CLIC Claims Directory

CLIC Claims Directory

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What is your claim?

System Breach Cyber Liability

Employee Injuries

Vehicle Accidents

EEOCs, IDHRs, OCRs & IEPs/Due Processes

Property Damage

Loss Control Services

Student Injury / Alleged Abuse

Boiler & Machinery

Violent Event Active Shooter

Injury / Accidents on Premises

For Additional Questions, Contact your RPA Team:

CLICK HERE TO ACCESS THE RPA ADMINISTRATION TEAM

CLIC Program Administration

CLIENT SERVICES TEAM

EXECUTIVE TEAM

Eileen McWeeney Senior Client Service Manager Phone: 630-285-3640 Eileen_McWeeney@RPAdmin.com Amanda Clark Client Service Manager Phone: 630-285-3967 Amanda_Clark@RPAdmin.com Kate Olson Client Service Manager Phone: 630-285-3848 Kate_Olson@RPAdmin.com Catherine Coffey Client Service Manager Phone: 630-694-4274 Catherine_Coffey@rpadmin.com

Michael McHugh Senior Executive Vice President Phone: 630-285-4373 Michael_McHugh@RPAdmin.com Byron Given RPA Central Branch President Phone: 630-694-5367 Byron_Given@RPAdmin.com Tyler Mackenzie Account Executive – Key Accounts Phone: 630-694-5165 Tyler_Mackenzie@RPAdmin.com

WC Loss Control

Jeff Byxbe Senior Risk Services Consultant 616-402-1212 jeff.byxbe@sedgwick.com

P/C Loss Control

Amanda Weller Senior Loss Control Consultant 815-236- 5170 amanda.weller@mjgsolutions.net

Property Claims

For claim inquries, issues, or emergencies contact:

Please Fill Out Claims Form & Submit To Below Email Address!

Donald Olson Property Claims Supervisor 630-282-2450 donald_olson@gbtpa.com

Please be ready to provide: - School District Name - Date and description of injury or damage - Any documentation relevant to claim

Direct Phone & Email 833-304-CLIC (2542) CLIC@tnwinc.com

Download Claims Form Here!

Policy #: CLICPR2025

School Board Legal Claims

EMPLOYEMENT RELATED MATTERS (EEOC's / IDHR's / OCR‘s) & DUE PROCESS / IEP MATTERS:

For questions regarding claim inqurieies issues or emmergencies contact:

newclaim@summitrisk.com

newclaim@summitrisk.com

Richard Pevner School Board Legal Claims Supervisor Phone: 215-443-3596 Pevner@summitrisk.com

Policy #: 038248353-02

Property Claim Must-Know !

Report any property losses immediately

Following all property losses:

• Make necessary repairs to protect the property from further damage.
• Retain damage property for inspection by adjuster.
• Whenver possible, take pictures or video of damaged area before starting temporary repairs.
• Keep area safe after a loss.

Click to continue to claims process

Auto Liability Claim Must-Know !

Immediately report all claims

Do not discuss the accident with the other party. Advise anyone involved that you will report the accident to your insurance carrier

Remember that adjusters require an opportunity to examine the damaged vehicle. Do not authorize repairs yourself without first contacting the adjuster handling your claim

If an employee is injured in the Auto accident, and there is a subsequent Workers Compensation claim, be sure to report the claim to both carriers if coverage and claims are handled by a different carrier.

Click to continue to claims process

General Liability Claim Must-Know !

You must report bodily injury or damage to property of others immediately.

Prompt reporting gives the adjuster the time they need to investigate and protect your interests in a loss.

Do NOT:

• Make any promises to an injured party
• Discuss the claim with any other insurance carrier
• Assume responsibility

Click to continue to claims process

Workers Comp Claim Must-Know !

All workers Compensation losses should be reported immediately

Subsequent medical bills and medical reports should be mailed directly to your Workers Compensation adjuster. Indicate claim number, the employee’s Social Security Number and the adjuster’s name when available.

As in all other claims, prompt reporting is essential. Workers Compensation is guided by Workers Compensation statutes and these statutes must be adhered to.

