File Your Claim

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Please see the list of claims forms below filtered by the questions you have answered. To file your claim, review the forms and choose the one that is most appropriate. If you do not see the claim form you want, please ensure the region and language you have chosen are correct. Note: United States employees in the NAD who wish to file a healthcare claim may contact Member Services at 1-888-276-4732 or use the Ascend to Wholeness platform and navigate to Healthcare/WebTPA Member Portal.

Complete the claim form and send to claims@adventistrisk.org. With the completed claim form, please include any relevant documentation such as pictures, receipts, police report, estimate, etc. When we receive your completed claim form, we will set up a claim and contact you with your claim number and examiner contact information. If you have any questions, please call 1-888-951-4ARM (4276) or email claims@adventistrisk.org.

Note: If your claim form has sensitive or personally identifiable information, please be aware that emailing may pose a risk. You may fax your claim form to us at 301-453-7060 or send it to us at 12501 Old Columbia Pike, Silver Spring, MD 20904, USA. You may also contact us at 1-888-951-4ARM (4276).

Thank you for choosing Adventist Risk Management^®, Inc. for your insurance needs. We look forward to working with you.

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Major Coverage This section covers major insurance types.

Personal Lines
Commercial Property
Commercial Liability
Automobile
Ocean Marine
Executive Risk

ACE Accident and Sickness Medical Claim Form

Medical claim form for volunteers serving out of their home country, such as missionaries.

File Your Claim

Major Coverage This section covers major insurance types.

Medical Costs?

Travel Costs?

Automobile Cost?

Personal Property Costs?

Commercial Property Costs?

Is Claimant the Policyholder or employee?

ACE Accident and Sickness Medical Claim Form

ACE Accident and Sickness Medical Claim Form

ACE Accidental Death Claim Form

ACE Accidental Dismemberment Claim Form

ACE Accidental Dismemberment Claim Form

ACE Personal Effects and Money Claim Form

ACE Trip Cancellation/Interruption Claim Form

AIG Accidental Death Claim Form

AIG Proof of Loss Accidental Dismemberment/Paralysis

AIG Special Risk Accident and Sickness Claim Form

GBG Accident Medical Expense Claim Form

GBG Accidental Death Claim Form

GBG Accidental Injury Claim Form

Mutual of Omaha HSRI K-12 Claim Form

NAD Automobile Loss Notice

NAD General Liability Claim Form

NAD Medical Payments Statement of Loss

NAD Property Notice of Loss

Ocean Marine Statement of Loss

Personal Effects and Baggage Statement of Loss

Trawick Life Insurance Claim Form

No Claim Found

How to File a Claim