Claims Services (Workers' Compensation)

WEST VIRGINIA

Offices of the Insurance Commissioner

Allan L. McVey

Insurance Commissioner

Contact Information

Telephone:
  (304)-558-5838
Fax:
  (304)-558-0671
Correspondence:
  WV Offices of the Insurance Commissioner
  Attn: Claim Services
  P.O. Box 50540
  Charleston, West Virginia 25305
Physical Address:
  900 Pennsylvania Ave.
  Charleston, West Virginia 25302

Business Hours:

(Mon-Fri) 8:30 am - 4:30 pm
Eastern Standard Time

Claims Services

Claims Services is responsible for managing the third-party administrator contracts for the Old Fund claims, including State occupational pneumoconiosis claims, that were incurred prior to the privatization of workers' compensation in West Virginia on July 1, 2005; the Uninsured Employer Fund (UEF); the Federal Black Lung program (CWPF) with dates of last exposure prior to January 1, 2006; and self-insured Security and Guaranty Risk Pools. The third-party administrator is currently Sedgwick CMS. Claim Services also coordinates the scheduling of the docket for the Occupational Pneumoconiosis Board meetings and regulates the submission of claim data via EDI to populate the Claim Index.

Contact Information for Workers' Compensation Claims

Claims incurred on or after July 1, 2005:

Contact your employer’s insurance carrier or the number provided on claim related correspondence.

Old Fund Claims, including State Occupational Pneumoconiosis Claims(incurred prior to July 1, 2005):

Sedgwick CMS Phone: (877) 925-5580 Fax (866) 828-8550

Federal Black Lung Claims (date of last exposure prior to January 1, 2006):

Sedgwick CMS Phone: (877) 925-5580 Fax (866) 828-8550

Uninsured Employer Fund Claims:

Sedgwick CMS Phone: (877) 925-5580 Fax (866) 828-8550

Self-Insured Claims:

Self-Insured Employer/Third Party Administrator Contact Information

State Agency Workers’ Compensation Plan (SAWC):

Encova: 844-362-6821