Agent Resources

RISK INNOVATIONS IS NOW JENCAP INSURANCE SERVICES.
All of our existing agent resources reside here.
For information on our Workers’ Compensation areas of expertise and custom solutions, please visit JencapGroup.com.

Agency Portal

All agents that have active Workers’ Compensation policies with Jencap Insurance Services (former Risk Innovations) can sign up for our agency portal. Our useful portal provides 24/7 access to the following:

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Policy documents

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Commission statements

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Electronic upload capabilities for updated E&O and license information

*Please note if you signed up for our agency portal prior to our rebrand, you still have access and nothing has changed.

To request access to our agency portal, please email our team at documents.wc@jencapgroup.com

To download instructions on how to use our agency portal, please click here

For all other inquiries, please email us at marketing.wc@jencapgroup.com.

Get a Quote

Jencap’s Workers Compensation brokers understand the importance of fast and efficient quoting. Our team will respond to your quote request within hours to either confirm receipt or request any additional information that may be needed.

Please submit the following information with your quote request for the fastest quote turn around times:

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Completed Acord 130 Application

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Loss Runs

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Experience Modification Factor

Please direct all new business quote requests to submit.wc@jencapgroup.com or send us your files through this form.




    Accepted file types: jpb, gif, png, pdf, Max. file size: 50 MB, Max. files: 10.

    Carrier Contacts

    Billing Contacts

    Workers' Compensation Billing Contacts

    Accident Fund: 866-206-5851
    Online Payments

    AIG: 800-645-2259
    Online Payments

    Amerisafe: 800-256-9052
    Online Payments

    AmeriTrust: 800-825-9489
    Online Payments

    American Liberty Insurance Company: 801-226-8008
    Online Payments

    Amtrust: 877-528-7878
    Online Payments

    BerkleyNet: 877-497-2637 (Inquiries)
    Online Payments

    Berkley Industrial: 800-448-5621
    Online Payments

    Berkshire Hathaway: 888-495-8949
    Online Payments

    BiBerk: 844-472-0967
    Online Payments

    Builders Mutual: 800-809-4859
    Online Payments

    Chubb: 800-699-9916
    Online Payments

    Cimarron: 833-564-3117
    Online Payments

    C-N-A: 877-574-0540
    Online Payments

    Employers: 888-682-6671
    Online Payments

    Encova: 844-362-6821
    Online Payments

    Everest: 877-604-1995
    Online Payments

    FFVA: 800-346-4825
    Online Payments

    FastComp – Clear Springs: 800-252-5059
    Online Payments

    First Comp: 888-500-3344
    Online Payments

    Guard: 800-673-2465
    Online Payments

    Hartford: 800-835-0385
    Online Payments

    ICW: 858-350-7262
    Online Payments

    Inspirien: 800-821-9605
    Online Payments

    Key Risk: 800-942-0225
    Online Payments

    Liberty Mutual: 877-528-7878
    Online Payments

    Markel: 888-500-3344
    Online Payments

    Michigan Commercial Insurance Mutual: 877-925-9911
    Online Payments

    Midwestern Insurance Alliance: 800-356-8457
    Online Payments

    National Liability & Fire (V3): 844-229-9288
    Online Payments

    Normandy: 866-688-6442
    Online Payments

    Old Glory: 888-838-6404
    Online Payments

    Prescient National Insurance (formerly Syngery): 866-710-0908
    Online Payments

    QBE: 800-553-4471
    Online Payments

    RTW: 866-319-0339
    Online Payments

    Sirius/Pie: 855-880-0204
    Online Payments

    Southeast Personnel: 866-800-0785

    StoneTrust: 800-311-0997
    Online Payments

    Stonewood: 800-780-7454 (Inquiries)
    Online Payments

    Summit: 800-282-7648
    Online Payments

    Synchrono Group: 888-389-0439
    Online Payments

    Tangram: 800-676-2213

    Travelers: 877-307-4202
    Online Payments

    United Heartland: 800-258-2667
    Online Payments

    Zenith: 800-440-5020
    Online Payments

    Claims Contacts

    Workers' Compensation Claims Contacts

    Accident Fund:
    866-206-5851 (P)
    517-316-2775 (F)
    claimsexpress@accidentfund.com
    Website

    AIG:
    866-642-5246 (P)
    866-420-1404 (F)
    easternwcnewloss@aig.com
    Website

    American Liberty Insurance Company:
    866-337-0891 (P)
    352-240-1203 (F)
    coverage@treancorp.com 
    Website

    Amerisafe:
    800-699-6240 (P)
    Website

    AmeriTrust:
    800-825-9489 (P)
    800-603-8409 (F)
    newclaim@ameritrustgroup.com
    Website

    Amtrust:
    888-239-3909 (P)
    877-669-9140 (F)
    amtrustclaims@qrm-inc.com
    Website

    Berkley Industrial:
    800-448-5621 (P)
    (205) 874-8292 (F)
    firstreport@berkindcomp.com
    Website

    BerkleyNet:
    800-435-1127 (P)
    866-275-6320 (F)
    claims@berkleynet.com
    Website

