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Assign A Claim
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Assign A Claim
Assign a Claim
Assign a claim to ICS
Only the claim number is required. You can save your progress and finish later.
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Assignment Type
Desk Review
Field Assignment
Claim Handler Information
Name
Company Name
Phone
Email Address
Claim Information
Claim Number
(Required)
Date of Loss
Date Reported
Named Insured
Policy Number
Address
Insured's Address
Apartment, suite, etc
City
State/Province
ZIP / Postal Code
Insured's Phone
Insured's Alt. Phone
Location of Accident/Loss
Description of Accident/Loss
Claimant Information
Claimant Name
Claimant Phone
Claimant Email Address
Address
Street Address
Apartment, suite, etc
City
State/Province
ZIP / Postal Code
Attorney Phone
Referral Information
Referral Date
Due Date
Tasks Needed:
Detailed Instructions
Upload file
IF LARGER THAN 20MB PLEASE SEND FILES DIRECTLY TO NEWCLAIM@ICSCLAIMS.CC
Drop files here or
Select files
Max. file size: 20 MB.
Instructions
