Report a Claim

Click to download pdf claims forms

EMPLOYER’S FIRST REPORT OF INJURY OR ILLNESS
AUTOMOBILE LOSS NOTICE
GENERAL LIABILITY NOTICE OF OCCURRENCE
PROPERTY LOSS NOTICE
STUDENT ACCIDENT FORM

Our claims professionals work closely with tribal representatives to help mitigate losses and reduce the cost of risk.

All claims for the Tribal Program, regardless of severity or location, should be reported to the Arrowhead Claims Intake Center and they are ready to accept claims and provide three ways for you to submit new loss reports:

Phone – (866) 789-9175 or (980) 323-3292
Email – claimsadmin@acmclaims.com
Fax – (877) 248-7544

To expedite the handling of your new claim, the following information must be provided when reporting a claim:

Name of Insured
Policy Number
Date of Loss
For notices not requiring action (ex. Incident reports), clearly mark as “REPORT ONLY”

American Claims Management (ACM) will review all claims upon receipt and will assign to the appropriate adjuster to handle your claim. A claim acknowledgement will then be transmitted to the designated individuals advising them of the claim number and the adjuster assigned to the claim