:Â lossreport@cnaasap.com
- Online Reporting Form
Cornerstone
- Phone:Â (866) 253-6019
- Email: accreditedWC@USAdminclaims.com
- Online Reporting Form
Employers
- Skip the phone or email, go straight to EACCESS to file your claim.
- Phone:Â (800) 232-3085
- Fax: (877) 329-2954
- Email:Â reportaclaim@employers.com
Great American
- CA WC Claim Kit
- Phone:Â (877) 589-6846
- Email:Â AlternativeMarketsClaims@GAIG.com
ICW
- Phone:Â (877) 442-9669
- Fax: (858) 436-8916
- Email:Â firstnotice@icwgroup.com
Liberty Mutual Insurance
- Small Business Customers call:Â (844) 325-2467
National Liability & Fire Insurance Company
- Phone:Â (844) 549-2512Â reporting number available 24/7
- Fax:Â (203) 903-0387
- Email:Â claims@nlf-info.com
Pie Insurance
- CA Work Comp Claim Kit
- Phone:Â (844) 581-0828
- Fax:Â (866) 777-1668
- Email:Â claims@pieinsurance.com
- MPN managed by CorVel:Â https://ppolookup.corvel.com/
- Additional resources available at:Â https://pieinsurance.com/resources/workers-comp-state-notices/
Travelers
- Phone:Â (800) 238-6225
- Online Reporting Form
Zenith
- Phone:Â (800) 440-5020
- Fax: (800) 440-5022
- Email:Â firstcallnewclaim@thezenith.com
- Online Reporting Form
This information is provided as a guideline only and is subject to change with or without notice.