Effective July 1, 2020, the Diocese of Raleigh has moved from The Hartford to Zurich Insurance for workers’ compensation claims.
Please note there are required fields, which are indicated by an asterisk. When completing the form, please note you will need the following information at a minimum:
Parent Company Name: Please list Diocese of Raleigh/YOUR LOCATION NAME
Policy #: WC-57-10-332
- Injured worker and witness information
- Nature/severity of injury
- Lost time - if yes, first date of lost time
- Social security number
- Date of birth
- Injured worker address
NOTE: If for some reason you are unable to process the claim online due to technology issues or you are not at a place where you have access to file the claim online, the claim can be phoned in to the following number: 1-800-987-3373. This is only to be used at a time when you do not have the ability to file the claim online.
For questions or additional information, please contact Nancy von Gunten, Benefits Administrator, at 919-821-9775 or firstname.lastname@example.org.