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NJSIG
Plan of Risk Management
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    • Reporting Claims

    Call NJSIG:

    Call us at 609.386.6060  Monday — Friday | 8:30 AM — 4:30 PM.

    Workers' Compensation Claims: 609.543.3377  Monday — Friday | 8:00 AM — 5:00 PM

    If calling during business hours, all calls are returned within the same business day. If calling after hours, please leave a message about your injury and you will be contacted within one business day by an intake specialist

    For Non-Workers' Compensation Emergencies:

    If you have a loss occurring after business hours that needs immediate attention, please call 609.369.0535.

    Please complete the claims reporting form or send an email to froi@njsig.org or fax to: 609.386.2188.

    Workers' Compensation Accident Reporting Guidelines:

    NJSIG's Workers' Compensation Intake Reporting: 609.543.3377

    Business Hours: Monday — Friday | 8:00 AM — 5:00 PM

    All calls are returned within the same business day. If calling after hours, calls are returned within one business day.

    Three Ways to Report a Claim:

    1. Call 609-543-3377 to speak to NJSIG's intake team. The injured employee will be directed to treatment. English and Spanish team members available.
      1. If calling after standard business hours, please leave a message about your injury and you will be contacted within one business day.
    2. Click here to complete online First Report of Injury (FROI)
    3. Download FROI: English | Spanish | Polish | Portuguese
      1. Please email fully completed FROI forms to froi@njsig.org or fax to 609-386-2188.

    Three Ways to Report a Claim flyer: English | Spanish

    Workers' Compensation Claim Flowchart

    If you indicated a need for treatment on the FROI form, you will be contacted by a workers' compensation specialist within one business day.


    In case of emergency or after standard business hours:

    • The employee should report directly to an emergency room or nearest urgent care for treatment.
    • Upon discharge, or when the employee's condition is stable, the employee must call NJSIG to report the injury.

    For Nurses and Supervisors Only: Complete our DDI Form

    DDI Form

    The Duty Determination Information (DDI) form should be completed by the nurse or supervisor at the time of injury. The injured worker should then provide the DDI to the treating doctor to complete. The DDI acts as authorization for the doctor's office to examine the injured worker. If an injury occurs after hours and a nurse/supervisor is not available to complete a DDI at the time of the injury, the DDI can be completed (by the nurse/supervisor) the next business day and sent post doctor's visit to the doctor's office.


    If you have any questions, please feel free to call 609.386.6060 and speak with one of the workers' compensation Supervisors:

    • Gabe Foeldes: x3016
    • Denise Hall: x3092
    • Karen Olsen: x3022
    • Michael Weiner: x3026

    Additional Workers' Compensation Reporting Information:

    Instructions for Reporting a New Workers' Compensation Claim: Video (51 Minutes) | Presentation
    (Last Updated: 02/04/2025)

    Reporting a New Workers' Compensation Claim at a Glance: Video (11 Minutes)
    (Last Updated: 07/30/2024)

    Three Ways to Report a Claim flyer: English | Spanish

    NJSIG's Workers' Compensation Intake FAQs
    (Last Updated 02/13/2025)

    Workers' Compensation Materials

    Workers' Compensation Digital Poster: English | Spanish

    Workers' Compensation Digital Card: English | Spanish

    Mitchell Card: English

    Auto/General Liability/Property/Equipment Breakdown Reporting Form:

    Environmental Claim Reporting Information:

    All environmental claims should be reported directly to our partner, Ascot, at environmentalclaims@ascotgroup.com. Please also send a notification of the filing to NJSIG at froi@njsig.org.

    Errors and Omissions Claim Reporting Information:

    Effective July 1, 2024, all E&O claims will now be processed by NJSIG.

    Please first notify your broker of the E&O claim. Brokers should then notify NJSIG including all related documentation including any filed complaints and petitions via email to FROI@njsig.org


    For all claims filed before July 1, 2024:

    If you have questions regarding E&O claims filed before 7/1/2024, please contact Summit Risk Services at: NJSIGCLAIM@SUMMITRISK.COM.


    Primary contact at Summit Risk Services:

    Richard Pevner, Vice President.

    Direct: 215-443-3596

    Cell: 804-335-8000

    Email: pevner@summitrisk.com


    Summit Risk Services Address:

    220 Gibraltar Road

    Suite 100

    Horsham, PA 19044


    Should you have any questions, please contact NJSIG at 609-386-6060.

    NJSIG E&O Best Practices

    Cyber Liability Reporting:

    Claims and Privacy Breach reports should be sent directly to Beazley. Please also send a notification of the filing to NJSIG at froi@njsig.org.

    Claims

    Beazley Group
    Attn: TMB Claims Group
    1270 Avenue of the Americas, 12th Floor
    New York, NY 10020

    Fax: 646-378-4039

    Email: bbr.claims@beazley.com

    Privacy Breaches

    Email: bbr.claims@beazley.com

    Toll-Free 24-Hour Hotline: 1-866-567-8570

    Cyber Resources

    Managing Catastrophic Events

    Our Catastrophic Events provides information and tips for dealing with catastrophic events and extreme weather that will hopefully make this process easier for you.