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Report a Claim

Report the injury within 24 hours of the incident via iCE.

Claim Reporting Checklist

At the time of the incident…

  1. Report the claim to CCMSI via Internet, preferably within 24 hours, but at the latest within 5 days.  Prompt action minimizes your employee’s time away from work.
  2. Have the employee complete the Employee’s Injury Report. Get the facts while they are fresh.
  3. Have the employee sign a Medical Authorization. Prompt action minimizes claim payments.
  4. The supervisor should complete an Accident Investigation Report.
  5. Complete Witness Statement(s) if anyone was present at the time of the incident. Witness(es) may be crucial to a claim if the incident and injury facts are questionable.
  6. Take a photo of the accident site.

If you have any questions or would like an updated claim packet, please contact your claims representative.