Claims Management

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Accidents happen, claims get filed. Our team has the experience and know-how to help make the process a bit less disruptive. And, depending on the size of your claim, we can serve as the liaison between the insurance company and you, helping to expedite your claim and bring things to closure.

All claims should be reported promptly. If you haven't filed your claim directly with your insurance company, contact us as soon as possible after an automobile, property, or general liability claim.

Typically, an insurance company claims adjuster will be assigned to handle your claim and will be responsible for all coverage determinations. You are required to deal directly with the adjuster to resolve your claim. If the adjuster or a representative of your insurance company requests certain information, documents, or records, please be sure to provide them as soon as possible.

Need to file a claim? We need to gather a few pieces of information to get started:

Automobile Claims Form

"*" indicates required fields

Insured Party's Name*

Contact Person*

Phone*

Fax

Email*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Loss

Police Department

Case #

Accident Location

Description of Loss

Vehicle Information

Make

Model

Year

VIN

Driver

Full Name

License #

Phone

Describe damage to covered vehicle*

Other Driver's Vehicle Information

Make

Model

Year

VIN

Other Driver's Information

Full Name

License #

Phone

Owner of other vehicle

Other driver's carrier/agent

Describe damage to other driver's vehicle*

Injuries to Insured Parties

Name of injured

Phone

Describe injuries (include whether ambulance was called or whether injured sought medical attention on their own.)

Medical Provider

Name

Phone

Injuries to Other Driver

Name of injured

Phone

Describe injuries

Medical Provider

Name

Phone

Witness Information

Name

Phone

Witness Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Form Completed By:

Date Completed*

This field is for validation purposes and should be left unchanged.

Property Claims Form

"*" indicates required fields

Insured Party's Name*

Contact Person*

Phone*

Fax

Email*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Loss

Time of Loss

Location of Loss

Property Name (if any)

Fire or Police Department where Report was Filed?

Description of Loss/Damage*

IF DAMAGE WAS CAUSED BY KNOWN PARTY

Full name

Phone

Known Party's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Known Party's Insurance Carrier

Name of carrier

Phone

Form Completed By:

Date Completed*

Comments

This field is for validation purposes and should be left unchanged.

General Liability Claims Form

"*" indicates required fields

Insured Party's Name*

Contact Person*

Phone*

Fax

Email*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Loss

Time of Loss

Location of Loss

Property Name (if any)

Full Name of Injured Party

Phone*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Extent of Injury

Medical Attention - Yes or No?

Where Taken (Name of Hospital or Urgent Care Center)

Witnesses

Full Name

Phone

Witness Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Form Completed By:

Date Completed*

This field is for validation purposes and should be left unchanged.

Get In Touch With Our Team Today

Contact Mary Wells for
Exceptional Service
480.214.2734

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Name*

First Last

Company

Email*

Phone

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Contact Our Risk Management Team

The Mahoney Group Core Values

Service

We serve our employees, clients and business partners with a servant's heart.

Innovation

We deliver solutions that bring value and protection to the clients we serve.

Trust

We are accountable to each other, our clients and business partners. You can rely on us to always do the right thing.