Should you have a problem with any claim, unpaid bill or delay in disability payments, call the adjuster.

If an employee is injured and there is a subsequent Auto Liability claim, be sure to report the claim to the other carrier if coverage and claims are handled by a different carrier.

Click to continue to claims process

Vehicle Accidents

For claim inquries, issues, or emergencies contact:

Please Fill Out Claims Form & Submit To Below Email Address!

Laura Cozzi-Deany laura_cozzideany@gbtpa.com 630-285-3844

Please be ready to provide: - School District Name - Date and description of injury or damage - Any documentation relevant to claim

Direct Phone & Email 833-304-CLIC (2542) CLIC@tnwinc.com

Download Claims Form Here!

Auto Policy #: CLICAL2025

Damage to other parties vehicles or property carries no deductible

Damage to district owned/leased vehicle carries a $2500 deductible

General Liability

For claim inquries, issues, or emergencies contact:

Please Fill Out Claims Form & Submit To Below Email Address!

Laura Cozzi-Deany laura_cozzideany@gbtpa.com 630-285-3844

Please be ready to provide: - School District Name - Date and description of injury or damage - Any documentation relevant to claim

Direct Phone & Email 833-304-CLIC (2542) CLIC@tnwinc.com

Download Claims Form Here!

Policy #: CLICGL2025

Boiler & Machinery

FOR CLAIMS

FOR INSPECTIONS

Please contact below information in regard to Boiler inspections

Please contact and submit claims information to below email address!

Direct Phone & Email Jason Burns 312-961-6441 wburns@chubb.com

Direct Phone & Email 833-304-CLIC (2542) CLIC@tnwinc.com

Download Claims Form Here!

Once in Google DocClick file & Download to access form

Policy #: 76401709

Cyber Claims

Step 1: To file a claim send a brief description of what occurred to: cyberclaimreport@chubb.com (note this is needed to officially tender a claim to the insurer)

• For breach assistance in the case of Ransomware or a similar, significant attack call:
• 1(800) 817 – 2665

Step 2: Prepare for a scoping call with: A brief summary of what systems or data may be impacted

Policy #:F1780666A 002

Gallagher Crisis Protect

In the event of a Crisis, Call Number Below (Reference CLIC and District Name)

Crisis Hotline: 833-325-1020

Policy #: FC0228325

Two Relevant Coverages

Student Accident

General Liability

A Liability matter unlike Student Accident requires a degree of negligence on the district’s end for the student’s family to be compensated. If a student injury occurs where your district feels there was potential fault, or a claimant representation letter is received from a legal firm representing the family, it is important you notify Gallagher Bassett (GB) immediately

The Student Accident coverage is the first place to look in the case of a student injury requiring outside medical treatment. This coverage is what we call a “No Fault” coverage and just requires meeting a set of circumstances which entail the injury occurring during the school day or during a district sponsored/supervised activity.

Click to continue to claims process

Click to continue to claims process

Student Accident

Step 1: Please fully complete Student Accident Claims Form Step 2: Attach HCFA/UB04 - Medical Bills & EOBS from any other insurance you have. Step 3: Send all correspondence to: WEB-TPA P.O. Box 2415Grapevine, TX, 76099-2415 Toll-Free: 866-975-9468 Fax: 469-417-1969 Email: Benefit.assist@webtpa.com

Download Your Claims Form Here!

Available in Spanish Below

Policy #: 13379925

Worker's Compensation

EMPLOYEES INJURED ON THE JOB SHOULD CALL (Reference CLIC and District Name)

For claim inquries, issues, or emergencies contact:

Christian Payne Director – Client Services Phone: 856-803-3179 Christian.Payne@Sedgwick.com Paulette Howard Account Supervisor Phone: 773-824-4280 Paulette.Howard@Sedgwick.com

Company Nurse Injury Hotline: 1-855-921-9518

Policy #: CLICWC2025

Loss Control

FOR WORKERS COMPENSATION LOSS CONTROL

FOR PROPERTY AND CASUALTY LOSS CONTROL

CLICK HERE

CLICK HERE