Company/Business fraud form

If you would like to report someone who you think may be committing workers' compensation fraud, complete the information below. You may choose to submit this information anonymously; however, this may limit the scope of the investigation. If you need to report fraud on a claim not being handled by LWCC, or a policyholder not insured by LWCC, please report it directly to the Louisiana Workforce Commission.

* This form is for Louisiana only. If you would like to report workers' compensation fraud in a state other than Louisiana, please contact the desired state's workers' compensation office or website.

Basic info

Company/Business Fraud Reporting

The information below is to report a company you suspect may be committing workers’ compensation fraud.

Your information

* If you wish to be contacted by LWCC, please complete any of the following information about yourself.

Additional information

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LWCC is a private, nonprofit mutual insurance company and the largest workers’ compensation carrier in Louisiana. Our purpose is to help Louisiana thrive.

Corporate HQ

2237 South Acadian Thruway
Baton Rouge, LA 70808
225-924-7788

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Contact LWCC

There are many ways to get in touch with our team.

Call
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Log in

225-924-7788

800-519-7787 (toll free)

Representatives are available to assist you Monday-Friday, 8AM-5PM. Please call and follow the prompts to get your message to the right department.

Policy billing

Press 1

Making a payment on your policy, or if you have a question regarding the balance on your invoice

Claims

Press 2

Reporting a new claim

Then Press 1

If you are an injured worker

Then Press 2

If you are policyholder or agent

Then Press 3

If you are a medical provider

Then Press 4

Form 1010 or Utilization Review

Then Press 1

Medical Bill Status

Then Press 2

Electronic or previously mailed payment

Then Press 3

Premium audit

Press 3

Scheduling or rescheduling an audit, checking audit status, or for general audit questions

Agents

Press 4

For agent partners experiencing online issues or with questions related to your agency

Policyholder services

Press 5

Inquiring about policy status, classifications, rating, loss runs, or if you have general policy questions

Company directory

Press 6

Reaching a specific employee at LWCC by name by locating them in the company directory

All other calls

Press 0

billingrequest@lwcc.com

Making a payment on your policy, or if you have a question regarding the balance on your invoice

onlineclaims@lwcc.com

For reporting a new claim or to determine which claim rep is assigned to a file

audits@lwcc.com

For inquiries and questions regarding your premium audit

information@lwcc.com

For policy status, coverages, loss runs, and all other inquiries

safetyrep@lwcc.com

For inquiries or questions for LWCC’s Safety Services department

bindingdocs@lwcc.com

For submitting signed Non-Election Notice, Personal Guaranty, or other required documents when binding an LWCC policy

agentofrecord@lwcc.com

For submitting completed Agent of Record letter forms

Regular Bill Payments

LWCC
P.O. Box 919142
Dallas, TX 75391-9142

For mailing standard payments to LWCC. Please include the payment coupon from the bottom of your invoice. Make checks payable to LWCC and write your policy number on the check.

Overnight Bill Payments

JP Morgan Chase
Attn: LWCC — LB #919142
14800 Frye Road, 2nd floor
Ft. Worth, TX 76155

For mailing payments to LWCC for overnight processing. Please include the payment coupon from the bottom of your invoice. Make checks payable to LWCC and write your policy number on the check.

Medical Billing

LWCC
Attn: Medical Bill Review
PO Box 2939
Clinton, IA 52733

For mailing all HCFA, UB and dental bills for bill review. Please include medical records related to the dates of service on the bills, including reconsiderations.

General Claims Mail

LWCC
PO Box 98052
Baton Rouge, LA 70808

For mailing all injured worker forms, reports, reimbursements, and bills.

Manage your policy online

Policyholders and agents can log in to gain full access to current information regarding LWCC policies and workers’ comp claims.

Click here to log inClick here to register

Corporate Headquarters

2237 South Acadian Thruway
Baton Rouge, LA 70808

Business Hours

8:00AM – 5:00PM
Monday – Friday

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Report a Claim

Getting accidents reported immediately is very important. LWCC offers you several quick, easy ways to report claims. We will take care of the filing requirements and deadlines with state or federal agencies on your behalf.

Report Online
Report by Email
Report by Fax
Report by Phone

The fastest way to report a claim.

Log in to your account, select “report claim,” and fill in the details about the accident being reported. Our expert claims team will do the rest.

Click here to log in

Don’t have a login?

All policyholders are invited to create an account login. In addition to reporting claims quickly and easily online, you’ll also gain access to policy actions, information, and documents.

Click register for an account
STEP 1

Access and fill out the First Report of Injury or Illness Form

Complete this form, distributed by Louisiana Workforce Commission’s Office of Workers’ Compensation, to begin the claim reporting process.

