1 / 15

Gallagher Bassett Services, Inc

W orkers Compensation Internet Reporting https://claimzone.com/reporter/logout.do ID: artexclaim Password: reportclaim Gallagher Bassett Client Number: 004118. Gallagher Bassett Services, Inc. Initial Screen. Enter Date of loss or click on Calendar and click New Claim.

catori
Download Presentation

Gallagher Bassett Services, Inc

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Workers CompensationInternet Reportinghttps://claimzone.com/reporter/logout.doID: artexclaim Password: reportclaimGallagher Bassett Client Number: 004118 Gallagher Bassett Services, Inc

  2. Initial Screen Enter Date of loss or click on Calendar and click New Claim. Can also search for a report by entering data in the Search Criteria section and clicking on Search.

  3. Preliminary/Detailed Questions The date of loss is pre-filled. The Insured, Employer, Reporting Location, Questionnaire, Language and Social Security Number may be pre-filled or selected from a dropdown.

  4. First Report of InjuryEmployer State appears here. Offers several dropdown options and pre-fills.

  5. Carrier Carrier/claims administrator information prefills.

  6. Employee Last Name is REQUIRED. Social Security Number is pre-filled

  7. Occurrence Date of Injury is pre-filled. Enter detailed information about injury.

  8. Treatment Can enter Hospital and/or Physician.

  9. Additional Info Can click on the ‘link’ view to maneuver through the application Can enter Preparers Name, Title, Company and Phone Number. Click on the thumbnail sketch to enlarge and view a copy of the First Report.

  10. Addendum Contact Name and Phone Number are REQUIRED.

  11. Review/Edit Employer, Carrier, Employee, Occurrence, Treatment, Additional Infoand Addendum Have option to edit and review each section of the form prior to submission.

  12. Review/Edit Employer, Carrier, Employee, Occurrence, Treatment, Additional Info, and AddendumContinued MUST click Finish to submit form. SAVE will only save the form to be completed later. SAVE will not submit form.

  13. Submission of First Report Print first report of injury. Provides Claimants Name, Date of Loss and Reference Number. Click OK to go back to initial screen.

  14. IMPORTANT PRINT a copy of Employer’s First Report of Injury form by using the Printer icon in the top right corner of the confirmation page. If you entered an email address into the email address field on the Client Specific Questions screen, you will receive an emailed confirmation that the report has been received and is being processed. The completed first report of injury will be electronically processed into the Gallagher Bassett systems within minutes and provided automatically to the appropriate workers’ compensation adjusting branch.

  15. Questions? If you have any questions or need further training, please contact Cindy or Melissa. Cindy Kuschel, Monday through Friday, 8:30 a.m. – 4:30 p.m. Central Phone: 630-285-4235 Cindy_Kuschel@gbtpa.com Melissa Pazmino, Monday through Friday, 8:30 a.m. – 4:30 p.m. Central Phone: 630-285-3405 Melissa_Pazmino@gbtpa.com

More Related