James River Group HoldingsJRG Reinsurance Company Ltd.James River Insurance CompanyFalls Lake InsuranceJames River TPA Services Individual Risk Workers' Compensation Claims / Individual Risk Workers' Compensation Claims Contact Information By Mail Claims Department P.O. Box 97308 Raleigh, NC 27624-7308 By E-mail Claims-Contact@fallslakeins.com By FAX (888) 629-5821, Attention: Claims Department By Phone (866) 459-1349 Claims Kit by State Alabama Arkansas Connecticut Florida Georgia Kansas Louisiana Massachusetts Mississippi Missouri New Jersey North Carolina Pennsylvania Rhode Island South Carolina Tennessee Virginia Reporting a Claim To report a claim, please click here to login to the portal or set up a new account. You will be prompted to enter your user name and password. If you do not have an account, you will need to set one up. For additional information on the portal, please click here. Contact your agent New claims should be reported immediately or no later than five business days to the Claims Department by fax, email or phone. Send your injured employee for medical treatment at a nearby urgent care or emergency room and request a post-accident urine screen within 24 hours. Workers' Compensation Resources Coventry has been selected by Falls Lake Insurance to assist you in obtaining prescription drugs related to your workers’ compensation claim. This form enables you to fill prescriptions written by your authorized workers’ compensation physician for medications related to your injury. Simply fill in the form and present it at the pharmacy at the time your prescription is filled. This form guarantees that you will have no out-of-pocket expenses when you fill your first prescription. • For your convenience, Coventry has an extensive network of retail pharmacies including major chain drug stores. • For pharmacy locations you may visit www.coventrywcs.com and use the find a pharmacy in the quick links section of their homepage. • If you have any questions, or would like to learn about our convenient home delivery service, please contact the mail order enrollment customer service center at (877) 350-5160. PBM Pharmacy search call 800-791-2080 and an agent can assist. RX First Fill- Download here Workers' Compensation Medical Submissions Please mail all medical bills related to Workers’ Compensation to the following address: Falls Lake/ Coventry WC Bill Review P.O. Box 818055 Cleveland, OH 44181-9600 To find a medical provider:www.coventrywcs.com Medical Providers Only: If you have any questions about how your medical bill was processed, contact Coventry Workers’ Comp Services directly 800-937-6824. Copyright 2021 by Falls Lake Insurance (a James River Group Company) | Privacy Statement | Terms Of Use