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construction worker

Workers’ Compensation Claim

For assistance, contact

Valerie Souza, WCCP
Senior Workers’ Compensation Claims Advocate
(559) 256-2562 | valerie-souza@leavitt.com

You must report a workers’ compensation claim to your carrier yourself – Leavitt United cannot do it for you. If your employee had a work accident but does not need or want medical care, they should fill out a Declination of Medical Treatment form.

If your employee needs medical care, you MUST give them access to a doctor and the DWC-1 Form (Employee’s Claim for Workers’ Compensation Benefits) within a day of knowing about the injury.

NOTE: The DWC-1 form is only for California. Other States may have different forms.

DWC-1 Form (California)

Report a claim

Below is a list of Leavitt United’s workers’ compensation carriers and claims administrators. To report a claim, please select your carrier or administrator and follow the online reporting instructions.

Carrier reporting information

AmTrust Call: 888-239-3909 (24/7 reporting)
Email: WorkersCompClaimReport@AmTrustgroup.com
Arrowhead Call: 866-671-5042
Email: WCinfo@ACMclaims.com
Atlas Call: 855-728-5277
Fax: 866-383-3296
E-mail: 6200AtlasGeneralInsurance@sedgwick.com
BerkleyNet Call: 877-497-2637
BHHC Call: 800-356-5750 (24/7)
Fax: 402-916-3031
Email: bhhcclaim@bhhc.com
CompWest Call: 888-709-3651
Email: ClaimsExpress@compwestinsurance.com
Online reporting »
Copperpoint Online reporting »
For help identifying your insurance company, please call 800-231-1363
EMPLOYERS Online reporting »
Phone: 800-232-3085
Fax: 877-329-2954
Email: ecfroi@employers.com
Everest Call: 866-671-5042
Fax: 619-744-5030
Email: WCInfo@ACMclaims.com
Hours of Operation: Mon-Fri 8:00 am – 5:00 pm PT
Great American Call: 844-424-4669
Great American
Alternative Markets
Email: alternativemarketsclaims@gaig.com
Fax: 888-223-1317
Call: 866-750-4216 (8:00 am - 5:00 pm)
ICW Call: 877-442-9669
Fax: 858-436-8916
Email: FirstNotice@icwgroup.com
Liberty Mutual Small Business Customers call: 1-844-325-2467
Mid/Large Business Customers call: 1-800-362-0000
Large Business Customers (>1,000 employees) report online »
MARKEL Call: 800-362-7535
Email: newclaims@markel.com
Online reporting »
METHOD Fax: 469-269-0070
Online reporting »
Email: newloss@methodinsurance.com
MIDWEST Email: claims@midins.com
Online reporting »
Call: 866-642-2567 (Mon - Sat, 8:00 am to 10 pm) Fax: 866-642-1234
Omaha National Call: 844-761-8400
Fax: 844-761-8402
Online reporting »
Email: claims@omahanational.com
Republic Call: 888-336-7569
Fax: 818-789-7286
Online reporting »
Email: riclaims@ri-net.com
State Fund Call: 888-782-8338
Fax: 800-371-5905
Online reporting »
Sentry Call: 800-473-6879
The Hartford Call: 800-327-3636 (24 hours/day, 7 days/week)
Email: lossconnect@theHartford.com
Online reporting »
Travelers Call: 800-238-6225 (24/7)
Email: first.report@travelers.com (en español: spanishfirstreport@travelers.com)
Online reporting »
WCF Call: 800-561-8008 (8am - 5pm MT)
Fax: 866-346-3289
Email: claims@wcf.com
Online reporting »
The Zenith Call: 800-440-5020
Email: firstcallnewclaim@thezenith.com
Fax: 800-440-5022
Online reporting »
Zurich Call: 800-987-3373
Email: USZ_CareCenter@Zurichna.com
Fax: 877-962-2567
Online reporting »