Report A Claim

To ensure that an injured employee receives the care they need and their workers' compensation claim is managed in a professional manner, it is imperative that claims be reported in the first 24 hours. Claims involving serious injury or questionable circumstances should be reported to Brentwood Services Administrators immediately.

Toll Free 800-524-0604

Report A Claim

To ensure that an injured employee receives the care they need and their workers' compensation claim is managed in a professional manner, it is imperative that claims be reported in the first 24 hours. The information on this page is designed to assist you with the process. Most importantly, if you are unsure is to what to do or need guidance and assistance, we encourage you to call Brentwood Services Administrators at  1-800-524-0604 and ask to speak with a claims professional.

The effective and expeditious handling of each claim requires a team approach and each client is asked to take an active role in this collaborative process. In order for us to assist you in the timely investigation and handling of your workers’ compensation claims, all losses regardless of severity should be reported as soon as possible and not to exceed 24 hours from time claim is reported by an employee. Claims involving serious injury or questionable circumstances should be called in to Brentwood Services Administrators, Inc immediately!

First Reports of Injury may be reported via fax to the number below.  In addition, First Report of Injury reports can be completed and submitted on-line by authorized member representatives. Using Powerview, our proprietary claims information system, clients can take advantage of the ease and efficiency achieved through on-line reporting. If not already using Powerview, contact us to learn more. 

 

Claims Administration - Contact

Brentwood Services Administrators, Inc.
P.O. Box 1125
Brentwood, TN 

(615) 263-1300
(615) 263-1301 (Fax)

Toll Free 800-524-0604


Claim Contact

Tonya Lanahan
615-263-1340
tonya.lanahan@bwood.com


Claims Forms

First Report of Injury C- 20

Supervisors Report of Injury

Employee Acknowledgement of Injury

Wage Statement C-41

BSA Mileage Form