Workers’ Compensation Claim Kit – Virginia

Who will handle your claims?

The Orlando Claim Office will handle your Virginia claims:

PO Box 14139
Lexington, KY 40512

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 forms and pamphlets does the employer need to be aware of?

Click on this link for the Virginia Forms-

http://www.vwc.state.va.us/vwc-forms

Virginia W/C Posting Notice:

Prominently display the notice where each employee is likely to see the notice on a regular basis. Notices should be displayed in English and Spanish. The Virginia posting notices are available on the Crum & Forster website.

http://www.cfins.com/claims/workers-compensation-claims/

Employer’s First Report of Injury:
If you report the claim via the Internet or by telephone, you do not need to fill out this form. If you report the claim via fax, complete the form below, and fax it to Crum & Forster at the fax number provided above.

VA-First Report of Injury

 

Employer’s Wage Statement:
File this form with the carrier, claimant, and claimant’s representative when the claimant is losing time from work. Read the instructions for more specifics on when to file the form.

VA-Statement of Earnings

What is the Waiting Period for Lost Wages in Virginia?
The waiting period is 7 days. If there are more than 7 days out of work, the employee is entitled to benefits from the first day out of work with a retroactive period of three weeks.

What is the Choice of Physician Rule in Virginia?
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: https://www-sf.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:

Virginia Division of Workers Compensation- http://www.vwc.state.va.us/

SAWCASouthern Association Workers’ Compensation Administrators (link to website with information on all states): http://sawca.com/

Multi-State Information- http://www.workerscompensation.com/