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An Accident has occurred which resulted in an Injury and unexpected medical bills. How do you go about filing a claim?

Helpful Hints for Filing a Claim

  1. Print out the correct claim form for the appropriate carrier.

  2. Print or type clearly on the claim form and try to refrain from using abbreviations for your city or county. Be specific in your description of what happened.

  3. Attach all itemized bills and any Explanation of Benefits from other insurance sources.

  4. Make copies of everything that you send in to the claims processor.

  5. Mail to the address in the upper left-hand corner of the claim form.

  6. Give the claims office 15 business days before calling to check the status of your claim. To contact Sentry, call toll free (800) 426-7234.  To contact Mutual of Omaha, call toll free (800) 524-2324.

  7. Any additional bills and Explanation of Benefits received after filing your original claim, should be sent in along with a copy of the claim form to the address in upper left-hand corner of the claim form within 90 days of the date of service.

Please note that bills must be sent within 90 days of the date of service, to the company identified with the claimants name, school district (if applicable) and date of Accident. If you have other insurance, file simultaneous claims with your other insurance carrier to avoid delays in benefits payments.

Mutual of Omaha

Sentry Life

Madison National Life

Capitol Indemnity

Lloyd's of London

Platte River

QBE Insurance

Starr Indemnity

Starr Net

General Liability Incident Report

Please contact Special Markets Insurance Consultants, Inc.  if you having any questions or concerns regarding the claims office handling your claim.  Our Claims Liaison is Tonia at (800) 727-7642 ext. 26.

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