Claims Center
Welcome to the Builders Claims Center. Here, you will find all the resources needed to report and manage your claims efficiently and confidently.
Below are your options to report your claim online, via phone, or to send us general questions.
Report Your Workers' Compensation Claim
Report Your Auto Claims
Report All Other Claims
(GL, Property,
Builder’s Risk)
Understand Your Claim
Claims Process
Understand the steps of our streamlined claims process to facilitate your experience.
Useful Information
Access critical information and tips to navigate the claims process with ease.
Report Fraud
Help us maintain the integrity of our insurance services by reporting suspicious activities.
How Does Our Claims Process Work?
Our claims process is designed to be transparent and straightforward, ensuring you know what to expect at each step.
Initial Contact
Once you submit your claim, expect a response within 24 hours to provide you with an official claims number and next steps.
Documentation Gathering
You may be required to provide additional information or documentation to support your claim. Timely submission can expedite your claim processing.
Claim Assessment
Our experts will assess your claim based on the information provided and the coverage stipulated in your policy.
Resolution and Closure
After assessment, we aim to resolve claims promptly, keeping you informed throughout the process until closure.
An Important Reminder for Injured Workers
Builders utilizes My Matrixx, an Express Scripts Company, as the pharmacy benefit manager to assist you in receiving the prescriptions related to your workers' compensation claims. Once you receive prescriptions related to your workers' compensation injury, please present your pharmacist with your My Matrixx, an Express Scripts Company prescription (RX) card, this bin number: 003858, and group number: 738A
These numbers in combination with your RX card ensure that any prescriptions for your workers' compensation injury will be filled correctly, without any out-of-pocket costs for you.
Injured workers or pharmacists with questions about their prescription benefits program should contact My Matrixx, an Express Scripts Company Advisor at 800.945.5951.
Useful Claims Information
Here you’ll find detailed information on managing your claim effectively and understanding key components of the process.
Understanding your state's workers' compensation laws is crucial for both compliance and safeguarding your rights as an employer or employee. These laws dictate the procedures for reporting injuries, benefits eligibility, and the use of physician panels, among other aspects.
Familiarize yourself with the specific regulations that apply to your situation by visiting your state board’s website, where you can access comprehensive resources, download forms, and find contact information for further assistance:
How Can I Fight Fraud and File a Report?
Fraudulent claims affect everyone by increasing costs. Here's how you can help stop fraud.
Recognize Suspicious Activity
Be aware of common fraudulent activities such as exaggerated injuries or unreported employment.
Gather Evidence
Collect any evidence that supports your suspicions, including documents, photos, or correspondence.
Contact Us
Call our toll-free Fraud Hotline, listed below, to report fraudulent activity confidentially.
Follow Up
After your report, we will conduct a thorough investigation and update you on the status.
Insurance Fraud: Know the Signs
The most common ways an individual commits insurance fraud is if he or she:
- Fakes an injury at work to get paid time off
- Exaggerates the severity of a legitimate injury to get additional time off work with benefits
- Claims an injury occurred on the job when it actually took place elsewhere
- Takes a new job and lies about being unable to return to work at the previous place of employment,
or misrepresents by concealing his or her income from another job
An employer can commit insurance fraud if the organization:
- Understates the amount of company payroll to reduce premium payments
- Claims employees are independent contractors
- Misrepresents about the type of work employees do in order to qualify for and pay lower premiums
This multi-billion dollar problem represents a significant cost each year to every American family in the form of higher insurance premiums, taxes, and costs of other goods and services. Higher workers' compensation insurance rates leave the employer with less money to provide employees with raises, paid vacations, and other employee benefits.
Call the Hotline
To report suspected insurance fraud, call our 24/7 hotline at 800.883.9305 ext. 4154. Your call is strictly confidential.