Workers’ Compensation Claim Kit – Tennessee

Who will handle your claims?
The Orlando Claim Office will handle your Tennessee claims, located at:

1035 Greenwood Blvd., Suite 265
Lake Mary, FL 32795

Phone (800)423-3060
Rose Powell, Manager

How to report Workers’ Compensation claims?

To report via the Internet: Log on to the Crum & Forster website at https://cfconnect.cfins.com. Use your assigned User ID and Password. If you do not have a current User ID, please contact your local Crum & Forster Claims or Marketing resource.

To report e-mail:                                     [email protected]
To report via fax:                                     1-877-622-6218
To report claims via telephone:       1-800-690-5520

(7 day/24 hour toll free reporting line for all states)

  • In the event of a serious or fatal injury, notify the local claim office immediately by telephone.

What are the Reporting Requirements? What forms does the employer need to be aware of?

Posting Notice
Prominently display the notice where each employee is likely to see the notice on a regular basis. The Tennessee posting notices are available on the Crum & Forster website.  Notices should be displayed in English and Spanish.
http://www.cfins.com/claims/workers-compensation-claims/

Form C20– Employer’s First Report of Work Injury or Illness
If you report the claim via the Internet or by telephone, this form does not need to be completed. If you report the claim via Fax, complete the form, and Fax it to C&F at the Fax number provided above.

TN-C20-12.07

What is the Waiting Period for Lost Wages in Tennessee?
The waiting period for lost wages in Tennessee is 7 days.  If the injured worker is off for more than 14 days, the first 7 days are paid retroactively.

What is the Choice of Physician Rules in Tennessee?
The carrier will provide a panel of three providers not associated in the same practice.  Referrals beyond the initial panel choice are at the direction of the carrier unless the referral doctor has specifically named a particular doctor.

Preferred Provider Organization Network (PPO):
Crum & Forster has a PPO network available. Follow the instructions below to access the PPO Network:

Logon to the website at:   www.talispoint.com/conduent/cfi

  • Search by Provider Address, Name or Region
  • Select the Distance, Provider Type and Specialty
  • Results can then be exported to a directory or excel.
  • You can obtain a Map List or text message by selecting a specific provider

Where should all medical bills be sent?

Crum & Forster
PO Box 14801
Lexington, KY 40512

Important Websites

Tennessee Workers’ Compensation Division-http://www.tn.gov/workforce/section/injuries-at-work

Multi-State Informationhttp://www.workerscompensation.com/