File a Claim

Assess your worker’s needs as soon as the accident occurs.

Injuries that require care from an emergency room or urgent care facility should be addressed immediately. Less pressing injuries should be handled promptly as well.

Claims

Managing the claims you file with us is about to become a lot easier. 

We’ve installed a full updated, user-friendly portal to streamline your current claims management process. The new portal will let you file claims and check on their status. You’ll also have easy access to your adjuster’s contact inforamtion, your claim’s real-time finacial status and your claim history.

File Online

When filing a claim online you’ll need the following information for the worker you are filing the claim for:

  • Name
  • Phone Number
  • Address
  • DOB
  • Social Security Number
  • Gender
  • Marital Status
  • State of Hire
  • Date of Hire
  • Job Title
  • Gross Wage
  • Accident Information
  • Date of Injury
  • Date of when the employer was told about the accident

IMPORTANT INFORMATION YOU NEED TO BE AWARE OF

First things first. Assess your worker’s needs as soon as the accident occurs.

Injuries that require care from an emergency room or urgent care facility should be addressed immediately. Less pressing injuries should be handled promptly as well.

What to do in the event of an accident?

Some workers will need additional care after receiving treatment from an emergency room or urgent care facility. In these cases, employers have the legal right to choose the worker’s first healthcare provider. Or they may allow the worker to make the first provider choice instead. Your assigned adjuster can explain the details.

We encourage you and your workers to take advantage of the expert medical care available through our Preferred Provider Network whenever possible. Network providers meet our high care standards and offer preferred pricing to our policyholders, which helps control your costs. The statewide network includes hospitals, urgent care centers, rehabilitation centers, pharmacies and other occupational providers. Click here to see the list.

Next, get the facts.

Find out everything you can about the accident while people’s memories are still fresh. Talk to witnesses to determine the cause of the accident and take photos. If the accident seems questionable, contact your assigned adjuster for guidance.

Preserve the evidence.

Create a file for the photographs, witness names and statements you collect. Your adjuster will use these materials to investigate the claim. If faulty machinery or equipment was involved, do not throw it away. We may need to have it examined or tested.

Filing the Accident Report

If you have questions, please check our Claims FAQ or contact our Claims Department at 505-345-7260 or 800-788-8851.

Don't delay.

You should report all on-the-job accidents and injuries the same day as they occur, if possible. The law gives you up to 72 hours to file the report—but the sooner you file, the better. Your injured worker will be able to start treatment sooner, decreasing the chances that medical problems will worsen. The recovery time is usually shorter and the bills are usually lower, which helps your bottom line.

File online. It's easier.

Online claims filing is simple and quick. In place of a lengthy form, you’ll find just 10 easy questions to answer. Once you file, you’ll automatically receive your claim number, a copy of your report and your adjuster’s contact information. If you haven’t filed online before, you’ll need to register first. Start by clicking here.

Then click the Register link. Enter some basic information on the form that appears, including your policy number and company FEIN. Then click the Register button to receive your password. (If you registered with us in July 2011 or afterwards, your original log-in information is still valid.)

Other ways to file.

If filing online isn’t possible, you can also report the accident in any of these ways:

  1. Email: Complete the Employers’ First Report of Injury or Illness form and email it to NMMclaims@newmexicomutual.com.
  2. Fax: Complete the Employers’ First Report of Injury or Illness form and fax it to 505-345-0656.
  3. Standard Mail: Complete the Employers’ First Report of Injury or Illness form and mail it to New Mexico Mutual, PO Box 27810, Albuquerque NM 87125.

It’s the Law

72-Hour Reporting Requirement

Businesses must file a report with their workers’ compensation provider within 72 hours of learning about a work-related accident, injury or illness. This rule applies even if no apparent injury occurred, or even if the business is disputing the truth of the claim. The report is neither an admission nor a denial by the employer that an accident, injury or illness has occurred.

Penalties

The Workers’ Compensation Administration may impose a fine of up to $1,000.00 for each instance of failure to file a report when required.

Fraud Warning

Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to civil fines and criminal penalties.