    Berkshire Hathaway:
    800-661-6029 (P)
    800-661-6984 (F)
    newclaim@bhhc.com
    Website

    BiBerk:
    844-472-0966 (P)
    203-989-2652 (F)
    claims@biberk.com 
    Website

    Builders Mutual:
    800-809-4862 (P)
    noticeofloss@bmico.com
    Website

    Chubb:
    800-699-9916 (P)
    800-884-3946 (F)
    Website

    Cimarron:
    877-296-6378 (P)
    704-543-0609 (F)
    claims.claims@bwood.com

    C-N-A:
    833-366-5262 (P)
    877-291-2019 (F)
    reportclaim@fnolcna.com
    Website

    Employers:
    888-682-6671 (P)
    877-329-2954 (F)
    customersupport@employers.com
    Website

    Encova:
    866-452-7425 (P)
    877-293-5513 (F)
    claimsintake@encova.com
    Website

    Everest:
    855-252-4695 (P)
    Website

    FastComp – Clear Springs:
    855-252-7210 (P)
    217-477-6450 (F)
    fastcompnewclaims@ccmsi.com

    First Comp:
    800-500-3344 (P)
    877-44-6806 (F)
    Website

    FFVA:
    800-226-0666 (P)
    321-214-0235 (F)
    claimsnoi@ffvamutual.com
    Website

    Guard:
    888-639-2567 (P)
    570-825-0611 (F)
    claims@guard.com
    Website

    Hartford:
    800-327-3636 (P)
    Website

    ICW:
    844-442-9252 (P)
    858-436-8916 (F)
    firstnotice@icwgroup.com
    Website

    Inspirien:
    800-821-9605 (P)
    Website

    Key Risk:
    866-687-0710 (P)
    support@keyrisk.com
    Website

    Liberty Mutual:
    866-272-9267 (P)
    877-669-9140 (F)
    clclaimreports@libertymutual.com
    Website

    Markel:
    888-500-3344 (P)
    855-662-7535 (F)
    newclaims@markel.com
    Website

    Midwestern Insurance Alliance:
    888-962-9942 (P)
    fnol@mwiainsurance.com
    Website

    Michigan Commercial Insurance Mutual:
    888-922-5246 (P)
    941-921-0640 (F)
    newclaims@mcim.com
    Website

    National Liability & Fire (V3):
    844-229-9288 (P)
    203-903-0387 (F)
    claims@nlf-info.com
    Website

    Normandy:
    833-968-7642 (P)
    833-770-1220 (F)
    compcare@normandyins.com
    Website

    Old Glory:
    800-765-2412 (P)
    888-667-4966 (F)
    support@oldgloryinsurance.com
    Website

    Prescient National Insurance (formerly Syngery):
    877-327-5444 (P)
    Website

    QBE:
    844-723-2524 (P)
    newlossqbe@us-qbe.com
    Website

    RTW:
    866-620-3137 (P)
    866-286-5258 (F)
    claims@stateauto.com
    Website

    Sirius/Pie:
    844-581-0828 (P)
    claims@pieinsurance.com
    Website

    Southeast Personnel:
    800-966-5562 (P)
    727-682-2439 (F)

    StoneTrust:
    800-311-0997 (P)
    866-923-1871 (F)
    claims@stonetrustinsurance.com
    Website

    Stonewood:
    866-459-1349 (P)
    888-629-5821 (F)
    claims@stonewoodins.com
    Website

    Summit:
    800-762-7811 (P)
    863-667-1871 (F)
    Website

    Synchrono Group:
    800-315-6090 (P)
    866-261-8507 (F)
    reportaclaim@narisk.com
    Website

    Tangram:
    800-753-6737 (P)
    800-245-9927 (F)
    nol@choosebroadspire.com
    Website

    Travelers:
    800-238-6225 (P)
    first.report@travelers.com
    Website

    United Heartland:
    888-881-8242 (P)
    claimsexpress@unitedheartland.com
    Website

    Zenith:
    800-440-5020 (P)
    800-440-5020 (F)
    firstcallnewclaim@thezenith.com
    Website

