Administrative Services

STATE RISK MANAGEMENT

Nebraska State Employees Workers' Compensation

Procedures for Filing a Claim

Work related injuries/illnesses should be reported within 24 hours of occurrence. State employees should inform his or her immediate supervisor of the incident. If the supervisor is unavailable, please report the injury/illness to Human Resources.  Your supervisor and/or Human Resources will then file a report. The employee may be required to complete agency specific forms regarding the work related injury/illness. Once the report has been filed, a First Report of Alleged Occupational Injury or Illness Form will be generated and a copy provided to the employee.

It is important that employees report all work related injuries and/or illness even though medical treatment was not sought.

Gallagher Bassett (“GB”) is a third-party administrator and is tasked with delivering claims administration and medical management services for the State of Nebraska’s workers’ compensation program. After a claim is filed, a Resolution Manager with GB will contact the injured worker to begin investigation of the claim.

 

 

 

Gallagher Bassett Services

10050 Regency Circle, Suite 300

Omaha, NE  68114

Phone:  402-972-4780

Fax:  402-972-4777

Web reporting: www.risxfacs.com (For HR Representatives Only)

 

Please mail all medical bills and accompanying medical reports to:

Gallagher Bassett Services, Inc.

P.O. Box 2381

Clinton, IA 52733-2831

To Check Bill Status: 866-324-5585

All other correspondence should be sent direct to the handling unit located in Omaha, NE.

 

Administrative Services | 1526 K Street, Lincoln, NE 68508 | 402-471-6500

Privacy Statement | Security Information | Acceptable/Intended Use Policy | Accessibility Policy

Contact Webmaster