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 as to what to do or need guidance, 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 submitted via fax to the number below.  In addition, First Report of Injury can be completed and submitted on-line by authorized member representatives. 

Please remember it is critical that claims be reported in the first 24 hours to ensure your claim receives immediate attention! 


General Claims Contact Information

Claims Administration - Contact

Brentwood Services Administrators, Inc.
P.O. Box 1125
Brentwood, TN 37024-1125

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

Toll Free Claims Hotline - 800-524-0604
Claim Questions-Click Here 

Please fax first report of claims to
the number below:

Please file your claim via our web portal:

File A Claim - Click Here  



Claims Forms & Required Documents 

To assist you in reporting claims and staying in compliance with your state's workers' compensation laws, we provide you with access to a document center that is updated periodically to ensure the most current forms are posted. Documents provided include:

  • Compliance Information For Your State
  • Posters & Publications
  • Key Reporting Forms

 To access the document center, please click on the link below: 

Claims Forms and Resources →

I have had workers’ compensation coverage through MidSouth Mutual since the beginning. Sound financial management with competitive rates and fast, efficient claims service take the worry out of insurance coverage.
— Don Moon, Chattannoga, Tennessee