    Forms and Applications

    State-Specific Forms
    AK – Petition Officer Waiver 07-6131
    AL – DFW Credit
    AL – DFW Credit-Recert
    AL – Form WC14-15 – Employer Notice Include Exclude
    AR – Drug Free Workplace Form
    AR – Notice of Election/Revocation of Coverage
    AZ – Employee’s Notice Of Rejection Of Terms
    CA – Accident Fund Corporate Officer and Director
    CA – Accident Fund General Partners and LLC Managing Members
    CA – AIG Cooperative Corporation Officer – Director
    CA – AIG Corporate Officer and Director
    CA – AIG General Partners and LLC Managing Members
    CA – AIG Professional Corporation Owner
    CA – AmeriTrust Corporate Officer and Director
    CA – AmTrust Corporate Officer and Director
    CA – AmTrust General Partners and LLC Managing Members
    CA – BerkleyNet Cooperative Corporation Officer – Director
    CA – BerkleyNet Corporate Officer, Director or Trustee
    CA – BerkleyNet General Partners and LLC Managing Members
    CA – BerkleyNet Professional Corporation Owner
    CA – Berkshire Corporate Officers and Directors
    CA – Berkshire General Partners and LLC Managing Members
    CA – CNA Corporate Officer and Director
    CA – CNA General Partners and LLC Managing Members
    CA – Employers – All Entities
    CA – Guard Cooperative Corporation Officer – Director
    CA – Guard Corporate Officer and Director
    CA – Guard Corporate Officer, Director or Trustee
    CA – Guard General Partners and LLC Managing Members
    CA – Guard Professional Corporation Owner
    CA – Guard Trusts
    CA – ICW – All Entities
    CA – Markel Corporate Officer and Director
    CA – Markel General Partners and LLC Managing Members
    CA – New York Marine and General Insurance Company Officer and Director
    CA – New York Marine and General Insurance Company General Partners and LLC Managing Members
    CA – NL&F Cooperative Corporation Officer – Director
    CA – NL&F Corporate Officer and Director
    CA – NL&F General Partners and LLC Managing Members
    CA – NL&F Professional Corporation Owner
    CA – NL&F Trusts
    CA – Pie All Entities
    CA – Protective Corporate Officer and Director
    CA – Protective General Partners and LLC Managing Members
    CA – QBE – All Entities
    CA – Waiver of Workers Compensation Coverage – Corporate Officers/Directors
    CA – Waiver of Workers Compensation Coverage – General Partners & LLC Managing Members
    CO – Exclusion Of Coverage Form WC43
    CT – Form 6B-1 – Coverage Election Emps Of Partnership
    CT – Form 6B – Coverage Election Offcr Mngr Member
    CT – Form 75 – Coverage Election SProp Sing Mmbr LLC
    CT – Drug And Alcohol Free Workplace Program Form
    DE – Officer LCC Member Exclusion Form
    FL – Form DWC-250 – Notice Election To Be Exempt
    FL – Form DWC-250 – Notice Election To Be Exempt – INS
    FL – Form DWC-250R – Notice Revocation Election Exempt
    FL – Form DWC-251 – Notice Election Of Coverage
    FL – Form DWC-251-R – Revocation Election Of Coverage
    GA – Drug Free Credit Form
    GA – Form WC10 – Notice Of Coverage Election Rejection
    IA – 14-0061 – Exclusion
    IA – Non Election Form 14-0175
    ID – IC52 – Election Of Coverage Form
    IL – Exclusion Corporate Officer and LLC Member
    IL – Exclusion Sole Proprietor and Partners
    IN – Exclusion or Election Form
    KS – WC-50a – Cancellation Of KS WC-50
    KS – WC-50 – Exclusion Form
    KS – WC-113 – Election Of Individual
    KS – WC 114 – Cancellation Of KS WC 113
    LA – Exclusion or Election Form
    MA – Form 153 – Corporate Officers Exemption
    MD – Form C-15R – Inclusion Form
    MD – WCC Exclusion Form IC-16
    ME – Form WCB-2C – Application For Waiver
    MI – Rejection Of Coverage Form
    MO – Rejection Of Coverage LLC Forms1
    MS – Rejection of Coverage Form
    NC – Drug Free Workplace Form
    NC – Drug Free Workplace Form – Instructions
    NC/SC/VA – Notice of Election or Rejection
    NE – LLC Inclusion Form
    NJ – Form PP-1B – Proprietors Partners Election
    NM – CID Sole Proprietor Election Form
    NM – Election To Be Subject To WC Act
    NM – Executive Employee Affirmative Form
    NM – Revocation Of Prior Election Form
    NV – Rejection of Coverage Form
    NV – D-45 – Sole Proprietor Coverage
    NY – Form C-105 32 – Elect SProp Partner LLC Memb
    NY – Form C-105 51 – Exclude Shrhldrs And Exec Offcrs
    NY – Form C-105 52 – NonProf Exclude Unslrd Exec Offcr
    NY – Form C-105 53 – Revoke Election For NonProf Org
    NY – Form C-105 55 – Rvk Shrhldrs ExecOffcrs Exclusion
    PA – Form LIBC 509 – Ap For Exec Officer Exception
    PA – Form LIBC 513 – Executive Officers Declaration
    RI – Form DWC-11 – Claim Of Common Law Rights
    RI – Form DWC-11C – Elect By Exempt Corp Off
    RI – Form DWC-11R – Rescnd Common Law Rights Claim
    SC – Form 5 – Corporate Officer Notice To Reject
    TN – Form SS-4523 – Construction Exemption
    TN – Form I-4 – Election Of Sole Proprietor Or Partner
    TN – Form I-5 – Notice Of Withdrawal Sole Proprietor
    TN – Form I-6 – Notice Of Corp Officer To Employer
    TN – Form I-7 – Notice Corp Officer Rev Exemption
    TN – Form I-8 – Notice Of Acceptance By Employer
    VA – Notice Terminate Prior Rejection Of Cvrg
    VA – Rejection Of Coverage Form
    VT – Form 29 – Exclude Corp Officers Corps Ap
    WV – Rejection Or Election Form