Click here access the form
STEP 2

Email the form to onlineclaims@lwcc.com

If you’re sending attachments with the form, please include the injured employee’s name and your policy number for identification purposes.

If necessary, an LWCC claims service professional will call you within 24 hours to discuss the injury.

STEP 1

Access and fill out the First Report of Injury or Illness Form

Complete this form, distributed by Louisiana Workforce Commission’s Office of Workers’ Compensation, to begin the claim reporting process.

Click here access the form
STEP 2

Fax the form to 225-231-2301

If you’re sending attachments with the form, please include the injured employee’s name and your policy number for identification purposes.

If necessary, an LWCC claims service professional will call you within 24 hours to discuss the injury.

Call 225-924-7788

800-519-7787 (toll free)

then press 2, then press 1

Our toll-free, 24-hour Claims Reporting Hotline puts you in touch with a friendly claims service professional who will obtain your information, handle the administrative paperwork, and process the claim for you.

Make a payment

9/18/24 Notice: Payee ACH code for payments to LWCC – 0000408976

In September 2024, LWCC transitioned to a new payment system. If you utilize ACH debit block fraud protection, please provide your bank with Payee Code: 0000408976 prior to making a payment.

No action is needed if you do not utilize ACH debit block fraud protection or if paying with a debit or credit card.

Pay as registered user
Pay as guest
Pay by phone
Pay by mail

Pay and manage your bills online

Sign in using your LWCC login to view account balances, make secure online payments, set up or modify automatic payments, and view payment history.

Log in to payClick here to register

Make a one-time payment

Click here to pay as guest

Why should I register for online payment?

Registering streamlines the payment process by eliminating the need to enter your policy number and pay code each time. Registered users can save multiple payment methods in their wallet, set up automatic payments, and view their payment history.

Payment methods for registered users:

eCheck (checking or savings), debit card, or credit card

Quote Payments

For new policyholders who recently bound a quote with LWCC, please enter your quote number and your company’s mailing ZIP code to make your first payment and issue your policy.

Invalid Quote and/or Zip Code.  Please try again or contact LWCC Billing Department at 225-924-7788 or 1-800-519-7787, prompt 1
Where can I find my quote number?

New policyholders can locate their quote number on the proposal provided by their agent. Agents can also retrieve new policyholder quote numbers in CompZone+.

If a new tab does not automatically open, please check your browser pop-up blocker settings, or call our billing department at 225-924-7788 option 1 for further assistance.
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An error has occurred. Please contact LWCC Billing Department at 225-924-7788 or 1-800-519-7787, prompt 1.
Oops! Something went wrong while submitting the form.

Policy Payments

For policyholders ready to make a payment on an invoice, please enter your policy number and the pay code found on your latest invoice.

Invalid Policy and/or Pay Code.  Please try again or contact LWCC Billing Department at 225-924-7788 or 1-800-519-7787, prompt 1.
Where can I find my policy number?

Policyholders can find their policy number at the top right-hand corner of their invoice, in their LWCC account, from their agent, or by calling LWCC. Agents can also retrieve policyholder numbers in CompZone+.

Where can I find my pay code?

Your pay code is located at the top right-hand corner of your invoice. You can access a copy of your invoice by logging into your LWCC account and navigating to Policy Info > Policy Documents.

If a new tab does not automatically open, please check your browser pop-up blocker settings, or call our billing department at 225-924-7788 option 1 for further assistance.
Please wait...
An error has occurred. Please contact LWCC Billing Department at 225-924-7788 or 1-800-519-7787, prompt 1.
Oops! Something went wrong while submitting the form.

Did you know LWCC could process your payments automatically?

Paying as a registered user can streamline your  payment process by eliminating the need to enter your policy number and pay code each time. Registered users can also save multiple payment methods in their wallet, set up automatic payments, and view their payment history.

Log in to payClick here to register
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Call 225-924-7788

800-519-7787 (toll free)

then select option 1

Billing representatives are available Monday through Friday, 8am to 5pm, to assist with payments and answer any policy billing questions.

What should I have ready to make my payment over the phone?

Have your policy number and preferred payment method available.

When mailing your policy payment, please include the payment coupon from the bottom of your invoice. Make checks payable to LWCC and write your policy number on the check.

Mail regular bill payments to:

LWCC
P.O. Box 919142
Dallas, TX 75391-9142

Mail overnight bill payments to:

JP Morgan Chase
Attn: LWCC – LB# 919142
14800 Frye Road, 2nd floor
Ft. Worth, TX 76155