Reporting A Claim
AmTrust’s professional claims staff has an average of 20+ years of experience, and our claims adjusters maintain low workloads, enabling them to effectively manage claims. We use an automated claims system and operate in a paperless environment.
Three-point contact is immediately initiated with the injured worker, employer and doctor. Our Medical Director assists in determining proper diagnoses, provides access to treating physicians and holds peer-to-peer reviews to discuss claims directly with physicians.
24/7 Toll-Free Claim Reporting
Workers’ Compensation for All States
Phone: 866.272.9267
Fax: 775.908.3724 or 877.669.9140
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Other than Workers’ Compensation
Phone: 866.272.9267
Fax: 877.207.3961
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Provider Instructions for Workers' Compensation eBilling
Payor ID: 12491
Name of Clearning House: Optum Property and Casualty Clearinghouse (OPCC)
Identification number: OPCC's Tax ID: 352170347
To obtain a claim number, please call: 1.877.528.7878
How the Provider Should Submit the Claim #: If the subscriber is the patient, the claim # should be sent in a 2010BA.REF*Y4 segment in X12 837 transactions; otherwise, if the patient is different than the subscriber, the claim # should be sent in a 2010CA.REF*Y4 segment. For example, REF*Y4*CLAIMNUMBER~. Our “OPCC Companion Document” explains the most about how to use our system; it can be found at https://opcc.optum.com/tpp/resource. Our “OPCC Connectivity Guide” is also helpful, available on the same web page.
Providers/bill submitters can call our OPCC Customer Support at 877-234-0449, or email OPCChelpdesk@optum.com.
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Information required for all claims reported
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Name of the insured and policy number
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Date, Time & Place of Accident
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Description of accident or incident
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Name, phone and/or e-mail of person making the report
Additional information required for specific claim types
For Workers’ Compensation
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MUST have the injured employee’s social security number as it is required by law
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Description of injury
For Property Claims
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Physical address of the loss
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If more than one building on property must have specific building(s) involved
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Type of loss, i.e., Fire, Theft, etc.
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Description of loss or damage
For Motor Vehicle (Auto) Claims
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Name, address and contact information of ALL parties involved.
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Make, model and VIN of the insured vehicle
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Make, model of all other vehicles involved
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Current location of all vehicles
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Name and contact information for each driver and all passengers
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Name and contact information any known witnesses
For General Liability Claims
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Physical address of where the loss occurred
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Name, address and contact information for all persons claiming injury or damage
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Name and contact information any known witnesses
Customer Benefits
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24/7 centralized call center staffed by special claims operators who provide assistance for reporting claims, allowing claimants, policyholders and producers to speak with a live person
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Injured employees, medical providers and others are paid without delay
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Return-to-work options are initiated through a joint effort among the employer, physician and injured employee
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Each business segment is supported by a senior position with a high level of experience
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Preferred One Source Repair Program streamlines claims handling for automobile repairs through quality, authorized collision repair facilities across the country
Disability Claims
Send a completed claim form for NY and NJ to:
Wesco Insurance Company
PO Box 980, Bowling Green Station
New York, NY 10274 OR
FAX: (800) 584-9303 OR
EMAIL: DBClaims@amtrustgroup.com
Questions: 800.535.2710
NY and NJ Claim Forms