Claim Reporting (for all islands)

Please enter your (person submitting claim) information in the following name, email, address, and phone fields and not claimant or insured information. Then enter information regarding the claim.

Company:
First Name:
Last Name:
Email :
Address1:
Address2:
City:
State:
Zip Code:
Phone:
Direct:
Fax:
Insured:
Claimant:
DOL:
Loss Location:
    WC     TDI
    Vehicle Auto     General Liability
    Commercial Property     Personal Property
    Marine     Auto Appraisal

Requested Service
Additional Info to Follow by:
    Email     Mail
    Fax     None     Phone

Add Attachment (Max. File Size: 3Mb)
   
Security Code:

How to Report a Claim (for all islands)

At John Mullen & Company we have a centralized department for the handling of claims. Our Intake Unit is the initial entry for all new reports of injuries and new claims. We have a group of very enthusiastic and dedicated team members to provide an excellent product and excellent customer service to our clients.

Please use the provided WC-1 and type versus hand write.
All forms are available in the forms section of the web site.
 
Please report your claims for any island to the following numbers:

INTAKE UNIT LINE: (808) 531-9733
INTAKE FAX NUMBER: (808) 531-0053

NEW CLAIMS EMAIL:

 claims@johnmullen.com

IMPORTANT EMAIL SIZE NOTE: The combined size of your email message and any attachments must not be more than 25 megabytes

 
HOURS OF OPERATION: 7:30 am– 4:30 pm PST
INTAKE UNIT SUPERVISOR: Arlene Laufasa
(808) 541-5561 or
alaufasa@johnmullen.com

Reporting Claims: Use the email address above. Do not use the Comments/Request form in the Contact section of the web site to report claims.