Report a Workers’ Compensation Claim
Information needed to submit a claim
- Your policy number
- Description, date, and time of the incident
- Injured employee’s name, address, Social Security number, date of hire, occupation, and date of birth
- If medical attention was already received, include the provider’s name, address, and phone number
Need Assistance?
Call Claims Support:Â 1.877.704.7060
Frequently Asked Questions
Does workers’ compensation insurance cover my employees?
Yes, your employers are covered. At times, there are legal questions regarding eligibility. For example: independent contractors are not covered. Your Claims Manager will keep you informed on who is covered when submitting claims.
Just submitted a claim — what happens next?
Once you or an injured worker submits a claim, your Synergy Comp Claims Manager is notified and will reach out within 24 hours to acknowledge the claim report and begin the investigation process with contacts to the Employee, Employer and Medical Provider.
Your Claims Manager will keep you informed of the claim status and is available to answer your questions.
How do I see my claims online?
All Synergy Comp clients can view their claims online through our Client Portal. Click here to learn more: Client Portal
What if the employee does not miss any time from work?
All work injuries should be reported to Synergy Comp, regardless of their extent. Circumstances may change, so it is best to document all incidents.
Your Employee is allowed to seek medical care from your list of Designated Healthcare Professionals, even if they do not experience any loss of earnings.Â
Your Claims Manager will provide you with up-to-date information regarding benefit eligibility throughout the life of the claim.Â
My employee wants to seek medical care, what should I do?
Emergency medical care should always be provided.Â
Many jurisdictions require the employee to choose medical care from a designated list of providers. Please contact your claims manager for the next steps.Â
What if my employee does not want to seek medical care, what should I do?
Even in this instance, it is appropriate to report all incidents, so in the event that circumstances change there is a record.
Our employee is not following the work restrictions outlined by the physician. What should we do?
Contact your Claims Manager or SOS Safety Professional as soon as possible. They can help you develop a strategy to address the situation appropriately and compliantly.
Prepare written documentation of your verbal instructions to the Employee to comply with the physical recommendations.Â
Does Synergy Comp review claims for fraud?
Yes, during the claims investigation process, every claim is carefully reviewed by the Claims Manager for potential fraud. Employers may have valuable information to provide in this process. Prior to any final determination, our preliminary findings are reviewed by our legal department.
My employee has questions about their claim. Who should they contact?
For all claim-related questions, your Claims Manager is the primary point of contact.
Can I ask my injured employees how they are doing?
Yes, supportive check-ins are encouraged. Your Claims Manager can provide guidance on best practices to ensure communication is both compliant and productive.
If the employee is represented by legal counsel, your direct contact should be limited to employment issues, this topic should be discussed with your Claims Manager.
Can I get a list of my claims, reserves, and claim status?
Yes. All claims information, including reserves and status, is available through our Client Portal. Log in here: Client Portal
Can Synergy Comp use our departmental and location codes for claims?
Yes. Your Claims Manager and SOS Safety Professional can coordinate with you to apply your departmental and location codes, helping to better identify and isolate workplace risks.
What are reserves?
Reserves are funds set aside by Synergy Comp to cover their current and estimated future benefits, costs and expenses of a workers’ compensation claim.
Reserves are not a reflection of any financial responsibility of the Employer.
How can I help reduce the cost of our workers’ comp claims?
The most significant factor in controlling the costs of worker’s compensation claims is for the Employer to make modified or transitional work available to the Employee, to limit their loss of earnings.Â
Synergy Comp’s claim handling model is designed to reduce claim costs through proactive management of medical treatment and work availability. Safety management addresses the risks of work injury.Â
Speak with your SOS Safety Professional and Claims Manager to learn how these strategies are customized and applied to your organization.
Does my state have a panel of physicians?
Many U.S. states use a “panel of physicians” system, requiring injured workers to select a doctor from an employer-provided list. Other states allow employee choice or use hybrid models, so requirements vary by jurisdiction. Your Claims Manager can explain how this works in your specific state.