Home > Insurance Claims

INSURANCE CLAIMS » » » » »

Shelly, Middlebrooks & O’Leary understands that claims are serious events and need to be reported and handled promptly. Any delay in the claims process will reflect on an agent’s future relationship with their clients. In order to expedite the reporting and handling of claims we have prepared the following claim procedures to assist agents and insured’s.

Claims may be submitted to our office via:

E-mail: webclaim@shellyins.com
Phone: 800-342-2498
Fax: 904-355-7611

Auto Loss Notice
Property Loss Notice

Carrier Claim Contacts Numbers and Procedure
ACE Property and Casualty Insurance Company	www.acelimited.com
Report of Loss ACE Property and Casualty Insurance Company P.O. Box 100008 Roswell, GA. 30077 Phone: 800-982-9826 Fax: 678-795-4095	All claims should be promptly reported as soon as it is reasonably possible. You can contact ACE direct or your insurance agent or Shelly, Middlebrooks & O'Leary, Inc. to report a loss.
Canal Insurance Co.	www.canal-ins.com
Report of Loss Canal Insurance Company PO Box 7 Greenville, SC 29602 Phone: 800-452-6911 Fax: 864-679-2518	Web claim form: http://canalinsurance.com/report-a-loss In order to provide prompt and efficient handling of claims Canal has prepared an online form. If you are prepared to submit a claim directly via this form visit the web address listed above.
Carolina Casualty	www.carolinacas.com
Claims Carolina Casualty PO Box 2575 Jacksonville, FL 32203 E-mail: ccilossform@carolinacas.com Phone: 800-874-8053 Fax: 866-655-9316 After 4:30 pm EST Phone: 866-724-2416	All claims should be promptly reported to Carolina Casualty as soon as the insured is able. Please complete the claim report form and fax or email direct to Carolina Casualty Insurance Company. Carolina Loss Report
Lexington Insurance Co.	www.lexingtoninsurance.com
Claims 100 Summer Street Boston, MA 02110 Phone: 800-931-9546 Fax: 866-548- 6879	Claim e-mail: lexingtonhomeownerproperty@aig.com Other than CAT: Claims are reported directly to the Broker (SMO) who will assign an adjuster (CJW) and report the Claim to Lexington. CAT: Catastrophe claims are to be report directly to Lexington who will assign the CAT claim adjuster for that event. Agent and insured should use the above listed numbers to report these losses.
National Group	www.phoenixunderwriters.com
Claims 101 Almeria Ave Coral Gables, FL 33134 Toll Free: 800-898-5448 Phone: 305 460 2650 Fax: 305-460-2651	Web claim form: http://www.phoenixunderwriters.com/claims.asp Our promise is to continue to look for ways to provide your agency excellent service. Our future looks bright and we know with your participation we can continue to be the best.
National Indemnity	www.nationalindemnity.com
Report of Loss National Indemnity 4016 Farnam Street Omaha, NE 68131 Phone: 800-356-5750 Fax: 402-536-3031	Claim e-mail: claims@nationalindemnity.com NICO offers its claims hotline to customers and claimants 24-hours a day, 7days a week. Please report claims promptly even if the information is limited.
North Point Ins. Co.	www.npic.com
Claims North Pointe 10199 Southside Blvd. Suite 200 Jacksonville, FL 32256 Phone: 800-229-6742 Fax: 904-519-7856	Claim E-mail: reportclaims@npic.com All claims or occurrences that involve a North Point policy are to be reported to SMO. Submit all information relevant to the event along with a completed Accord Loss Notice. Our office will notify the company and depending on the coverage or class of business any additional parties involved.
USLI	www.usli.com
Claims 1190 Devon Park Dr Wayne, PA 19087 Phone: 800-523-5545 Fax: 610-688-4391	Web claim form: https://ezpay.usli.com/publicpolicy/fraudwarning All claims or occurrences that involve a USLI or Mt. Vernon policy are to be reported to SMO. Submit all information relevant to the event along with a completed Accord Loss Notice. Our office will notify the company and depending on the coverage or class of business any additional parties involved.

I Need More Help.

If your insurance is not provided by one of the above companies, we will contact your insurance company for you, on behalf of your agent. Please use the form below to provide us with your policy and claim information. Most of the fields are required and needed to effectively assist you. Please complete the information as accurately as possible. Upon receipt, we will forward your information to the appropriate carrier who will then, based on your particular type of coverage, begin their claims process and work towards assisting you.

(*Required field)

Policy Holder Information
*Name: (as it appears on Policy)
*Address:
*City:
*State:
*Zip Code:
*Daytime Phone: (i.e 000-000-0000)
*Evening Phone: (i.e 000-000-0000)
*Email Address:

Policy Information
*Insurance Company:
*Policy Number:

Claim Information
*Date of Loss: (i.e MM/DD/YYYY)
*Previously reported:	No yes
Location of loss (if different than above):	Address City State Zip Code
*Kind of Loss: i.e Fire, Lightning, Flood, Theft, Hail, Wind OR Other (explain)
*Description of loss & Damages:
*Any known injuries resulting from loss	No yes

INSURANCE CLAIMS » » » » »

Carrier Claim Contacts